Pathophysiology of chronic venous insufficiency and new horizons in surgical management

A. S. Bhuller, R. D. Nachreiner, M. C. Dalsing

Research output: Contribution to journalReview article

1 Scopus citations


The sequelae of chronic venous disease have plagued mankind since the earliest known medical records. Recently, through the endeavors of numerous pioneer clinicians, our understanding of this complex disease has blossomed. This has been achieved by recognizing the spectrum of disorders encompassed by the umbrella term "chronic venous insufficiency" and by the ability to classify each through an understanding of its basic pathophysiology and clinical presentation. Appropriate diagnostic studies allow careful patient selection to optimize the benefit of conservative medical therapy while clarifying the appropriate timing for interventional therapies. Interventional therapy may include sclerotherapy, vein stripping, perforator ablation, primary valvuloplasty, vein transposition, and venous valve transplantation. We review the current approach to the classification, diagnosis, and treatment of chronic venous insufficiency.

Original languageEnglish (US)
Pages (from-to)155-170
Number of pages16
JournalSeminars in Interventional Radiology
Issue number2
StatePublished - 2001


  • Chronic venous insufficiency
  • Diagnosis
  • Pathophysiology
  • Surgery
  • Treatment
  • Venous disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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