A vascular disease is any abnormal condition affecting the blood vessel network of arteries, veins and capillaries. They affect millions of people every year, either as independent conditions or complications of underlying metabolic diseases.

  Chronic Venous insufficiency occurs when your leg veins don’t allow blood to flow back up to your heart. Normally, the valves in your veins make sure that blood flows toward your heart. But when these valves don’t work well, blood can also flow backwards. This can cause blood to collect (pool) in your legs. Chronic venous insufficiency (CVI) is a common cause of leg pain and swelling, and is commonly associated with varicose veins.

Inadequate muscle pump function, incompetent venous valves (reflux), venous thrombosis, or nonthrombotic venous obstruction are causes of elevated venous pressure (venous hypertension), which initiates a sequence of anatomic, physiologic, and histologic changes leading to vein dilation, skin changes, and/or skin ulceration

 Affecting a patient’s lower extremities with venous hypertension causing pain, swelling, edema, skin changes, and ulceration, Chronic Venous Insufficiency (CVI) can severely affect day-to-day life.

If this condition is not treated, you may have:

  • Pain
  • Swelling
  • Cramps
  • Skin changes
  • Varicose veins
  • Leg ulcers

 Chronic venous insufficiency is not a serious health threat. But it can be painful and disabling.

References:

  1. Gloviczki P, Comerota AJ, Dalsing MC, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53:2S.
  2. Wittens C, Davies AH, Bækgaard N, et al. Editor’s Choice – Management of Chronic Venous Disease: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2015; 49:678.
  3. O’Donnell TF Jr, Passman MA. Clinical practice guidelines of the Society for Vascular Surgery (SVS) and the American Venous Forum (AVF)–Management of venous leg ulcers. Introduction. J Vasc Surg 2014; 60:1S.