Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- presença de fatores de risco
- veias tortuosas dilatadas
Outros fatores diagnósticos
- fadiga ou dor nas pernas após períodos prolongados em pé
- cãibras nas pernas
- pernas inquietas
- deposição de hemossiderina
- corona flebectática
- prurido
- lipodermatoesclerose
- edema maleolar
- ulceração
- sangramento de varizes
Fatores de risco
- idade mais avançada
- história familiar
- sexo feminino
- aumento do número de partos
- trombose venosa profunda
- profissão que exige posição ortostática por períodos prolongados
- obesidade
Investigações diagnósticas
Algoritmo de tratamento
Colaboradores
Autores
Alun H Davies, MA, DM, DSc, FRCS, FHEA, FEBVS, FACPh
Professor of Vascular Surgery and Honorary Consultant Vascular Surgeon
Department of Surgery and Cancer
Imperial College London
Imperial Vascular Unit
Imperial College Healthcare NHS Trust
London
UK
Declarações
AHD declares that he has no competing interests.
Tristan RA Lane, MBBS, BSc, PhD, FRCS
Consultant Vascular Surgeon
Cambridge Vascular Unit
Addenbrooke's Hospital
Cambridge University Hospital Trust
Cambridge
Honorary Senior Clinical Lecturer, Section of Vascular Surgery
Department of Surgery and Cancer
Imperial College London
UK
Declarações
TRAL declares that he has no competing interests.
Agradecimentos
Professor Alun Davies and Mr Tristan Lane would like to gratefully acknowledge Dr Luis R. Leon Jr, Dr Maureen K. Sheehan, and Dr Boulos Toursarkissian, previous contributors to this topic.
Declarações
LRL, MKS and BT declare that they have no competing interests.
Revisores
Paul Tisi, MBBS, MS, FRCSEd
Medical Director/Consultant Vascular Surgeon
Bedford Hospital
Bedford
UK
Declarações
PT declares that he has no competing interests.
Nick Morrison, MD, FACS, FACPh
Director
Morrison Vein Institute
Scottsdale
AZ
Declarações
NM declares that he has no competing interests.
Referências
Principais artigos
Kakkos SK, Gohel M, Baekgaard N, et al. Editor's choice - European Society for Vascular Surgery (ESVS) 2021 clinical practice guidelines on the management of venous thrombosis. Eur J Vasc Endovasc Surg. 2021 Jan;61(1):9-82.Texto completo Resumo
National Institute for Health and Care Excellence. Varicose veins: diagnosis and management. July 2013 [internet publication].Texto completo
De Maeseneer MG, Kakkos SK, Aherne T, et al. Editor's choice - European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs. Eur J Vasc Endovasc Surg. 2022 Feb;63(2):184-267.Texto completo Resumo
Gloviczki P, Lawrence PF, Wasan SM, et al. The 2022 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part I. duplex scanning and treatment of superficial truncal reflux: endorsed by the Society for Vascular Medicine and the International Union of Phlebology. J Vasc Surg Venous Lymphat Disord. 2023 Mar;11(2):231-61.e6. Resumo
van der Velden SK, Biemans AA, De Maeseneer MG, et al. Five-year results of a randomized clinical trial of conventional surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy in patients with great saphenous varicose veins. Br J Surg. 2015 Sep;102(10):1184-94. Resumo
Brittenden J, Cooper D, Dimitrova M, et al. Five-year outcomes of a randomized trial of treatments for varicose veins. N Engl J Med. 2019 Sep 5;381(10):912-22. Resumo
Gohel MS, Heatley F, Liu X, et al. A randomized trial of early endovenous ablation in venous ulceration. N Engl J Med. 2018 May 31;378(22):2105-14.Texto completo Resumo
Brittenden J, Cotton SC, Elders A, et al. A randomized trial comparing treatments for varicose veins. N Engl J Med. 2014 Sep 25;371(13):1218-27.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível aqui.
O uso deste conteúdo está sujeito ao nosso aviso legal