• Cleve Clin J Med · Dec 2021

    Review

    Chronic venous outflow obstruction: An important cause of chronic venous disease.

    • Matthew Harris and Chung Sim Lim.
    • Specialty Registrar in Vascular Surgery, The Royal Free London NHS Foundation Trust, London, United Kingdom.
    • Cleve Clin J Med. 2021 Dec 2; 88 (12): 680-688.

    AbstractChronic venous outflow obstruction is a significant cause of chronic venous disease and therefore chronic morbidity. When conservative measures fail, intervention through deep venous reconstructive techniques should be considered. Referral should be considered in all patients with features of chronic venous disease that are life-affecting. Imaging relies primarily on duplex ultrasonography, supplemented by computed tomographic and magnetic resonance venography, and intraoperatively by intravascular ultrasonography. Intervention is primary endovenous, using angioplasty and stenting. Open surgical procedures are used in very select patients.Copyright © 2021 The Cleveland Clinic Foundation. All Rights Reserved.

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