The Other Side of Chronic Venous Disorder: Gaining Insights from Patients' Questions and Perspectives

Abstract

Venous disorders encompass a diverse range of manifestations and diseases, impacting a significant portion of the population. While life-threatening conditions are uncommon in non-thrombotic disorders, like telangiectasias or uncomplicated varicose veins (VVs), these conditions still have a substantial impact on affected individuals. Ensuring that patients are well informed about their venous disorder is a crucial step in their treatment journey. Providing them with valuable information regarding the disease's natural progression and available therapeutic options plays a pivotal role in optimizing their care. When patients are diagnosed with venous disorders, they often have numerous questions and concerns they want to discuss with their healthcare providers. Addressing these inquiries not only improves patients' knowledge and understanding but also influences their treatment compliance and overall outcomes. Therefore, it is of utmost importance to provide comprehensive explanations that address any doubts, uncertainties, and areas of confusion that patients may have. This report aims to present a concise, practical, and informative guide to venous disorders, focusing specifically on the common questions frequently raised by patients in everyday clinical practice. By serving as a valuable resource for healthcare professionals working in the field of venous diseases, this guide equips them with the necessary tools to effectively address patients' concerns and provide optimal care. By bridging the gap between patients' inquiries and medical expertise, this guide strives to enhance therapeutic outcomes and improve the overall management of venous disorders, ultimately empowering patients in their treatment journey.

Keywords: CEAP; chronic venous disease; great saphenous vein; varicose veins.

Figure 1

(A), superficial venous system; (B), deep venous system; (C), venous compartments: above the fascia (yellow arrow) and below the muscular fascia (blue arrow); connecting different or communicating the same compartments (grey arrows); (D), saphenous fascia, similar to the Eye of Horus.

Figure 2

Mickey Mouse sign. CFA: common femoral artery; CFV: common femoral vein; GSV: great saphenous vein.

Figure 3

Venous valve located in the popliteal vein (arrows indicate venous blood flow direction).

Figure 4

CEAP C classes. CVI: chronic venous insufficiency.

Figure 5

Techniques for varicose vein endovenous ablation. (A) Sclerotherapy. (B) Endovenous laser ablation. (C) Mechanochemical ablation. (D) Cyanoacrylate embolization.