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Vein Disease

Venous Inefficiency

The History to Now, What are veins?

Venous insufficiency has been around as long as western medicine. From the Greek times to modern day, it is recognized within the writings of Hippocrates, Ambroise Parè, and Richard Wiseman. So in a sense, venous disease was discovered by these great physicians of the past.

During these ancient times, it was known that venous insufficiency gave rise to varicose veins and ulcers, but treatment was never more than compression and various types of cauterization.

It wasn’t until the anatomical research and discoveries of Crockett and Boyd that we began to have a better understanding of the root causes of venous disease. Crockett and Boyd mapped out the saphenous veins and perforators allowing physicians a more physiological comprehension. Doctors then used the earliest diagnostic testing methods such as plethysomography and photo-plethysomography to analyze the disease.

In the modern era, diagnostic testing routines have advanced to the use of duplex ultrasound. This state-of-the-art technological advancement comprehensively assists physicians in the classification, diagnosis and treatment on the full spectrum of disorders encompassed by the umbrella term “chronic venous insufficiency.”

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, endovenous laser ablation, saphenous vein ablation, closure, and micro phlebectomy.