Investigation of venous ulcers

Kokkosis, Angela A.; Labropoulos, Nicos; Gasparis, Antonios P.

doi:10.1053/j.semvascsurg.2015.06.002

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…Clinical history should focus on the signs and symptoms that elicit a venous cause of the ulcer. These criteria may include leg heaviness and cramps, swelling, leg pain after ambulating that is relieved with rest and elevation, and a history of deep venous thrombosis and ulceration [103,106,112,113].…”

Section: Overviewmentioning

confidence: 99%

“…Another potential benefit of venography is the opportunity for treatment at the time of examination. Disadvantages include limited ability to evaluate the extravascular tissue, limited range of differential diagnosis, a lack of consensus on hemodynamically significant pressure gradients, and the possibility of incomplete assessment due to contrast load, access, or technical difficulties [113].…”

Section: Venography (Venogram)mentioning

confidence: 99%

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An Overview of Clinical Examinations in the Evaluation and Assessment of Arterial and Venous Insufficiency Wounds

et al. 2023

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Arterial and venous insufficiency are two major causes of chronic wounds with different etiology, pathophysiology, and clinical manifestations. With recent advancements in clinical examination, clinicians are able to obtain an accurate diagnosis of the underlying disease, which plays an important role in the treatment planning and management of patients. Arterial ulcers are mainly caused by peripheral artery diseases (PADs), which are traditionally examined by physical examination and non-invasive arterial Doppler studies. However, advanced imaging modalities, such as computed tomography angiography (CTA) and indocyanine green (ICG) angiography, have become important studies as part of a comprehensive diagnostic process. On the other hand, chronic wounds caused by venous insufficiency are mainly evaluated by duplex ultrasonography and venography. Several scoring systems, including Clinical–Etiology–Anatomy–Pathophysiology (CEAP) classification, the Venous Clinical Severity Score (VCSS), the Venous Disability Score, and the Venous Segmental Disease Score (VSDS) are useful in defining disease progression. In this review, we provide a comprehensive overlook of the most widely used and available clinical examinations for arterial and venous insufficiency wounds.

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Section: Overviewmentioning

confidence: 99%

Section: Venography (Venogram)mentioning

confidence: 99%

An Overview of Clinical Examinations in the Evaluation and Assessment of Arterial and Venous Insufficiency Wounds

et al. 2023

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“…Heavy limbs, itching, pain and edema are commonly presented symptoms of VLU, which are exacerbated during the day and improved with elevation of affected limbs 6,10,12 . Diagnostic strategy comprised of ultrasonography, arterial pulse examination and measurement of ankle‐brachial index is recommended for individuals suspected of VLU 13,14 . The primary goals for treating patients with VLU include alleviation of pain and edema, ulcer healing and prophylaxis of ulcer recurrence 2,10,15 .…”

Section: Introductionmentioning

confidence: 99%

“… 6 , 10 , 12 Diagnostic strategy comprised of ultrasonography, arterial pulse examination and measurement of ankle‐brachial index is recommended for individuals suspected of VLU. 13 , 14 The primary goals for treating patients with VLU include alleviation of pain and edema, ulcer healing and prophylaxis of ulcer recurrence. 2 , 10 , 15 Elevation of lower extremities is regarded as the simplest approach to reverse the effects of venous insufficiency, Abu‐Own et al recommended that elevation of the legs above the heart level for 3 to 4 times daily, 30 minutes per time, along with leg elevation throughout the night could improve venous circulation.…”

Section: Introductionmentioning

confidence: 99%

Effects of exercise in treating patients with venous leg ulcers: A systematic review and meta‐analysis

Zhang

Lü

Song

et al. 2023

International Wound Journal

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To determine the effects of exercise on VLU healing and exercise adherence, and to provide evidence for clinical practice and scientific investigation. PubMed, Embase and Scopus were searched from inception to 31st March, 2022. Pooled relative risks (RRs), standardised mean differences (SMDs), adherence rate with respective 95% confidence intervals (CIs) were calculated. Quality assessment of included studies were performed using the Cochrane Collaboration risk of bias evaluation. Heterogeneity between enrolled studies was evaluated. We identified eight randomised control studies (RCTs) that met the inclusion criteria. The pooled RR for healing rate was 1.38 (95% CI: 1.14 to 1.66; P = 0.0008) with no significant heterogeneity between component studies (I2 = 0%, P = 0.96). SMD for differences of total range of ankle joint motion (ROAM) at the end and at the initiation of follow‐up in the intervention and control groups was 0.87 (95% CI: 0.22, 1.52; P = 0.0091), no significant heterogeneity was detected (I2 = 59%, P = 0.0622). Pooled adherence rate was 64% (95% CI: 53%, 75%) with no significant heterogeneity. Exercise manifested positive effects on VLU healing, range of ankle mobility compared with the control group. Patients' adherence to the exercise regimens was favourable.

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Ultrasound evaluation of lower extremity chronic venous disease

Garcia¹,

Labropoulos

2023

Venous Ulcers

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Investigation of venous ulcers

Cited by 5 publications

References 8 publications

An Overview of Clinical Examinations in the Evaluation and Assessment of Arterial and Venous Insufficiency Wounds

An Overview of Clinical Examinations in the Evaluation and Assessment of Arterial and Venous Insufficiency Wounds

Effects of exercise in treating patients with venous leg ulcers: A systematic review and meta‐analysis

Ultrasound evaluation of lower extremity chronic venous disease

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