Management of mixed arterial venous lower extremity ulceration: A review

“…Another algorithm was published later 23 in a study intended to validate the clinical efficacy and 23 Vowden and Vowden 24 Harding et al 25 Rutherford et al 12 Thomas 26 O'Donnell et al 27 Ratliff et al 28 Eklof et al 10 Vowden and Vowden 24 Widener 29 Harding 30 Krishnan and Nicholls 31 Eberhardt and Raffetto 14 Wittens et al 32 Franks et al 33 Vasquez et al 13 Harding et al 25 Ito et al 34 Lurie et al 11 Wittens et al 32 Tan et al 35 Hedayati et al 19 Ratliff et al 28 Alavi et al 36 Gould et al 37 the cost effectiveness of VLU guidelines in the United States and in the United Kingdom. This study demonstrated that implementation of a guideline for diagnosis and treatment of VLUs resulted in the improvement in diagnosis, decrease in healing time, and an increase in healing rates resulting in lower costs.…”

Section: Discussion Of Findings and Relevant Literaturementioning

confidence: 99%

“…An important factor to consider when managing these wounds is the possibility of concomitant arterial disease: a mixed etiology is estimated to affect up to 26% of patients with lower extremity ulcerations. 19 This article will review the literature on VLUs, specifically treatment algorithms, guidelines, and guidance documents, and provide an up-to-date educational resource for practitioners new to the field. The literature search for venous insufficiency classifications and treatments was conducted in PubMed and Embase in June 2020.…”

Section: Introductionmentioning

confidence: 99%

Venous Leg Ulcers: A Review of Published Assessment and Treatment Algorithms

Bernatchez¹,

Eysaman-Walker

Weir

2022

Advances in Wound Care

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Significance: Chronic venous disease (CVD) is prevalent in the aging population and leads to venous leg ulcers (VLUs). These wounds can last and recur for years, significantly impacting quality of life. A large body of literature exists on CVD and VLU diagnosis and treatment. Multiple algorithms, guidelines, and consensus documents have been published on this topic, highlighting the importance of this issue in clinical practice. However, these documents are not fully aligned with each other. Recent Advances: The latest update of the internationally used classification system for CVD was recently published. Our review aims to summarize the existing information to provide an educational tool for clinicians new to this topic, and to highlight the commonalities between the published recommendations. Critical issues: VLUs need to be treated with consideration for the extent of venous disease present in the patient. This requires a good understanding of the various components involved and the possible additional concomitant conditions by the first-line clinician who encounters the patient. A multidisciplinary team is necessary for a successful overall treatment plan, and this plan should be tailored to each patient's specific needs and lifestyle. Future Directions: Compression is still the mainstay of treatment for CVD and VLUs. Compression is needed long term, but it does not suffice by itself to prevent recurrences without interventional correction. Venous intervention should be offered early to prevent or slow disease progression and reduce recurrence.

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“…Mixed arterial venous disease is estimated to affect up to 26% of patients with lower extremity ulcerations, however their pathophysiology is not well studied. 22 Mixed venous arterial ulcers usually combine the clinical characteristics of venous leg ulcers and arterial ulcers. They are located in the medial or lateral aspects of the leg, and circumferential extension is not uncommon (Figure 3).…”

Section: Mixed Venous Arterial Leg Ulcersmentioning

confidence: 99%

“…In these cases, the clinical suspicion is important and a thorough arterial and venous evaluation should be performed. 22…”

Section: Mixed Venous Arterial Leg Ulcersmentioning

confidence: 99%

Clinical characteristics of lower extremity ulcers

Isoherranen¹,

Kallio²,

O’Brien³

et al. 2020

Journal of the EWMA (JEWMA)

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Common causes of lower-extremity ulcers are relatively easy to diagnose, but exact wound diagnosis needs always a holistic approach and a careful evaluation of the wound patient. Systematic assessment and the use of check-lists provides diagnostic tools. This review aims to provide clinicians with an overview of the different aetiologies of leg ulcer by describing the clinical characteristics of each aetiology. It also aims to provide tools for health-care providers when assessing a lower-extremity ulcer patient.

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Management of mixed arterial venous lower extremity ulceration: A review

Cited by 33 publications

References 53 publications

Diagnosis and management of venous leg ulcers

Diagnosis and management of venous leg ulcers

Venous Leg Ulcers: A Review of Published Assessment and Treatment Algorithms

Clinical characteristics of lower extremity ulcers

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