Recurrence of chronic venous ulcers on the basis of clinical, etiologic, anatomic, and pathophysiologic criteria and air plethysmography

Abstract

Leg ulcers associated with CVI have a high rate of recurrence. Ulcer recurrence is significantly increased in patients with DVI and in patients who do not have venous abnormalities corrected surgically. The VFI obtained from APG is useful in the prediction of increased risk for recurrence, particularly in association with anatomic data.

Deep venous external valvuloplasty using a rigid angioscope

“…Some patients are treated by a superfi cial venous operation alone, but McDaniel et al 5 reported that chronic venous ulcers tended to recur more in patients with deep venous insuffi ciency than in those without. Makarova et al 6 showed that the presence of deep venous insuffi ciency is a determining factor in the progress of the disease.…”

Prevention and treatment of venous ulcers in primary chronic venous insufficiency

“…However, risk factors for ulcer recurrence (other than presence of postthrombotic disease) have been identified and some may be helpful (eg, residual iliofemoral vein obstruction; residual deep incompetence, particularly axial deep reflux; residual or recurrent superficial reflux; and persistent venous hypertension). [27][28][29][30] Discussion highlights. There are many proposed clinical risk factors, which need clarification of their role in progression of the disease.…”

Influence of Aspirin Therapy in the Ulcer Associated With Chronic Venous Insufficiency

“…24 This prognostic factor ''initial lesion area'' allows us to identify patients in whom evolution can be worst, which can help us raise more adequate treatment in patients with poor prognosis. Unfortunately, recurrence of the ulcer is common 33,34 and many patients suffer multiple episodes of ulceration. 35 The primary method of preventative treatment involves providing compression of between 35 and 45 mm Hg at the ankle.…”