Felipe B. Collares - Varicose Veins

Practical Guides in Interventional Radiology

Varicose Veins

Felipe B. Collares, MD, MSc, RVS

Director
Massachusetts Vein Care Center and Vascular Ultrasound
Interventional Radiologist
Beth Israel Deaconess Medical Center
Instructor
Harvard Medical School
Boston, Massachusetts

Salomo Faintuch, MD, MSc

Editor and Series Editor
Clinical Director of Interventional Radiology
Beth Israel Deaconess Medical Center
Assistant Professor
Harvard Medical School
Boston, Massachusetts

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Library of Congress Cataloging-in-Publication Data

Names: Collares, Felipe, editor. | Faintuch, Salomo, editor.
Title: Practical Guides in Interventional Radiology: Varicose
veins/[edited by] Felipe Collares, Salomo Faintuch.
Other titles: Varicose veins (Faintuch) | Practical guides in
interventional radiology.
Description: New York: Thieme, [2017] | Series: Practical
guides in interventional radiology series | Includes bibliographical references.
Identifiers: LCCN 2017005195| ISBN 9781626230125 (print)
| ISBN 9781626230132 (e-book)
Subjects: | MESH: Varicose Veinstherapy | Varicose
Veinsdiagnosis |
Endovascular Procedures | Ambulatory Care Classification:
LCC RC695 | NLM WG 620 | DDC 616.1/43dc23
LC record available at https://lccn.loc.gov/2017005195

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Printed in India by Replika Press Pvt Ltd 5 4 3 2 1
ISBN 978-1-62623-012-5

Also available as an e-book:
eISBN 978-1-62623-013-2

Important note: Medicine is an ever-changing science undergoing continual development. Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book.

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Felipe B. Collares

Amy R. Deipolyi and Gloria M. Martinez Salazar

Michael G. Johnson, Jr., Igor Rafael Sincos, and Felipe B. Collares

Cyrillo R. Araujo, Jr. and Felipe B. Collares

Erica A. Gupta, Raphael J. Yoo, Carlos Alberto M. Carvalho, and Felipe B. Collares

Amy R. Deipolyi, Gloria M. Martinez Salazar, and Felipe B. Collares

Ian M. Brennan

Indravadan J. Patel and Suvranu Ganguli

Ann L. Brown, Lauren Ferrara, and Felipe B. Collares

Edward H. Ahn and Felipe B. Collares

Varicose Veins: Outpatient Interventional Series is a complete, well-illustrated, and easily understandable textbook on varicose veins and their current management.

The first two chapters review anatomy and pathophysiology. The overall anatomy of the superficial venous system is clearly presented as well as the histologic difference between arteries and veins. This chapter lays the anatomic groundwork for the management of pathology of the superficial venous system.

The physiology and pathophysiology of the venous system is then succinctly reviewed, integrating both the superficial and deep venous components. The physiology of normal venous return is hemodynamically explained, serving as the basis for the subsequent pathology of venous valvular incompetence at the various anatomic levels.

The initial patient-physician interaction is well covered in the chapter on the Clinical Exam. The authors generously include their Initial Visit Questionnaire for others to use, or it can serve as a foundation for a revised version for individual practices. Objective documentation of the physical findings, appropriate use of the CEAP classification, the Venous Clinical Severity Score, and the CVIQ-20 QOL questionnaire are reviewed. This overview serves as a model of how the patient's presentation should be memorialized in the medical record. The authors also review the advantages of photographic documentation in the medical record. This chapter is appropriately concluded with a discussion of managing patient expectations and establishing realisticgoals for treatment.