Varicose Veins and the Diagnosis of Chronic Venous Disease in the Lower Extremities

J Chest Surg. 2024 Mar 5;57(2):109-119. doi: 10.5090/jcs.23.110. Epub 2023 Nov 23.

Abstract

Varicose veins usually present in the superficial veins of the lower extremities and are one of the main clinical presentations of chronic venous disease (CVD). Patients' symptoms may vary according to the pathophysiology, location, and severity of CVD. The prevalence of CVD in Korea has been increasing gradually. However, due to its broad clinical spectrum and the subjective nature of its diagnosis using ultrasound, discrepancies in diagnostic and treatment quality may exist among treating physicians. There have been recent efforts to improve the quality of the diagnosis and treatment of varicose veins in Korea by standardizing the diagnostic criteria and the indications for treatment. This study is a comprehensive review of the clinical manifestations and diagnostic criteria of CVD based on the most recent international and domestic guidelines and reports.

Keywords: Chronic venous disease; Diagnosis; Lower extremity; Ultrasonography; Varicose veins.

Publication types

  • Review

Grants and funding

Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.