Stem vein varicosisI83.9

Varicose veins (varicosis) of the vena saphena magna or the vena saphena parva.

• V. saphena magna: Complete truncal varicosis: The proximal point of insufficiency is located in the crest (orifice of the V. saphena magna) itself. Depending on how far the valve insufficiency extends distally, 4 stages are distinguished:
  • Grade 1: Distal insufficiency point (D.I.) is located in the groin
  • Grade 2: D.I. on the thigh
  • Grade 3: D.I. on lower leg
  • Grade four D.I. on the foot.
• V. saphena magna: Incomplete truncal varicosis: The proximal point of insufficiency is not identical with the cricket. Different types are distinguished according to the point of insufficiency: lateral branch type, dodd perforan type, dorsal type.
• V. saphena parva: Complete trunk varicosis: The proximal point of insufficiency is located in the airlock region of the saphenous vein. Depending on the route of the insufficiency 3 stages are distinguished:
• Grade 1: the distal point of insufficiency lies in the airlock region
  • Grade 2: D.I. lies in the middle lower leg
  • Grade 3: D.I. is located in the region of the external ankle.

• S.u. Varicosis.
• Endoluminal catheter-assisted techniques are particularly suitable for eliminating venous reflux in cases of truncal vein varicosis
• Radio wave therapy
• Foam sclerotherapy
• endoluminal laser therapy
• Steam vein sclerosis (sclerotherapy using steam; long-term results are to be awaited).

1. Han, M et al (2006) Endoluminal catheter-assisted laser therapy of truncal vein insufficiency. Dermatologist 57: 26-32
2. Reich-Schupke et al (2012) Catheter procedures for the treatment of truncal varicosis. Derm 18: 275-281