Varicosis secondaryI83.9
Synonym(s)
DefinitionThis section has been translated automatically.
Compensatory dilatation of the superficial (epifascial) veins due to increased venous pressure, e.g. after thrombotic or traumatic occlusion of the deep leg veins as part of a postthrombotic syndrome. Both the acute phase of deep vein thrombosis and the recanalization phase of deep vein thrombosis can lead to secondary varicosis.
Occurrence/EpidemiologyThis section has been translated automatically.
Approximately 60% of untreated patients develop secondary varicosis within 10 years after deep vein thrombosis (phlebothrombosis).
Clinical featuresThis section has been translated automatically.
TherapyThis section has been translated automatically.
Progression/forecastThis section has been translated automatically.
Basically, when the vicious circle of reflux of blood from the deep vein system into the epifascial vein system breaks through, the pathological changes in the vein wall can regress. However, once the process has become chronic with fibrosis of the venous wall and loss of the elastic apparatus, the process is irreversible. Chronic venous insufficiency develops.
LiteratureThis section has been translated automatically.
- Hesse G, Stiegler H (2003) Ultrasound diagnostic techniques in dermatologic angiology and phlebology. dermatologist 54: 614-625
- Nishibe T et al (2003) Stripping operation with preservation of the calf saphenous veins for primary varicose veins: hemodynamic evaluation. Cardiovasc Surgery 11: 341-345
- Schöpf E et al (1985) Newer aspects of the diagnosis and therapy of primary varicosis. Dermatologist 36: 379-380
- Smith PC (2015) Debate: should persistent incompetent truncal veins be treated immediately? The case in support of the statement. Phlebology 30 (1 suppl):107-110.
- Ströbel P (2010) Etiology of varicosis. In: T Noppeney, H Nüllen Diagnosis and therapy of varicosis. Springer Medicine Publishing House Heidelberg S 34 -36