Abstract
Editor's Choice – European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs
Highlights
Purpose of these guidelinesThe European Society for Vascular Surgery (ESVS) has prepared new guidelines for the treatment of patients with chronic venous disease (CVD), to update the existing ESVS guidelines on the management of CVD, which were published in 2015.1 The focus of the present guidelines is on CVD of the lower limbs, related to pathology of the superficial, perforating and deep veins of the lower limbs as well as to abdominal and pelvic venous pathology
Handheld continuous wave Doppler provides no information on venous morphology, has low reliability in detecting obstruction or reflux in deep veins, and research has shown that pre-operative planning on the basis of continuous wave Doppler alone, instead of duplex ultrasound (DUS), results in inadequate treatment in a significant proportion of patients and has no role in the diagnosis of CVD.42
Air plethysmography measures the global change in volume in mL/s of the part of the calf enclosed by the cuff, in response to gravitational filling on dependency and drainage on leg elevation
Summary
The European Society for Vascular Surgery (ESVS) has prepared new guidelines for the treatment of patients with CVD, to update the existing ESVS guidelines on the management of CVD, which were published in 2015.1 The focus of the present guidelines is on CVD of the lower limbs, related to pathology of the superficial, perforating and deep veins of the lower limbs as well as to abdominal and pelvic venous pathology. The guidelines report several recommendations on diagnosis and treatment of these pathologies in different chapters, with details on health questions and population described in the related text. These guidelines do not include patients with venous pathologies unrelated to CVD of the lower limbs nor patients suffering from venous or arteriovenous malformations. To further underline the supportive character of the guidelines, both European and non-European reviewers were invited to review the document, so that the document can serve practitioners treating patients outside Europe This is the rationale behind the decision that all ESVS guidelines are free to download from the publisher’s website and the ESVS website www.esvs.org. An ESVS clinical guidelines App is available, where the guidelines can be found in readable form for use in everyday practice
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