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Venous Disorders of the Leg

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Surgical Management of Elderly Patients

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Abstract

Venous disorders of the leg, either in the chronic or acute forms, may frequently affect elderly people. In this kind of population, the complications, such as chronic ulcers, may be more severe and often may impair quality of life also. All treatments (medical, surgical, and compressive) are possible in elderly age, but every choice must be properly tailored around the specific hemodynamic profile as well as the patient’s global health.

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Abbreviations

ASVAL:

Ablation sélective des varices sous anésthesie locale

CDT:

Catheter-directed thrombolysis

CEAP:

Clinical-etiology-anatomy-pathophysiology

CHIVA:

Cure Hémodynamique de l’insuffisance veineuse en ambulatoire

CT:

Compression therapy

CVD:

Chronic venous disease

CVI:

Chronic venous insufficiency

CVLU:

Chronic venous leg ulceration

DVT:

Deep vein thrombosis

ECM:

Extracellular matrix

EVLA:

Endovascular laser therapy

GAG:

Glycosaminoglycan

LMWH:

Low molecular weight heparin

PAPS:

Percutaneous ablation of perforators

PAT:

Percutaneous aspiration thrombectomy

PCDT:

Pharmacomechanical catheter-directed thrombolysis

PTS:

Post-thrombotic syndrome

RFA:

Radiofrequency ablation

SEPS:

Subfascial endoscopic perforator vein surgery

VAD:

Venoactive drug

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Acknowledgments

The authors have no conflict of interests to declare.

This chapter received no funding.

Authors’ Contribution

SdF and RS contributed equally to this work.

They both conceived the chapter, participated in its design, drafted, and revised it critically.

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Authors and Affiliations

  1. Department of Medical and Surgical Sciences, Interuniversity Center of Phlebolymphology (CIFL), International Research and Educational, Program in Clinical and Experimental Biotechnology, University Magna Graecia of Catanzaro, Catanzaro, Italy

    Stefano de Franciscis & Raffaele Serra

Authors
  1. Stefano de Franciscis
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  2. Raffaele Serra
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Corresponding author

Correspondence to Raffaele Serra .

Editor information

Editors and Affiliations

  1. Department of General and Mininvasive Surgery, Cristo Re Hospital, Rome, Italy

    Antonio Crucitti

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de Franciscis, S., Serra, R. (2018). Venous Disorders of the Leg. In: Crucitti, A. (eds) Surgical Management of Elderly Patients. Springer, Cham. https://doi.org/10.1007/978-3-319-60861-7_19

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  • DOI: https://doi.org/10.1007/978-3-319-60861-7_19

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