Vnitr Lek 2015, 61(2):151-156

Present and future in the management of venous vascular diseases

Peter Gavorník1,2,3,*, Andrej Dukát1,3, Ľudovít Gašpar1,3, Eva Gavorníková4
1 II. interná klinika LF UK a UN Bratislava, Slovenská republika, prednosta doc. MUDr. Ľudovít Gašpar, CSc.
2 Prvé angiologické pracovisko (PAP), vedúci lekár doc. MUDr. Peter Gavorník, PhD., mim. prof.
3 Sekcia angiológov Slovenskej lekárskej komory, predseda doc. MUDr. Peter Gavorník, PhD., mim. prof.
4 Ambulancia všeobecného lekára pre dospelých, Poliklinika Ružinov, Bratislava, Slovenská republika

The prevalence and the incidence of chronic and acute venous vascular disease has been shown to be globally very high, in both industrialized and developing countries. Chronic venous diseases of lower extremities are being an integral part of the third millennium's deadly angiopandemy, at the present time. The rate of the most severe cases with advanced stage of venous failure is approximately twice as high in the population (2.1 %) as has been assumed so far. Among venoactive drugs (VAD), micronized purified flavonoid fraction (MPFF) of diosmin hesperidin remains the agent with the highest degree of recommendation and it also indicated to pharmacotherapeutical support of leg ulcer healing, along with sulodexide and pentoxifylline. Compressive sclerotherapy, liquid or foam, is a safe and effective invasive method to treat telangiectasias, reticular varicose veins and subcutaneous varicose veins. Direct oral anticoagulants (DOAC) represent one of the therapeutic and preventive options of deep venous thrombosis (DVT) and of venous thromboembolism (VTE) with a limitation in patients with malignant conditions and in pregnancy. The most effective is triple simultaneous pharmaco-kinezio-mechano-phlebothromboemboloprophylaxis. Superficial vein thromboses longer than 5 cm are indicated to anticoagulant therapy too.

Keywords: angiology, vascular medicine; future; management; phlebology, venous medicine; present; vein; venous vascular disease

Received: December 29, 2014; Published: February 1, 2015  Show citation

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Gavorník P, Dukát A, Gašpar Ľ, Gavorníková E. Present and future in the management of venous vascular diseases. Vnitr Lek. 2015;61(2):151-156.
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