Chronic Venous Insufficiency and Treatment

Minimally Invasive CVI Specialists

What is Chronic Venous Insufficiency (CVI)?

Chronic Venous Insufficiency (CVI) is a medical condition in which the veins in the legs are unable to efficiently return blood to the heart. This inefficiency is often due to weakened or damaged valves within the veins. These valves are responsible for ensuring that blood flows in one direction—towards the heart. When these valves fail, blood can flow backward (reflux) and pool in the legs, leading to a variety of symptoms and potential complications.

In a healthy vein, the valves open to allow blood to flow towards the heart and close to prevent it from flowing backward. In CVI, these valves do not function properly, causing blood to leak backward and collect in the veins. This can lead to increased pressure in the veins, which may cause the veins to become enlarged, twisted, or varicose.

Symptoms Of CVI

Swelling (Edema)

Swelling in the lower legs and ankles.

Pain or Heaviness

Aching or a heavy feeling in the legs.

Skin Changes

Discoloration, especially near the ankles.

Ulcers

Open sores, usually around the ankles, that are slow to heal.

Varicose, Spider Veins

Swollen, twisted veins visible under the skin.

Itching or Burning

Sensations in the affected areas.

Causes & Risk Factors For CVI

Causes

Weak or Damaged Veins: Primary cause is weakened or damaged valves in the veins.

Blood Clots: History of deep vein thrombosis (DVT) can lead to CVI, by a process called post thrombotic syndrome in which chronic clots damage venous valves.

Varicose Veins: Can cause CVI when valves fail to function properly.

Risk Factors

Age: Risk increases with age.

Family History: Genetic predisposition to vein problems.

Gender: Women are more likely to develop CVI.

Obesity: Extra weight increases pressure on veins.

Pregnancy: Increased blood volume and pressure on veins, with prolonged estrogen exposure on venous valves.

Prolonged Sitting or Standing: Long periods of inactivity can restrict blood flow.

Smoking: Damages blood vessels and affects circulation.

Diagnosis Of CVI

Medical History and Physical Examination

Discussion of Symptoms

Examination of visible symptoms such as swelling and varicose veins.

Physical Examination

Checking for skin changes, ulcers, and other signs of CVI.

Imaging Tests

Ultrasound

To see if the valves in your veins are functioning normally or if there's any evidence of reversal of flow within the veins and quantity for reflux.

Venography

X-ray test using contrast dye to view the veins in detail.

Intravascular Ultrasound IVUS

Image guided ultrasound is performed to precisely locate the iliac femoral, popliteal and/or tibial vein compression.

Treatment Options

Varicose veins can be effectively managed and treated through a combination of lifestyle changes and medical treatments.

Conservative Medical Management offers variety of lifestyle changes including:

Exercise

Regular physical activity can improve circulation.

Weight Management

Maintaining a healthy weight reduces pressure on the veins.

Compression Stockings

Specially designed stockings that apply pressure to the legs, helping veins and muscles move blood more efficiently.

Elevate Legs

Raising your legs can help improve blood flow.

Avoid Prolonged Standing or Sitting

Take breaks to move around.

Medications

Such as diuretics to reduce swelling, and blood thinners to prevent or treat blood clots.

Minimally Invasive Procedures focus on modern non-surgical techniques to seal off damaged veins which redirect blood to healthy veins.

Sclerotherapy

A solution is injected into the varicose veins causing them to collapse and fade.

Radiofrequency Ablation (RFA)

A catheter is inserted into the vein and radiofrequency energy is used to close it.

Endo-venous Laser Therapy (EVLT)

Non-invasive laser energy closes off smaller varicose veins and spider veins.

Mechanochemical Ablation (MOCA)

A non-thermal procedure combining mechanical and chemical treatments to close a vein.

Prevention Of CVI

+

Exercise Regularly: Promotes healthy blood flow.

+

Maintain Healthy Weight: Reduces pressure on veins.

+

Avoid Prolonged Sitting or Standing: Take frequent breaks to move around.

+

Elevate Your Legs: Helps improve blood flow.

+

Wear Compression Stockings: As advised by a healthcare provider.

+

Avoid Smoking: Smoking cessation improves vascular health.

Our Approach at Texas Innovative Vascular Care

We specialize in providing care of venous vascular care with a focus on patient safety, comfort, and personalized care. Our team of experienced doctors are experts in the field, utilizing state-of-the-art technology and techniques to deliver exceptional outcomes for our patients.

Patient-Centered Care

We understand that considering treatment for venous disease can be daunting. Our compassionate healthcare team is here to guide you through every step of your journey, from initial consultation to post-procedure follow-up care. We prioritize clear communication, education, and patient empowerment to ensure you make informed decisions about your health. /p>