Tuesday, March 31, 2020

Pathophysiology of Vein Disease

Vein Disease characterization has been advanced by modern ultrasound techniques, including doppler and color flow. A proper vein specialists in NJ must be knowledgeable in both the performance and reading of venous ultrasound.

The venous system is a holding tank for circulating blood, generally holding up to 70% of the volume at any given time. The circulating blood within veins is transported back to the heart to start a new cycle of oxygenation and recirculation to body tissue and organs.

A dysfunctional venous system is the result of damage to vein walls and valves that result in varicose vein problems. This has been demonstrated under microscopic slide examination.
With vein injury, the size of the veins will increase and lead to valve dysfunction and venous reflux. The effect of this long term is an increase in venous pressure and venous hypertension which is more commonly seen in superficial veins that don’t have the same support as deep veins. The clinical manifestations of venous hypertension include leg cramps, leg swelling, ulceration, and skin discoloration. It's also a common reason why varicose veins itch.

The cosmetic result of venous hypertension is spider and varicose veins, whereas venous insufficiency is more serious and can cause leg swelling and leg ulcerations. Clinical ultrasound has served to facilitate mapping of the underlying venous disorders to guide therapies including endovenous ablation, sclerotherapy and most recently VenaSeal. See before and after pictures of spider veins with treatment.

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