, Volume 29, Issue 2, pp 509-511
Date: 08 Jan 2014

The future of phlebology

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Introduction

The term “phlebology” covers the diagnosis and treatment of acute and chronic venous diseases including varicose veins, superficial and deep venous thrombosis, venous malformations and associated vascular diseases.

Classification of chronic venous diseases is not easy. Since 1999, the so-called CEAP classification is widely accepted, especially for scientific purposes and also in clinical practice. CEAP combines the clinical signs with the underlying aetiology and pathology. In CEAP, the “C” stands for clinical, the “E” for etiology, “A” for anatomy and “P” for pathophysiology.

In clinical daily practice, most physicians limit themselves using the C only (Table 1). Reeder has proven that the C correlates very well with the gold standard ambulatory venous pressure [1]. In 2004, the CEAP classification was revised in which C4 was split into C4a and C4b. Also, in all stages C0–C6, one can indicate by an “S” (for symptomatic), when it includes pain, tightness, skin irritation, he ...