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Treatment of Incompetent Perforating Veins

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Current Management of Venous Diseases

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Abstract

Chronic venous insufficiency is a major health problem that affects many people with devastating consequences. Venous valvular incompetence leading to venous reflux and venous hypertension is the pathophysiology of developing venous disease. Increasingly, incompetent perforator veins have been recognized as a contributor to recalcitrant or recurrent venous ulcers. Historically, surgical interruption of perforators has been performed and shown to improve healing of venous ulcers. With advances in technology and comfort in endovenous procedures, percutaneous thermal ablation and ultrasound-guided foam sclerotherapy have gained popularity in the treatment of perforating veins with good success.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of Pittsburgh Medical Center, 5200 Centre Ave, Suite 307, Pittsburgh, PA, 15232, USA

    Eric S. Hager MD, FACS

  2. Department of Vascular Surgery, University of Pittsburgh Medical Center, 200 Lothrop St. Suite A-1017, Pittsburgh, PA, 15213, USA

    Joyce Y. Lin MD

Authors
  1. Eric S. Hager MD, FACS
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  2. Joyce Y. Lin MD
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Correspondence to Eric S. Hager MD, FACS .

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Editors and Affiliations

  1. Section of Vascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, Connecticut, USA

    Cassius Iyad Ochoa Chaar

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Hager, E.S., Lin, J.Y. (2018). Treatment of Incompetent Perforating Veins. In: Chaar, C. (eds) Current Management of Venous Diseases . Springer, Cham. https://doi.org/10.1007/978-3-319-65226-9_13

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  • DOI: https://doi.org/10.1007/978-3-319-65226-9_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-65225-2

  • Online ISBN: 978-3-319-65226-9

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