PATHOMORPHOLOGICAL PICTURE OF CHANGES IN THE SUPERFICIAL VEINS OF THE POPLITEAL REGION.
Keywords:
Key words: varicose veins, plasmatic swelling, elastolysis, venostasis.Abstract
Abstract. Varicose veins are the most common vascular disease in humans. Veins
have valves that help the blood return gradually to the heart without leaking blood.
When these valves become weak, blood and fluid collect and pool by pressing against
the walls of the veins, causing varicose veins. In the cardiovascular system, mechanical
forces are important determinants of vascular homeostasis and pathological processes.
Blood vessels are constantly exposed to a variety of hemodynamic forces, including
shear stress and environmental strains caused by the blood flow. In varicose veins
within the leg, venous blood pressure rises in the vein of the lower extremities due to
prolonged standing, creating a peripheral tension in the vessel wall thereby causing
mechanical stimulation of endothelial cells and vascular smooth muscle.
References
REFERENCES:
Current best practice in the management of varicose veins. Whiteley MS. Clin
Cosmet Investig Dermatol. 2022; 15:567–583.
Fayyaz F, Vaghani V, Ekhator C, Abdullah M, Alsubari RA, Daher OA, Bakht
D, Batat H, Arif H, Bellegarde SB, Bisharat P, Faizullah M. Advancements in
Varicose Vein Treatment: Anatomy, Pathophysiology, Minimally Invasive Techniques, Sclerotherapy, Patient Satisfaction, and Future Directions. //Cureus.
Jan 10; 16(1): e51990.
Giannopoulos S, Rodriguez L, Chau M, Rodrigues D, Labropoulos N, Aziz F,
Malgor EA, Malgor RD. A systematic review of the outcomes of percutaneous
treatment modalities for pathologic saphenous and perforating veins.// J Vasc
Surg Venous Lymphat Disord. 2022 Sep;10(5):1172-1183.e5.
Gloviczki P, Comerota AJ, Dalsing MC, et al. The care of patients with varicose
veins and associated chronic venous diseases: clinical practice guideline of the
Society for Vascular Surgery and the American Venous Forum. J Vasc Surg
;53(5 Suppl):2S–48S
Injection sclerotherapy for varicose veins. de Ávila Oliveira R, Riera R,
Vasconcelos V, Baptista-Silva JC. Cochrane Database Syst Rev. 2021; 12:0.
Kabnick LS, Cayne N, Jacobowitz G, et al. Endovenous procedures in varicose
veins: What is the best choice today? Phlebology 2008; 8:229–235
Marsh P, Price BA, Holdstock J, Harrison C, Whiteley MS. Deep vein
thrombosis (DVT) after venous thermoablation techniques: rates of endovenous
heat-induced thrombosis (EHIT) and classical DVT after radiofrequency and
endovenous laser ablation in a single centre. Eur J Vasc Endovasc Surg. 2010
Oct;40(4):521-7
Nonthermal endovenous procedures for varicose veins: a health technology
assessment. https://pubmed.ncbi.nlm.nih.gov/34211617/ Ont Health Technol
Assess Ser. 2021; 21:1–188.
Pavei P, Spreafico G, Bernardi E, Giraldi E, Ferrini M. Favorable long-term
results of endovenous laser ablation of great and small saphenous vein
incompetence with a 1470-nm laser and radial fiber. //J Vasc Surg Venous
Lymphat Disord. 2021 Mar;9(2):352-360.
Sevil F, Colak A Jr, Ceviz M, Kaya U, Becit N. The Effectiveness of
Endovenous Radiofrequency Ablation Application in Varicose Vein Diseases of
the Lower Extremity. Cureus. 2020 Apr 11; 12(4): e7640.
Whing J, Nandhra S, Nesbitt C, Stansby G. Interventions for great saphenous
vein incompetence. //Cochrane Database Syst Rev. 2021 Aug
;8(8):CD005624.
Yoon WJ, Dresher M, Crisostomo PR, Halandras PM, Bechara CF, Aulivola B.
Delineating the durability outcome differences after saphenous ablation with
laser versus radiofrequency. //J Vasc Surg Venous Lymphat Disord. 2019
Jul;7(4):486-492.
