Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ, et al.
Journal of vascular surgery. Venous and lymphatic disorders. Date of publication 2023 Mar 1;volume 11(2):231-261.e6.
1. J Vasc Surg Venous Lymphat Disord. 2023 Mar;11(2):231-261.e6. doi:
10.1016/j.jvsv.2022.09.004. Epub 2022 Oct 12.
The 2022 Society for Vascular Surgery, American Venous Forum, and American Vein
and Lymphatic Society clinical practice guidelines for the management of
varicose veins of the lower extremities. Part I. Duplex Scanning and Treatment
of Superficial Truncal Reflux: Endorsed by the Society for Vascular Medicine and
the International Union of Phlebology.
Gloviczki P(1), Lawrence PF(2), Wasan SM(3), Meissner MH(4), Almeida J(5), Brown
KR(6), Bush RL(7), Di Iorio M(8), Fish J(9), Fukaya E(10), Gloviczki ML(11),
Hingorani A(12), Jayaraj A(13), Kolluri R(14), Murad MH(15), Obi AT(16), Ozsvath
KJ(17), Singh MJ(18), Vayuvegula S(19), Welch HJ(20).
Author information:
(1)Division of Vascular and Endovascular Surgery, Gonda Vascular Center, Mayo
Clinic, Rochester, MN. Electronic address: gloviczki.peter@mayo.edu.
(2)Division of Vascular and Endovascular Surgery, Department of Surgery,
University of California, Los Angeles, Los Angeles, CA.
(3)Department of Medicine, University of North Carolina, Chapel Hill, and Rex
Vascular Specialists, UNC Health, Raleigh, NC.
(4)University of Washington, Seattle, WA.
(5)Miller School of Medicine, University of Miami, Miami, FL.
(6)Medical College of Wisconsin, Milwaukee, WI.
(7)Central Texas Veterans Affairs Healthcare System and Texas A&M University
College of Medicine, Temple, TX.
(8)South Austin Vein Center, Austin, TX.
(9)Department of Medicine, Jobst Vascular Institute, University of Toledo,
Toledo, OH.
(10)Division of Vascular Surgery, Stanford University, Stanford, CA.
(11)Scottsdale, AZ.
(12)NYU Brooklyn Medical Center, New York, NY.
(13)RANE Center for Venous and Lymphatic Diseases, Jackson, MS.
(14)Heart and Vascular Service, OhioHealth Riverside Methodist Hospital,
Columbus, OH.
(15)Evidence-Based Practice Research Program, Robert D. and Patricia E. Kern
Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN.
(16)University of Michigan, Ann Arbor, WI.
(17)Vascular Associates, St Peters Health Partners, Albany, NY.
(18)University of Pittsburgh Medical Center, Pittsburgh, PA.
(19)Vein Clinics of America, Plano, TX.
(20)Vascular Care Group, Hyannis, MA.
Erratum in
J Vasc Surg Venous Lymphat Disord. 2024 Mar;12(2):101719.
The Society for Vascular Surgery, American Venous Forum, and American Vein and
Lymphatic Society collaborated to update the 2011 Society for Vascular
Surgery/American Venous Forum clinical practice guidelines and provide new
evidence-based recommendations on critical issues affecting the care of patients
with varicose veins. Each recommendation is based on a recent, independent
systematic review and meta-analysis of the diagnostic tests and treatments
options for patients with lower extremity varicose veins. Part I of the
guidelines includes evidence-based recommendations for the evaluation of
patients with CEAP (Clinical Class, Etiology, Anatomy, Pathology) class 2
varicose vein using duplex ultrasound scanning and other diagnostic tests, open
surgical treatment (ligation and stripping) vs endovenous ablation techniques,
thermal vs nonthermal ablation of the superficial truncal veins, and management
of incompetent perforating veins in CEAP class 2 disease. We have also made
recommendations on the concomitant vs staged treatment of varicose tributaries
using phlebectomy or liquid or foam sclerotherapy (with physician-compounded
foam or commercially prepared polidocanol endovenous microfoam) for patients
undergoing ablation of incompetent superficial truncal veins.
Copyright © 2022 Society for Vascular Surgery. Published by Elsevier Inc. All
rights reserved.
DOI: 10.1016/j.jvsv.2022.09.004
PMID: 36326210 [Indexed for MEDLINE]
