Silva PM, del Risco TA, González MA

Language: Spanish
References: 20
Page: 30-41
PDF size: 191.11 Kb.

ABSTRACT

Background: venous diseases of the lower extremities have been described since ancient times; at present, they still frequently have an effect in patients and cause an important socioeconomic impact.
Objective: to characterize the chronic deep venous insufficiency produced by valve reflux.
Method: a descriptive, longitudinal study was carried out to all the patients that assisted to the consultation of angiology with the diagnosis of chronic deep venous insufficiency at Manuel Ascunce Domenech University Provincial Hospital of Camagüey, from March, 2012 to June, 2013. The universe was composed of 60 patients. A non-probabilistic sampling, including the established inclusion and exclusion criteria, was applied. The information obtained was processed through the statistical program SPSS-11.5 for Windows and through descriptive statistics to obtain distributions of frequencies and percents. The results of the study were presented in charts.
Result: most of patients were female with 30 cases (61, 2 %). The ages between 46 and 55 years old predominated with 22 patients. Pathological family history of chronic venous insufficiency predominated with 44 cases (89, 8 %), followed by chronic constipation, obesity and sedentary lifestyle, pathological medical history of deep vein thrombosis, and multiparity. According to the clinical classification, most of cases were in stages three and four.
Conclusions: chronic venous insufficiency is a progressive disease with a high morbidity and a great socioeconomic repercussion. Knowing the predisposing factors, as well as the ways of presentation of the disease, helps to prevent the advanced stages and improve the quality of life of patients.

REFERENCES

1. Blaettler W, Amsler F, Mendoza E. The relative impact on leg symptoms of fears of getting varicose veins and of great saphenous vein reflux. Phlebology. 2013;28(7):347-52.

2. Chastanet S, Pittaluga P. Patterns of reflux in the great saphenous vein system. Phlebology. 2013 Mar;28 Suppl 1:39-46.

3. Flórez A, De Haro J, Bleda S, Varela C, Esparza L, Acin F. Analysis of vascular endothelial growth factor gene expression in the tissues of patients with chronic venous insufficiency. Phlebology. 2013 Feb;28(1):32-7.

4. Engelhorn CA, Manetti R, Baviera MM, Bombonato GM, Lonardoni M, Cassou MF, et al. Progression of reflux patterns in saphenous veins of women with chronic venous valvular insufficiency. Phlebology. 2012 Feb;27(1):25-32.

5. De la Cruz Fornaguera Y, del Olmos Pimentel D, Quiñones Castro M, Zulueta Salazar A. Comportamiento de las úlceras venosas de los miembros inferiores tratados con láser de baja potencia. Rev Angiol y Cir Vasc [Internet]. 2012 [citado 20 Dic 2011];13(1):[aprox. 10]. Disponible en: http://bvs.sld.cu/revistas/ang/vol13_1_12/ang03112.htm

6. Yamaki T, Hamahata A, Soejima K, Kono T, Nozaki M, Sakurai H. Factors predicting development of post-thrombotic syndrome in patients with a first episode of deep vein thrombosis: preliminary report. Eur J Vasc Endovasc Surg. 2011;41(1):126-33.

7. Edouard Otrante DCh, Quiñones castro M, Borrás Migues M, Rodriguez Villalonga L, Chirrino Díaz L. Insuficiencia venosa crónica y calidad de vida. Rev Cuba Angiol y Cir Vasc [Internet]. 2010 [citado 20 Nov 2010];11(1):[aprox. 6]. Disponible en: http://bvs.sld.cu/revistas/ang/vol11_01_10/ang04110.pdf 40

8. Quiñones Castro M. Comportamiento del tratamiento quirúrgico de las varices miembros inferiores en pacientes geriátricos. Rev Angiol y Cir Vasc [Internet]. 2011 [citado 26 Nov 2010];12(1):[aprox. 17]. Disponible en: http://bvs.sld.cu/revistas/ang/vol12_01_11/ang04111.htm

9. Eklof B, Rutherford RB, Bergan JJ. Revision of the CEAP. Classification for chronic venous disorders: Consensus statement. J Vasc Surg. 2004;40:1248-52.

10. Moraes Silva MA de, Calil Burihan M, Costa Barros O da, Nasser F, Ingrund JC, Neser A. Resultados do tratamento da Insuficiência Venosa Crônica grave com espuma de polidocanol guiada por ultrassom. J Vasc Bras [Internet]. Jul-Sep 2012 [citado 12 Jun 2013];11(3):[aprox. 12 p.]. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext & pid=S1677-54492012000300007

11. García-Gimeno M, Rodríguez-Camarero S, Tagarro-Villalba S, Ramalle-Gomara E, Ajona García JA, González Arranz MA, et al. Reflux patterns and risk factors of primary varicose veins’ clinical severity. Phlebology. 2013 Apr;28(3):153-61

12. Fowkes FG, Evans CJ, Lee AJ. Prevalence and risk factors of chronic venous insufficiency. Angiology. 2001;52(Suppl. 1):5-15.

13. Puentes Madera IC, Aldama Figueroa A, Chirrino Díaz L, Rodriguez Villalonga L, Quiñones Castro M, Borrás Migues M, et al. Incidencia y prevalencia de la insuficiencia venosa crónica en el municipio Cerro. Rev Angiol y Cir Vasc [Internet]. 2012 [citado 16 Jun 2012];13(2):[aprox. 13]. Disponible en: http://bvs.sld.cu/revistas/ang/vol13_2_12/ang02212.htm

14. Fiebig A, Krusche P, Wolf A, Krawczak M, Timm B, Nikolaus S, et al. Heritability of chronic venous disease. Hum Genet. 2010;127:669-74.

15. Alberti LR, Petroianu A, Corrêa D, Franco T. Efeito da actividade física nainsuficiência venosa crónica dos membros inferiores. Acta Med Port. 2008;21(3):215-20.

16. Cristina Seidel A, Sampaio Mangolim A, Pablos Rossetti L, Regina Gomes J, Miranda Martínez F. Prevalência de insuficiência venosa superficial dos membros inferiores em pacientes obesos e não obesos. J Vasc Bras [Internet]. Jun 2011 [citado 16 Jun 2012];10(2):[aprox. 6]. Disponible en: http://www.scielo.br/scielo.php?pid=S1677-54492011000200006 & script=sci_arttext

17. Hernández Rivero MJ, Llanes Barrios A, Quiñones Castro M. Caracterización de la insuficiencia venosa crónica en consultas del Instituto de Angiología y Cirugía Vascular. Rev Angiol y Cir Vasc [Internet]. 2010 [citado 16 Feb 2012];11(1):[aprox. 17]. Disponible en: http://bvs.sld.cu/revistas/ang/vol11_01_10/ang01110.htm 41

18. Guex JJ, Avril L, Enrici E, Enriquez E, Lis C, Taïeb C. Quality of life improvement in Latin American patients suffering from chronic venous disorder using a combination of Ruscusaculeatus and hesperidin methyl-chalcone and ascorbic acid (quality study). Int Angiol. 2010;29(6):525-32.

19. Freischlag JA, Heller JA. Venous disease. In: Townsed Cre, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston Textbook of Surgery. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2012. p. 45-67.

20. Vasquez MA, Rabe E, Mc Lafferty RB, Shortell CK, Marston WA, Gillespie D, et al. Revision of the venous clinical severity score: venous outcomes consensus statement. Special communication of the American Venous Forum. Ad Hoc Outcomes Working Group. J Vasc Surg. 2010;52(5):1387-96.