Iliac Vein Angioplasty Augments Venous Ulcer Healing in Patients who have Standard Compression Therapy and Perforator Closure

Intermittent pneumatic compression improves venous ulcer healing.

The effects of intermittent pneumatic compression on the healing rates of ulcers in patients with chronic venous insufficiency were examined in a prospective, controlled study of 22 patients. Patients were randomly assigned to the experimental or the control group. Both groups received local wound care followed by application of an Unna boot. In addition, subjects in the experimental group rece...

The impact of ablation of incompetent superficial and perforator veins on ulcer healing rates.

OBJECTIVE We assessed the impact of endovenous ablation of incompetent superficial (great saphenous [GSV] and small saphenous [SSV]) and perforator (posterior tibial [PTPV]) veins on the healing rate of venous ulcers in patients who had failed conventional compression therapy. METHODS Patients with CEAP 6 ulcers were treated with weekly compression in a dedicated wound care center. Ulcer size...

Bilateral Iliac Vein Stenting without Contrast in a Patient with Venous Ulcer

Chronic Venous Insufficiency is caused by ambulatory venous hypertension of the lower extremities due to vein reflux, venous obstruction, or both. Venous outflow obstruction may play a role in patients with chronic venous ulceration who fail to improve despite conventional modalities of treatment including wound care and compression therapy. Modern imaging techniques, particularly intravascular...

Angioplasty and stenting of the obstructed iliac vein.

Pharmacological adjuncts for chronic venous ulcer healing

Dear Editor, The problem of whether some systemic pharmacological adjuncts confer significant benefit to the healing process of chronic venous ulcers has been widely discussed in several narrative surveys and in a number of consensus conferences, systematic reviews and meta-analyses. The most relevant are the extensive and detailed survey by Nelson 1 and the multi-society consensus on the manag...