Article Sidebar
Views PDF: 1
EARLY OUTCOMES OF TREATMENT FOR SUPERFICIAL VENOUS INSUFFICIENCY IN THE LOWER LIMBS AT NAM CAN THO UNIVERSITY HOSPITAL
Main Article Content
Abstract
Objectives: To describe the clinical and paraclinical characteristics of patients with superficial venous insufficiency of the lower limbs (SVI) and to evaluate the early outcomes of conservative management. Methods: A prospective descriptive case series was conducted in 30 patients with SVI classified from C0 to C6 according to the CEAP system. All patients received venoactive drugs (MPFF), with or without compression stockings. Clinical severity was assessed using CEAP and the Venous Clinical Severity Score (VCSS), and quality of life was evaluated using the 14-item Chronic Venous Insufficiency Questionnaire (CIVIQ-14) before treatment and after one month. Results: The mean age was 61.37 ± 12.26 years; females accounted for 76.7%. Mean BMI was 24.43 ± 3.10 kg/m². The mean diameters of the great saphenous vein at D1, D2, and D3 were 4.82 ± 1.99, 3.59 ± 1.42, and 2.60 ± 0.77 mm, respectively; the mean diameter of the small saphenous vein was 3.45 ± 1.09 mm. CEAP C2 was the most common clinical class (70%), followed by C1 (16.7%). All patients received venoactive drugs; 50% also wore compression stockings. After one month, the VCSS decreased from 3.9 ± 1.47 to 3.17 ± 1.05 (p < 0.0001). The total CIVIQ-14 score improved from 32 ± 8.47 to 29 ± 7.32 (p < 0.0001), with significant improvement in all domains (pain, physical and psychological). Conclusions: Early outcomes suggest that conservative management with venoactive drugs, alone or combined with compression therapy, effectively improves symptoms and quality of life in patients with early- to mid-stage SVI.
Article Details
Keywords
venous insufficiency, superficial venous insufficiency, venoactive drugs, compression therapy, CIVIQ-14.
References
2. Patel S.K., Surowiec S.M. (2025). Venous insufficiency. StatPearls. StatPearls Publishing, Treasure Island (FL).
3. Mansilha A. (2020). Early stages of chronic venous disease: medical treatment alone or in addition to endovenous treatments. Advances in Therapy, 37(1), 13–18.
4. Raetz J., Wilson M., Collins K. (2019). Varicose veins: diagnosis and treatment. American Family Physician, 99(11), 682–688.
5. Vasquez M.A., Munschauer C.E. (2008). Venous Clinical Severity Score and quality-of-life assessment tools: application to vein practice. Phlebology, 23(6), 259–275.
6. Launois R., Le Moine J.G., Lozano F.S. et al. (2012). Construction and international validation of CIVIQ-14 (a short form of CIVIQ-20), a new questionnaire with a stable factorial structure. Quality of Life Research, 21(6), 1051–1058.
7. Taengsakul N. (2022). Risk factors for and treatment of chronic venous disease in Thai patients. Vascular Health and Risk Management, 18, 667–676.
8. Đánh giá chất lượng cuộc sống bệnh nhân suy tĩnh mạch chi dưới sau điều trị laser nội tĩnh mạch bằng thang điểm CIVIQ-14. Truy cập từ: https://tapchiyhocvietnam.vn/index.php/vmj/article/view/5676/5125, truy cập ngày 06/12/2025.
9. VEIN STEP: A prospective, observational, international study to assess effectiveness of conservative treatments in chronic venous disease. Advances in Therapy. Truy cập từ: https://link.springer.com/article/10.1007/s12325-023-02643-6, truy cập ngày 19/10/2025.
10. González-Ochoa A.J., Escotto-Sánchez I. (2025). The effectiveness of conservative treatments for chronic venous disease in Mexico. Revista Mexicana de Angiología, 53(1), 16267.