Improving clinical outcomes inpatients with chronic venous obstruction

Abstract

Chronic venous obstruction (CVO) is a debilitating condition affecting millions of individuals, leading to significant morbidity and reduced quality of life. This review aims to explore innovative strategies and evidence- based approaches to enhance the management and long-term outcomes of patients with CVO. Accurate diagnosis and assessment of CVO severity is crucial for guiding appropriate treatment. Noninvasive techniques like duplex ultrasonography, computed tomography (CT) venography, and magnetic resonance (MR) venography can provide detailed information about the venous system. Invasive venography remains the gold standard for evaluating the extent and severity of venous obstruction. Conventional conservative treatments, such as compression therapy, play a crucial role in CVO management. Compression stockings can improve venous return, reduce edema, and alleviate symptoms. Compression therapy has also been shown to enhance the effectiveness of other interventions, such as endovascular procedures. Emerging treatment modalities, including endovascular venous reconstruction and adjunct surgical endophlebectomy, offer promising alternatives for patients with CVO. Endovascular techniques, such as stenting and angioplasty, can effectively restore venous patency and improve clinical outcomes. Surgical endophlebectomy may be considered in complex cases where endovascular options are limited. Multidisciplinary care, involving vascular specialists, wound care experts, and physical therapists, is essential for optimizing patient outcomes. Ongoing research and clinical trials are further exploring innovative strategies to improve the management and long-term prognosis of individuals with CVO.