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VARICOSE VEINS

Posted On : Jan-30-2012 | seen (241) times | Article Word Count : 1515 |

Dr. Chopra Vascular Clinic is a healthcare Clinic which provides a service concerned with the diagnosis, treatment and prevention of diseases affecting arteries Minkah Fitzpatrick Jersey , veins and lymphatics. Anatomy
Veins bring blood back to the heart against gravity (when erect), a distance of 3-4 ft. The main system carrying 95% of the venous return is the deep system situated near the bones. The superficial system is present below the skin and dilates (varicose veins). There are also interconnecting veins between these two systems Kenny Stills Jersey , called perforators.
The deep system comprises:

鈥?Soleal sinusoids
鈥?Tibial veins
鈥?Popliteal vein
鈥?Femoral vein
The superficial system comprises:

鈥?Dorsal venous arch
鈥?Long saphenous vein
鈥?Short saphenous vein
鈥?Posterior arch vein
鈥?Perforator veins
鈥?Giaccomini vein
鈥?Other tributaries.
鈥?
Veins of the legs have one way valves.

How veins work
Blood moves in the arteries by the pumping action of the heart. When lying, gravity is eliminated and blood is pushed back by the pressure of the arterial blood. When walking it has to move against gravity. The calf muscles (external heart) compress the venous sinusoids and force blood back in the deep veins. During relaxation of the muscles the blood would fall to the feet but this is prevented by the presence of one way valves in the veins.
Abnormal valves
Venous insufficiency can occur due to problems in the veins themselves or weakness of the pumping mechanism of the calf. The two can cause leaky valves. Turbulent flow may cause weakness of the vein at various points causing them to varicose.

The main causes are:

鈥?Congenital abnormalities of veins
鈥?DVT damaging valves of deep system
鈥?Superficial vein incompetence.

DVT causes inflammation of the vein Cameron Wake Jersey , damaging the valves. So when clot dissolves it leaves a damaged leaky valve. Now the muscles of the calf have to do more work to pump the blood back. Ultimately they weaken and lead to pooling of the blood - swelling, varicose veins Reshad Jones Jersey , dermatitis and ulcers.
DVT is more common in:

鈥?Major illness or surgery
鈥?Cancer
鈥?Pregnancy
鈥?Major accidents
鈥?Prolonged immobility
鈥?Any cause leading to prolonged major vein compression
鈥?Blood abnormalities
鈥?Metabolic causes 鈥?dehydration, high lipids & cholesterol Dan Marino Jersey , CHF)
鈥?Drugs 鈥?pill
鈥?SMOKING
Classification of VVs
It depends on the therapeutic approach to primary VVs

1. Spider angiomata 鈥?cluster of small subcuticular veins which may be associated with a superficial feeder vein.
2. Varicose Veins
a) Segmental VVs 鈥?not associated with saphenous or perforator valvular incompetence
b) Varicose veins associated with perforator incompetence but not SF incompetence
c) Incompetent Saphenous system varicosities
j) LSV
飦?Competent SF jn valve but incompetent LSV valves BK
飦?Incompetent SF jn valve 鈥?66%
ii) SSV
飦?Competent SP valve but incompetent SSV valves below the mid calf.
飦?Incompetent SP valve

There may be a combination of the above conditions.
If the saphenous system is not involved then there is the possibility of local valve incompetence or weakness of the vein wall. This can be differentiated by color Doppler study by an e. Wholesale Jerseys China Wholesale Jerseys Cheap Wholesale Jerseys Cheap Wholesale College Jerseys Wholesale NBA Jerseys China Cheap Soccer Jerseys From China Cheap New NHL Jerseys Cheap NFL Football Jerseys Wholesale Jerseys Wholesale NBA Jerseys