emDocs - August 12, 2019 - Authors: Rusnack F and He C
Edited by: Simon E., Koyfman A & Long B
"Key Points
- Varicose veins are common in the elderly. Risk factors include obesity, pregnancy, bleeding dyscrasias, prolonged standing, immobility, and cigarette smoking.
- Complications associated with varicose veins include bleeding, DVT/PE, SVT, and venous ulceration.
- Bleeding may be managed with direct pressure, pressure dressings, topical TXA, a figure-of-eight suture, and vascular surgery consultation.
- Varicose veins are associated with DVT: US evaluation is warranted.
- US may be utilized to evaluate the extent of SVT; proximity to the deep venous system may dictate systemic anticoagulation.
- Both SVT and venous ulceration require evaluation for cellulitis."