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Venous Insufficiency

Karen S. Bubb, AS, BSRT, RT(R), RVT, RDMS

  *Manager, Outpatient Ambulatory Imaging Center, Oklahoma City, Oklahoma.
  Address correspondence to: Karen S. Bubb, AS, BSRT, RT(R), RVT, RDMS, Manager, Outpatient Ambulatory Imaging Center, 1111 N Lee, Suite 334, Oklahoma City, OK 73103. E-mail: KarensBubb@cox.net.

Disclosure: Ms Bubb reports having no significant financial or advisory relationships with corporate organizations related to this activity.


Lower extremity venous insufficiency is a potentially debilitating condition that can negatively affect an individual's quality of life. There are several risk factors associated with the development of venous insufficiency symptoms. If these symptoms are left untreated, early venous insufficiency symptoms can continue to worsen until chronic venous insufficiency develops. The American Venous Forum developed a universal scoring system called the CEAP that takes into consideration the clinical, etiologic, anatomic, and physiologic factors that may affect the patient. The CEAP scoring system allows clinicians to categorize and quantify the severity of venous disease in order to determine the best possible treatment for each patient. Diagnosis of venous insufficiency must include a thorough history and physical, a comprehensive knowledge of the venous system, and state of the art diagnostic imaging equipment. This article provides a brief overview of venous anatomy, physiology, and pathology; a description of the CEAP system; and an explanation of the most common imaging methods used to diagnose venous insufficiency.

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