Chronic venous insufficiency is an often-missed diagnosis that results in a variety of clinical manifestations that may severely compromise quality of life. Prompt recognition is important to provide symptomatic relief and prevent disease progression. Most patients can be treated with a comprehensive plan of conservative measures. However, it is important for providers to recognize those patients who require referral to a vascular specialist for more invasive therapies. Over the past 2 decades, a variety of endovenous strategies have demonstrated effective and lasting results in treatment of severe symptomatic venous insufficiency. [Full article available at http://rimed.org/rimedicaljournal-2017-05.asp].
Keywords: Venous insufficiency; endovenous laser therapy; phlebectomy; radiofrequency ablation; venous ulcer.