Varicose veins in adolescents: a prospective cohort study

The article describes the experience of diagnostics and treatment of chronic diseases of the veins of the lower extremities in 164 female patients.

Objective. To study the results of diagnosis and treatment of varicose veins in adolescent and adult females.

Patient characteristics and research methods. The authors carried out a prospective study, they analyzed health condition of a group of adolescents and examined this group in 5 years later (the adult part of the study). The authors used clinical examination for diagnostics (disease assessment according to CEAP classification), ultrasound examinations, telephone interviews. Re-examination of the patients showed good long-term results of treatment. There were no re-operations.

Results. According to the data of a five-year follow-up, interventions were performed in 4 (4%) cases in the study group. The proportion of cured patients remained without significant changes.

Conclusion. 1. Phlebology of childhood is characterized by the predominance of uncomplicated forms of varicose veins, with a simultaneous high concern about the disease of the patient and parents. 2. Timely surgical and laser interventions and the prescribed nonsurgical treatment program allow achieving a lasting improvement in the majority of patients with good long-term results. 3. Observation of patients with chronic venous diseases during their transition to the adult age group shows the preservation of good results in the majority of cases.

1. Burleva E.P., Burleva N.A. Russian observational programme SPEKTR: analysis of age-specific structure of patients with chronic venous diseases. Angiol Sosud Khir 2013; 19(2): 67–71. (in Russ.)

2. Nurmeev I.N., Mirolubov L.M., Mirolubov A.L., Nurmeev N.N., Osipov A.Y., Nurmeeva A.R., Rashitov L.F. Treatment of chronic venous diseases in children and adolescents. Angiol Sosud Khir 2016; 22(1): 105–108. (in Russ.)

3. Callejas J.M., Manasanch, J., ETIC Group. Epidemiology of chronic venous insufficiency of the lower limbs in the primary care setting. Int Angiol 2004; 23(2): 154–163

4. Konstantinova G.D., Voskresenskij P.K., Gordina O.V. Workshop on the treatment of varicose veins. Moscow: Profil, 2006; 188. (in Russ.)

5. Kirienko A.I. New technologies for chronic venous insufficiency treatment – what experts think about it. Flebolimfologiya 2006; 27: 15. (in Russ.)

6. Savel’ev V.S. Phlebology. A guide for doctors. Moscow: Meditsina, 2001; 664. (in Russ.)

7. Schadeck M. Sclerotherapy in children. Phlebologie 1992; 45(4): 509–512

8. Raetz J., Wilson M., Collins K. Varicose Veins: Diagnosis and Treatment. Am Fam Physician 2019; 99(11): 682–688

9. Cavallini A., Marcer D., Bernardini G., Ruffino S.F. Endovenous laser ablation of great saphenous veins performed using tumescent cold saline solution without local anesthesia. Ann Vasc Surg 2014; 28(4): 5: 951–956. DOI: 10.1016/j.avsg.2013.11.015

10. Ibragimov. S.V., Nurmeev I.N., Miroljubov L.M., Miroljubov A.L., Nurmeev N.N. Quality of life of patients in the treatment of chronic venous insufficiency of the lower extremities using minimally invasive technologies. Fundamental’nye issledovaniya 2014; 2: 69–72. (in Russ.)

11. Rass K., Frings N., Glowacki P. Hamsch C., Gräber S., Vogte T. et al. Comparable effectiveness of endovenous laser ablation and high ligation with stripping of the great saphenous vein: two-year results of a randomized clinical trial (RELACS study). Arch Dermatol 2012; 148(1): 49–58. DOI: 10.1001/archdermatol.2011.272

12. Cornu-Thenard A., Boivin P., Baud J.M., De Vincenzi I., Carpentier P.H. et al. Importance of the familial factor in varicose disease. Clinical study of 134 families. J Dermatol Surg Oncol 1994; 20: 318–326