The Subcommittee on Reporting Standards in Venous Disease issued guidelines for reporting chronic venous insufficiency in 1988. This scheme preceded the CEAP classification.
Categories:
(1) prior clinical symptoms
(2) current clinical symptoms
(3) anatomic location
(4) origin
|
Parameters |
Findings |
Class |
|
prior clinical symptoms |
asymptomatic |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
current clinical symptoms |
asymptomatic |
0 |
|
|
mild |
1 |
|
|
moderate |
2 |
|
|
severe |
3 |
|
anatomic location |
unknown |
0 |
|
|
superficial veins |
1 |
|
|
perforators |
2 |
|
|
deep, calf |
3 |
|
|
deep, thigh |
4 |
|
|
deep, iliofemoral |
5 |
|
|
deep, caval |
6 |
|
|
combination of (2 to 5) |
7 |
|
origin |
unknown |
0 |
|
|
congenital |
1 |
|
|
post-thrombotic |
2 |
where:
• The description of anatomic extent may be complex depending on the various combinations.
|
Clinical Symptoms |
Findings |
|
asymptomatic |
none |
|
mild |
mild to moderate ankle swelling, mild discomfort (heaviness, pain), local or generalized dilatation of subcutaneous veins; usually limited to involvement of superficial veins |
|
moderate |
hyperpigmentation of the skin in the gaiter area, moderate brawny edema, subcutaneous fibrosis, without ulceration |
|
severe |
chronic distal leg pain, ulcerative or preulcerative skin changes, eczematoid changes, severe edema; usually extensive involvement of the deep venous system |
Specialty: Cardiology
