Phlebology > Volume 24, Number 1 > Pp. 3-7

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A-Z Series Venous Disease A-Z series: no. 8

Venous haemodynamics: What we know and don't know

F Lurie 

Department of Surgery, John A Burns School of Medicine, University of Hawaii, 848 South Beretania Street, Suite 307, Honolulu, Hawaii 96813, USA

Correspondence: Fedor Lurie MD PhD, Vascular Surgeon, Kistner Vein Clinic, Clinical Professor, University of Hawaii. Email: flurie{at}kistnerveinclinic.com

The presence of haemodynamic abnormalities in chronic venous disease (CVD) has been well established. The relationships between these abnormalities and clinical manifestations, or natural history of CVD, are complex and remain to be investigated. Flow-mediated processes and mechanisms unrelated to blood flow may play an important role in the pathophysiology of CVD. Current state of knowledge makes questionable a possibility of building treatment strategies based on a single simplified model of the disease. As an example of such simplified approach, CHIVA introduces an opportunity to critically assess the gaps in knowledge in venous pathophysiology.

Key Words: varicose veins • haemodynamics • chronic venous disease • venous surgery • CHIVA

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