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Clinical Scores to Document Severity and Extent of Venous Disease Before and After Treatment - Buffalo, Niagara New York Vein Center 716-839-3638
Friday, July 19, 2013

 

 

At the Vein Treatment Center, we use objective published criteria to score the severity of venous disease. The American Venous Forum committee on venous outcomes assessment has developed a venous severity scoring system based on the best usable elements of the Clinical Severity Scoring system known as CEAP system. We use the Venous Clinical Severity Score (VCSS), the Venous Segmental Disease Score (VSDS) and the Venous Disability Score (VSD) during our initial evaluation of patients with venous disease. We have found these scores to be useful in the daily practice of phlebology and for planning the treatment of patients with varicose veins and venous reflux disease.

 

The VCSS uses nine clinical characteristics of chronic venous disease which are graded from 0 to 3 with specific criteria to avoid overlap or arbitrary scoring. Zero to three points are added for differences in background conservative therapy (compression therapy and leg elevation) to produce a 30-point maximum flat scale. The VSDS combines anatomic and pathophysiologic components of the CEAP scoring system and major venous segments are graded according to the presence of venous reflux disease and/or presence of venous obstruction. It is entirely based on venous imaging, primarily duplex venous ultrasound scan findings. This scoring scheme weights 11 venous segments for their relative importance when involved with venous reflux and/or obstruction, with a maximum score of 10. VDS is simply a modification of the existing CEAP disability score.

 

More information about these grading criteria will be given to the patient at the time of consulation

 

We perform both EVLT, Venefit Procedure (previously called VNUS Closure) and Clarivein Procedure, as well as microphlebectomy, foam sclerotherapy, ultrasound guided foam sclerotherapy and topical laser treatments.

 

**The VNUS Closure Procedure is now called the Venefit Procedure. Same procedure, different name.

 

Dr. Hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or www.VeinsVeinsVeins.com 

 

Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or www.SantaMonicaVeinCenter.com 

 

Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

 

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