Diagnosis & Guidelines

Find chronic venous insufficiency in your venous leg ulcer patients.

1. DIFFERENTIATE ARTERIAL &
VENOUS ULCERS

Ulcer appearance, medical history, and physical exam should be used for differential diagnosis.

Characteristic	Arterial Ulcer	Venous Ulcer
Location	Toes or foot	Malleolus or metatarsal
Appearance	Irregular margin, cool cyanotic	Typically sloped edges, may have exudate, irregular shape
Foot Temperature	Cold	Warm
Pain	Usually severe	Mild
Sensation	Variable, often decreased	Present, variable (pain, temperature)
Arterial Pulses	Absent	Present, variable (pain, temperature)
Veins	Collapsed	Dilated, varicosities, edema

2. IDENTIFY VENOUS
REFLUX

Comprehensive venous duplex ultrasound examination of the lower extremity should be performed in all patients with a suspected venous leg ulcer.¹

See Guidelines

Illustration showing normal superficial vein

NORMAL VEIN

Valves ensure blood flows
in one direction

Illustration showing diseased superficial vein

DISEASED VEIN

Valves that cannot close allow blood to drain and pool

3. TREAT WITH EARLY ENDOVENOUS ABLATION

See our CVI Portfolio

VenaSeal™

Closure System

ClosureFast™

Radiofrequency Ablation System

Reference

O’Donnell TF Jr, Passman MA, Marston WA, et al. Management of venous leg ulcers: Clinical Practice Guidelines of the Society for Vascular Surgery^® and the American Venous Forum. J Vasc Surg. August 2014;60(2 Suppl):3S-59S.

Diagnosis & Guidelines

1. DIFFERENTIATE ARTERIAL & VENOUS ULCERS

2. IDENTIFY VENOUS REFLUX