{"id":7834,"date":"2025-07-03T14:33:17","date_gmt":"2025-07-03T11:33:17","guid":{"rendered":"https:\/\/jordan-cardiac.org\/?p=7834"},"modified":"2025-07-03T14:33:17","modified_gmt":"2025-07-03T11:33:17","slug":"scai-releases-new-guidelines-to-help-interventional-cardiologists-manage-chronic-venous-disease-cvd","status":"publish","type":"post","link":"https:\/\/jordan-cardiac.org\/en\/scai-releases-new-guidelines-to-help-interventional-cardiologists-manage-chronic-venous-disease-cvd\/","title":{"rendered":"SCAI Releases New Guidelines to Help Interventional Cardiologists Manage Chronic Venous Disease (CVD)"},"content":{"rendered":"
SCAI Releases New Guidelines to Help Interventional Cardiologists Manage Chronic Venous Disease (CVD)<\/div>\n
<\/div>\n
Highlighted in the July 1, 2025<\/div>\n
1. Background and Burden of Disease<\/span><\/div>\n
\u2022 Chronic venous disease (CVD) is increasingly prevalent and manifests with symptoms like leg heaviness, swelling (edema), skin discoloration, and venous ulcers.<\/span><\/div>\n
\u2022 Venous leg ulcers affect about 2.2% of Medicare beneficiaries and cost the U.S. healthcare system nearly $15 billion annually, based on outdated estimates.<\/span><\/div>\n
2. New SCAI Guidelines Overview<\/span><\/div>\n
\u2022 The Society for Cardiovascular Angiography & Interventions (SCAI), in collaboration with vascular surgeons, has published its first-ever clinical guidelines for the management of CVD, especially tailored for interventional cardiologists.<\/span><\/div>\n
\u2022 The full guidelines were published in the Journal of the Society for Cardiovascular Angiography & Interventions (JSCAI).<\/span><\/div>\n
3. Treatment Modalities Covered<\/span><\/div>\n
\u2022 The document provides detailed recommendations on various treatments including:<\/span><\/div>\n
\u2022 Compression therapy<\/span><\/div>\n
\u2022 Wound care<\/span><\/div>\n
\u2022 Ablation therapy<\/span><\/div>\n
\u2022 Sclerotherapy<\/span><\/div>\n
\u2022 Phlebectomy<\/span><\/div>\n
\u2022 Venoplasty and stenting<\/span><\/div>\n
4. What is Vein Ablation? (in context of therapy options)<\/span><\/div>\n
\u2022 Vein ablation is a minimally invasive procedure used to close malfunctioning veins and reroute blood through healthy vessels.<\/span><\/div>\n
\u2022 Types include:<\/span><\/div>\n
\u2022 Radiofrequency Ablation (RFA): uses heat via radio waves<\/span><\/div>\n
\u2022 Endovenous Laser Therapy (EVLT): uses laser energy<\/span><\/div>\n
\u2022 Foam Sclerotherapy: uses a chemical agent to collapse the vein<\/span><\/div>\n
\u2022 This approach is highly effective in relieving symptoms and preventing complications like venous ulcers.<\/span><\/div>\n
5. Lifestyle Modification Remains Critical<\/span><\/div>\n
\u2022 The guidelines stress the importance of addressing obesity and inactivity, which are major contributors to venous hypertension.<\/span><\/div>\n
6. \u00a0 Two Evidence-Based Treatment Algorithms Introduced<\/span><\/div>\n
\u2022 The guidelines include two structured algorithms to support real-world decision-making:<\/span><\/div>\n
A. Symptomatic Varicose Veins :<\/div>\n
\u2022 Start with conservative therapy: compression stockings, leg elevation, lifestyle changes.<\/span><\/div>\n
\u2022 If axial reflux is confirmed on ultrasound (e.g., in the great saphenous vein \u2013 GSV), proceed with ablation therapy.<\/span><\/div>\n
\u2022 For accessory vein reflux (e.g., anterior accessory saphenous vein), consider sclerotherapy or phlebectomy.<\/span><\/div>\n
\u2022 Persistent symptoms after treatment may suggest iliocaval obstruction, which could warrant venoplasty or stenting.<\/span><\/div>\n
Understanding Axial vs. Accessory Reflux:<\/div>\n
\u2022 Axial reflux involves backward blood flow in major veins like GSV or SSV due to valve failure, contributing significantly to disease progression.<\/span><\/div>\n
\u2022 Accessory reflux occurs in smaller branch veins and can still produce symptoms and skin changes.<\/span><\/div>\n
\u2022 Both are diagnosed by duplex ultrasound, with reflux defined as retrograde flow >0.5 seconds.<\/span><\/div>\n
B. Venous Ulcer Disease (C5\u2013C6):<\/div>\n
\u2022 Begin with compression therapy and wound care.<\/span><\/div>\n
\u2022 If reflux in axial or accessory veins is present, use foam sclerotherapy or ablation as appropriate.<\/span><\/div>\n
\u2022 If obstruction is suspected in deeper veins (e.g., iliac veins), venoplasty \u00b1 stenting may be required.<\/span><\/div>\n
7. Multidisciplinary Collaboration and Endorsements<\/span><\/div>\n
\u2022 The Society for Vascular Medicine formally endorsed the guidelines.<\/span><\/div>\n
\u2022 SCAI emphasized collaboration across specialties to improve access to care and deliver personalized, evidence-based interventions.<\/span><\/div>\n
<\/div>\n
https:\/\/www.jscai.org\/article\/S2772-9303(25)01171-8\/fulltext<\/a><\/div>\n","protected":false},"excerpt":{"rendered":"

SCAI Releases New Guidelines to Help Interventional Cardiologists Manage Chronic Venous Disease (CVD) Highlighted in the July 1, 2025 1. Background and Burden of Disease \u2022 Chronic venous disease (CVD) is increasingly prevalent and manifests with symptoms like leg heaviness, swelling (edema), skin discoloration, and venous ulcers. \u2022 Venous leg ulcers affect about 2.2% of […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7834","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7834","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/comments?post=7834"}],"version-history":[{"count":1,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7834\/revisions"}],"predecessor-version":[{"id":7835,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/posts\/7834\/revisions\/7835"}],"wp:attachment":[{"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/media?parent=7834"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/categories?post=7834"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/jordan-cardiac.org\/en\/wp-json\/wp\/v2\/tags?post=7834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}