Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum Thomas F. O’Donnell,

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Management of venous leg ulcers: Clinical practice guidelines of the Society for Vascular Surgery® and the American Venous Forum Thomas F. O’Donnell, MD, Marc A. Passman, MD, William A. Marston, MD, William J. Ennis, DO, Michael Dalsing, MD, Robert L. Kistner, MD, Fedor Lurie, MD, PhD, Peter K. Henke, MD, Monika L. Gloviczki, MD, PhD, Bo G. Eklöf, MD, PhD, Julianne Stoughton, MD, Sesadri Raju, MD, Cynthia K. Shortell, MD, Joseph D. Raffetto, MD, Hugo Partsch, MD, Lori C. Pounds, MD, Mary E. Cummings, MD, David L. Gillespie, MD, Robert B. McLafferty, MD, Mohammad Hassan Murad, MD, Thomas W. Wakefield, MD, Peter Gloviczki, MD Journal of Vascular Surgery Volume 60, Issue 2, Pages 3S-59S (August 2014) DOI: 10.1016/j.jvs.2014.04.049 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig Proposed algorithm for operative and endovascular treatment of patients with venous leg ulcer (VLU) based on involved anatomic venous system and presence of venous reflux or obstruction. The risk-to-benefit ratio is weighed for those procedures with more risk (lower, moderate, higher) considered later in the treatment when the benefit is similar. Journal of Vascular Surgery 2014 60, 3S-59SDOI: (10.1016/j.jvs.2014.04.049) Copyright © 2014 Society for Vascular Surgery Terms and Conditions