Current Views on the Management of Incompetent Perforator Veins

Chronic venous disease (CVD) is prevalent worldwide. Many patients suffer from signs and symptoms of CVD. The impact of superficial and deep vein disease is well established. However, the role of perforator veins is controversial (1-3). There are many randomized trials showing the effect of treatment on superficial veins mostly by ablation techniques, phlebectomies and sclerotherapy. There is an increasing body of evidence for treating deep vein obstruction but a definitive trial (CTRACT) is on its way (4). The purpose of this paper was to define the impact of perforator veins in patients with CVD.