The incidence of chronic venous disease (CVD) is significantly higher in the elderly population compared to non-elderly individuals, with more severe disease manifestations. Additionally, elderly CVD patients often have comorbid conditions such as cardiovascular diseases, making the evaluation process more complex and increasing treatment difficulty. Currently, there are no established recommendations in China for the diagnosis and treatment of CVD in individuals aged 60 and above. Against this backdrop, the Peripheral Vascular Disease Management Branch of the Chinese Geriatric Society has developed the Chinese Expert Consensus on the Diagnosis and Treatment of Chronic Venous Disease in the Elderly based on domestic and international guidelines, relevant evidence-based medical research, and the physiological and clinical characteristics of the elderly population in China. This consensus aims to provide an important reference for improving the diagnosis and treatment of CVD in elderly patients in China.
Chronic venous diseases are the most common vascular diseases, which are the key field of vascular surgery. This review focused on the development about imaging diagnosis (including ultrasound, CT venogram, magnetic resonance venogram, venography, and intravascular ultrasound), genetic screening, drug therapy (including venous active drugs, antithrombotic drugs, and sulodexide), compression therapy, and surgical treatment (including heat venous ablation, non-heat venous ablation, endovascular treatment of iliac vein, and repair of venous valves) of chronic venous diseases during the past years. This reflects the trend of preciseness, individualization, and microinvasiveness in this field.