Vascular Medicine Conference-CVC 2026

Venous ulcers present a significant clinical challenge, primarily manifesting as chronic open wounds on the lower legs due to compromised venous return—most often a consequence of longstanding venous insufficiency. When the veins fail to circulate blood efficiently, pressure within these vessels rises, triggering a cascade that leads to skin breakdown, inflammation, and, ultimately, ulcer formation. The typical location for these ulcers is around the ankles, and, unfortunately, they are notorious for their sluggish healing rates.

Clinically, patients may report persistent pain, swelling, cutaneous discoloration—often a brownish hue—itching, and sometimes exudate from the wound. Recurrence is common, and, without appropriate intervention, there is considerable risk for secondary infection or progressive tissue injury. Predisposing factors include obesity, extended periods of standing, a personal history of deep vein thrombosis, varicose veins, and advanced age.

Management strategies center on improving venous return and facilitating wound healing. Compression therapy remains the gold standard, supplemented by appropriate wound care, limb elevation, and, when indicated, surgical or endovenous interventions. Long-term outcomes are best when underlying risk factors are addressed and patients adhere to ongoing preventive care, which can reduce recurrence rates and broadly enhance quality of life.