CEAP classification of varicose veins
The CEAP is an elaborate scoring system for varicose veins and other disorders from venous insufficiency. It has been developed to determine the severity of the condition for diagnosis and treatment point of view. CEAP stands for:
The CEAP scoring system is as follows:
- Ec: congenital (present since birth)
- Ep: primary
- Es: secondary (caused by other pathologies such as after a thrombus).
- s: superficial veins.
- p: perforator veins.
- d: deep veins.
- For Basic CEAP:
- Pr: reflux (backflow).
- Po: obstruction.
- Pr,o: reflux and obstruction.
- Pn: no venous pathophysiology identifiable.
Advanced CEAP: It is the same as Basic CEAP as above, with the addition that any of the 18 named venous segments can be utilized as locators for venous pathology. These are as follows:
- Telangiectasies/reticular veins.
- GSV above knee.
- GSV below knee.
- Nonsaphenous veins.
- Common iliac vein.
- Internal iliac vein.
- External iliac vein.
- Pelvic: gonadal, broad ligament veins, other.
- Common femoral vein.
- Deep femoral vein.
- Femoral vein.
- Popliteal vein.
- Crural: anterior tibial, posterior tibial, peroneal veins (all paired).
- Muscular: gastrocnemial, soleal veins, other.