Chronic Venous Insufficiency (CVI) Guideline
The new Chronic Venous Insufficiency (CVI) Guideline has been developed by expert vascular sonographers and provides information and recommendations to inform sonographers on how to perform a venous insufficiency ultrasound examination. This guideline has been thoughtfully divided into multiple sections to help you easily find and navigate specific topics. From preliminary information and anatomy to examination techniques and reporting, each section provides detailed insights and resources relevant to sonography practice. Additional materials such as references, abbreviations, and supplementary files are also included to support your learning and clinical work.
Section A: Preliminary Information
Provides an overview of the complete guideline and its components.
Section B: Background
Includes a glossary and information about risk factors, signs and symptoms, pathophysiology and the role of ultrasound in chronic venous disease.
Section C: Venous anatomy of the lower limb
Provides comprehensive anatomical information, including diagrams.
Section D: Pre-examination considerations
Includes information on the purpose, indications, contraindications and limitations of the examination and patient preparation.
Section E: Performing and interpreting venous insufficiency ultrasound examination
(updated 17.7.25)
Details what assessments need to be made and how to interpret them.
Section F: General considerations
Includes limitations, instrumentation, ethics, safety and reporting guidance.
Section G: Technical considerations
Patient positioning, timing and manoeuvres to assess venous reflux.
Appendix 1: How the clinical guideline was developed
Explains the methodology used to develop the guideline.
Supplementary file 1: Shortform guideline
Provides a summary of the guideline for quick reference.
Supplementary file 2: Sample patient information pamphlet
A printable information resource for patients.
