• Mihaela Mireva Medical College “Jordanka Filaretova” Medical University of Sofia
  • Milan Tsekov Clinic of Vascular Surgery, Military Medical Academy-Sofia, Bulgaria



DVT varicose veins, thrombophlebitis


The most common complications of chronic venous disease are venous ulcers and superficial thrombophlebitis. The current study aimed to determine the incidence of superficial thrombophlebitis in patients with chronic venous disease and to follow frequency and cause of disease recurrence. In a nine years period, 495 patients were treated for superficial thrombophlebitis in the clinic of Vascular Surgery of Military Medical Academy and in the diagnostic-consultative office of vascular surgery. Of them 108 (22%) patients, were admitted for surgery. The goals of therapy for STP are to prevent the clot progressing into the deep venous system and to hasten the resolution of the inflammatory and thrombotic processes in areas already affected. The first option of treatment consists of perscription of nonsteroid anti-inflammatory drugs, venotonics and low molecular weight heparin. Only in cases when the thromboplebitis of the great or small saphenous vein cames closer the SFJ or SPJ, the surgery is necessary. The surgical techniques that are usually applied are crossectomy of the GSV, or SSV and less often thrombectomy of the EIV, phlebotomy, phlebocutaneoectomy. The other 387(78%) patients underwent conservative therapy with AINS, antiagregant or anticoagulant therapy. Patients with chronical venous insufficiency and varicose veins are more at risk for superficial thrombophlebitis appearance.


Download data is not yet available.


Andreev A. (2009): Primary varicose veins and superficial Thrombophlebitis.“Vascular diseases and endovascular surgery”, Sofia, Znanie, 145-155. (Published in Bulgarian)

Andreev A., (1998) Vascular Diseases, Akademichno Izdatelstvo prof. Marin Drinov, Sofia; 174-176. (Published in Bulgarian)

Ascer E, Lorensen E, Pollina RM, Gennaro M. (1995) Preliminary results of a non-operative approach to sapheno femoral junction thrombophlebitis. J Vasc Surg; 22:616–621.

Beatty J, Fitridge R, Benveniste G, Greenstein D. (2002) Acute superficial venous thrombophlebitis: does emergency surgery has a role? Int Angiol;21:93–95.

Chengelis DL, Bendick PJ, Glover JL, Brown WO, Ranval TJ.() Progression of superficial venous thrombosis to deep veins. J Vasc Surg, (1996) ;24:745–749.

Decousus H, Epinat M, Guillot K et al. (2003) Superficial vein thrombosis: risk factors, diagnosis and treatment. Curr Opin Pulm Med;9:393–397.

DeWeese MS. (1991) Nonoperative treatment of acute superficial thrombophlebitis and deep femoral venous thrombosis.In: Ernst CB, Stanley JC, eds. Current therapy in vascular surgery. Philadelphia: BC Decker Inc. 952-960.)

Hanson JN, Ascher E, DePippo P et al. (1998) Saphenous vein trombophlebitis (SVT): a deceptively benign disease. J Vasc Surg; 27:677–680.

Husni EA, Williams WA. (1982) Superficial thrombophlebitis of lower limbs. Surgery;91:70–74.

Kirienko A., Matiushenko A. A., Andriashkin V. (2006) : Acute thrombophlebitis., “Literra”-Moskow, 14-16. (Published in Russian)

Lofgren EP, Lofgren KA. (1981) The surgical treatment of superficia thrombophlebitis. Surgery; 90:49–54

Lutter KS, Rerr TM, Roedersheimer R, Lohr JM, Sampson MG, Cranley JJ. (1991) Superficial thrombophlebitis diagnosedby duplex scanning. Surgery; 100:42–46.

Topalov J., Anastasov V., Zanzov Iv. (1998): Posttrombotic Disease, Medicine I Fizkultura, , 20-24 (Published in Bulgarian)

Tsekov M. Surgical treatment of Superficial thrombophlebitis. (2018) Work for PhD, Sofia, 81-82. (Published in Bulgarian)

Zollinger RW, Williams RD, Briggs DO. (1962) Problems in the diagnosis and treatment of thrombophlebitis. Arch Surg; 85:34–40.




How to Cite

Mireva, M., & Tsekov, M. (2023). THE RELATIONSHIP BETWEEN CHRONIC VENOUS DISEASE AND THE APPEARANCE OF SUPERFICIAL THOMBOPHLEBITIS . MEDIS – International Journal of Medical Sciences and Research, 2(4), 33–38.