1 Superficial Venous Reflux and Active Venous Leg Ulcer - Ulcer Healing

• In a patient with a venous leg ulcer (C6) and incompetent superficial veins that have axial reflux directed to the bed of the ulcer, we suggest ablation of the incompetent veins in addition to standard compressive therapy to improve ulcer healing (Grade 2, Level C).

2 Superficial Venous Reflux and Active Venous Leg Ulcer - Prevent Recurrence

• In a patient with a venous leg ulcer (C6) and incompetent superficial veins that have axial reflux directed to the bed of the ulcer, we recommend ablation of the incompetent veins in addition to standard compressive therapy to prevent recurrence (Grade 1, Level B).

3: Superficial Venous Reflux and Healed Venous Leg Ulcer

• In a patient with a healed venous leg ulcer (C5) and incompetent superficial veins that have axial reflux directed to the bed of the ulcer, we recommend ablation of the incompetent veins in addition to standard compressive therapy to prevent recurrence (Grade 1, Level C).

4: Superficial Venous Reflux With Skin Changes at Risk for Venous Leg Ulcer (C4b)

• In a patient with skin changes at risk for venous leg ulcer (C4b) and incompetent superficial veins that have axial reflux directed to the bed of the affected skin, we suggest ablation of the incompetent superficial veins in addition to standard compressive therapy to prevent ulceration (Grade 2, Level C).