CEAP classification
Surgery and anaesthesia
Also known as: CEAP-Klassifikation · CEAP sınıflaması · CEAP classification (chronic venous disorders), 2020 revision
What it is for
CEAP describes chronic venous disorders of the legs in four parts: Clinical signs (C), Etiology (E), Anatomy (A) and Pathophysiology (P). The 2020 revision added C4c and the modifier r for recurrence, split secondary causes into intra- and extravenous, and replaced segment numbers by vein abbreviations. Clinical classes:
Classification
| Category | Description |
|---|---|
| C0 | no visible or palpable signs of venous disease. |
| C1 | telangiectasias or reticular veins. |
| C2 / C2r | varicose veins / recurrent varicose veins. |
| C3 | oedema. |
| C4 | skin and subcutaneous changes due to venous disease: C4a pigmentation or eczema; C4b lipodermatosclerosis or atrophie blanche; C4c corona phlebectatica. |
| C5 | healed venous ulcer. |
| C6 / C6r | active venous ulcer / recurrent active venous ulcer. |
| Symptom modifier | each C class is followed by s (symptomatic) or a (asymptomatic). |
| E | Ep primary; Es secondary (Esi intravenous, Ese extravenous); Ec congenital; En no cause identified. |
| A | As superficial, Ad deep, Ap perforator veins; An no venous location identified (segments named by abbreviations such as GSVa, SSV, CFV, POPV). |
| P | Pr reflux; Po obstruction; Pr,o reflux and obstruction; Pn no pathophysiology identified. |
Source
The 2020 update of the CEAP classification system and reporting standards
American Venous Forum · J Vasc Surg Venous Lymphat Disord 2020;8:342–352 (Lurie F et al.)
DOI: 10.1016/j.jvsv.2019.12.075
PMID: 32113854
- Edition
- CEAP 2020 update (American Venous Forum task force); first developed 1993, revised 1996 and 2004
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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