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These complications result in progressive loss of the venous capital (patent and compliant venous pathways) necessary for delivery of life\u2010preserving therapies. A nonstandardized, episodic, isolated approach to venous care in these high\u2010need, high\u2010cost patients is too often the norm, imposing a disproportionate burden on affected persons and escalating costs. This state\u2010of\u2010the\u2010art review identifies known failure points in the current systems of venous care, details the elements of an individualized plan of care, and emphasizes a patient\u2010centered, multidisciplinary, collaborative, and evidence\u2010based approach to care in these vulnerable populations. 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