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Angelo Crippa, Erica Menegatti, Francesco Zini, Lorenzo Tessari, Angelo Taibi, Elisa Maietti, Sergio Gianesini
OBJECTIVES: To evaluate the safety and efficacy of an innovative transdermal multiple wavelength diode laser in telangiectasia treatment. METHODS: A total of 94 females underwent treatment by means of a multiple wavelength laser. All the cases were treated by three cycles of 532 nm combined with simultaneous 808 nm pulse. OFF time between the cycles was 10 ms. The handling physician, the patient and a blind assessor scored the aesthetic outcome in a range from 0 (no change) to 10 (100% disappearance)...
April 6, 2019: Phlebology
Nicholas Scotti, Karl Pappas, Sanjiv Lakhanpal, Candace Gunnarsson, Peter J Pappas
INTRODUCTION: Women with pelvic venous insufficiency often present with lower extremity symptoms and manifestations of chronic venous disorders. The purpose of this investigation was to determine the incidence of lower extremity chronic venous disorders and the types and distribution of lower extremity veins involved in patients with a known diagnosis of pelvic venous insufficiency. METHODS: Between January 2012 and December 2015, we retrospectively reviewed the charts of 227 women with pelvic venous insufficiency as well as their lower extremity venous duplex investigations...
April 3, 2019: Phlebology
Şahin Bozok, Kaptanıderya Tayfur
BACKGROUND: To evaluate the efficacy and safety of pharmacomechanical thrombectomy using a new rotational thrombectomy device with additional thrombus-removal methods for deep venous thrombosis. METHODS: A total of 91 patients admitted to our tertiary center with symptomatic iliac, ilio-femoral, femoro-popliteal deep venous thrombosis and who underwent hybrid pharmacomechanical thrombectomy constituted the study group. Postinterventional color Doppler ultrasonography was repeated at 1st , 6th , and 12th months...
April 2, 2019: Phlebology
David Kachlik, Vaclav Pechacek, Gabriela Hnatkova, Lukas Hnatek, Vladimir Musil, Vaclav Baca
Latin anatomical terminology of venous perforators (communications between superficial and deep venous systems of the lower limb) was adopted as late as 2001 as an appendix to the official nomenclature following the clinicians' request. Terminologia Anatomica, last version of the Latin anatomical nomenclature, published in 1998, unfortunately contains no terms concerning these veins. During the 14th World Congress of the International Union of Phlebology, a consensus document was laid to expand the nomenclature of the lower limb veins, above all 36 new terms for perforators of the lower limb, both in Latin and English languages...
March 31, 2019: Phlebology
C R Lattimer
No abstract text is available yet for this article.
March 21, 2019: Phlebology
Stavros K Kakkos, Ioannis A Tsolakis, George Markopoulos, Ioannis Maroulis, Efstratios Koletsis, Fotini Fligou, Konstantinos Panagopoulos, Spyros Papadoulas, George Lampropoulos, Ioannis Ntouvas, Konstantinos M Nikolakopoulos, Chrysanthi P Papageorgopoulou, Anastasia Kouri
OBJECTIVES: To identify outcome predictors of isolated venous injuries (VIs). METHODS: Retrospective analysis of prospectively collected information. RESULTS: A total of 99 patients with 109 isolated VI were included. All-cause mortality was 18/99 (18%) and mortality related to the VI was 10/99 (10%). On multivariate analysis, independent predictors of all-cause mortality included age (odds ratio - OR - 1.06, p = 0.042), external cause - trauma and foreign body retention - of VI (OR 34...
March 16, 2019: Phlebology
Ahmed Aka Razek, Ahmed Ma Khalek, Hossam Elwakeel, Moataz A Ebrahim
PURPOSE: To assess the inter-observer agreement of color duplex ultrasound of central vein stenosis in hemodialysis patients. PATIENTS AND METHODS: This prospective study was conducted on 35 hemodialysis patients with suspected central vein stenosis. All patients underwent color flow duplex examination of the subclavian, internal jugular and brachiocephalic veins in hemodialysis patients. Image analysis was performed by two reviewers for diameter reduction, peak venous velocity ratio, post-stenotic turbulent flow, waveform changes, and thrombus formation...
March 14, 2019: Phlebology
Hiroki Mitsuoka, Munekazu Naito, Yusuke Ohmichi, Makiyo Hagihara, Kanae Umemoto, Ikuo Sugimoto, Takashi Nakano, Hiroyuki Ishibashi
OBJECTIVES: This study investigated the presence of the 'spur' which separates the lumen in the left brachiocephalic vein (LBV). METHOD: We macroscopically observed the lumen of the bilateral brachiocephalic veins and the superior vena cava in 56 cadavers. The samples were treated with haematoxylin and eosin staining and immunostaining using an α-smooth muscle action antibody. Contrast-enhanced computed tomography images from 170 subjects were analysed. RESULTS: The septal structure was found in only 7% of LBVs included in the cadaveric study and 1...
March 14, 2019: Phlebology
Ioannis Mastoris, Damianos G Kokkinidis, Iosif Bikakis, Paraschos Archontakis-Barakakis, Christos A Papanastasiou, Anil Kumar Jonnalagadda, Dimitrios Schizas, Christos Bakoyiannis, Leonidas Palaiodimos, Robert T Faillace
BACKGROUND: Oral anticoagulation therapy was the mainstay of deep vein thrombosis treatment but recently, catheter-directed thrombolysis has emerged as an alternative. OBJECTIVE: To compare the efficacy and safety of the two strategies. METHODS: Medline, Embase and Cochrane CENTRAL were reviewed. Outcomes of interest included post-thrombotic syndrome, thromboembolic events, mortality, bleeding risk and iliofemoral patency. A random effects model meta-analysis was performed...
March 14, 2019: Phlebology
Thomas F Wright, Giulietta F Brunetti, Patrick Kennedy
OBJECTIVES: For endovenous thermal ablation of the saphenous veins, tumescent lidocaine anesthesia is often used. Unfortunately, information is sparse on the pharmacokinetics of lidocaine absorption and its maximum safe dose. The aim of this study was to evaluate plasma concentration of lidocaine on 12 lead electrocardiograms (ECGs) and symptoms over time after the administration of tumescent lidocaine during endovenous thermal ablation procedures in healthy volunteers. METHODS: An observational study of symptoms, 12 lead ECGs, and serum lidocaine levels were obtained following the administration of either 15 mg/kg lidocaine or 35 mg/kg lidocaine in the perivenous saphenous space under ultrasound guidance...
March 14, 2019: Phlebology
Abduraheem Mohamed, Clement Leung, Louise Hitchman, Tom Wallace, George Smith, Daniel Carradice, Ian Chetter
INTRODUCTION: Endovenous mechanochemical ablation (MOCA) is an increasingly popular non-thermal non-tumescent technique used to treat axial reflux in patients with superficial venous incompetence. However, the optimal management of varicose tributaries following this technique is unknown and may impact on patient outcomes. This study compares MOCA with concomitant phlebectomy (MOCAP) versus ablation with sequential phlebectomy if required (MOCAS). METHODS: Patients with symptomatic Comprehensive Classification System for Chronic Venous Disorders (CEAP C2-C6) unilateral axial reflux were studied...
March 13, 2019: Phlebology
Attila G Krasznai, Tim A Sigterman, Janine P Houtermans-Auckel, Ed Eussen, Maarten Snoeijs, Kees Jan Jm Sikkink, Edith M de Boer, Cees Ha Wittens, Lee H Bouwman
BACKGROUND: Venous insufficiency of the lower extremity affects up to 40-60% of general adult population in the Western population, of which around 25% has varicose veins mostly treated by ablation of the incompetent great saphenous vein. Although endovenous options are available, the majority is still treated with stripping of the great saphenous vein for which there is no consensus regarding postoperative compressive therapy. The objective of this prospective randomised controlled trial was to evaluate 4 h compared to 72 h of leg compression after great saphenous vein stripping...
March 12, 2019: Phlebology
Jean L Gillet, Jean J Guex, François A Allaert, Bernard Avouac, Philippe Leger, Sophie Blaise, Angélique Marchand, Hervé Maillard, Magali Simon, Cyrine B Amor, Marion Pasqualini
OBJECTIVE: To evaluate the efficacy, safety and acceptability of an innovative two-component versus a well-established four-component compression systems in the management of venous leg ulcer. METHOD: Multicentre randomized controlled trial in patients with active venous leg ulcer. Patients were followed-up monthly for a maximum of 16 weeks. The primary endpoint was the complete healing rate at 16 weeks. RESULTS: Ninety-two patients were randomized to either the two-component BIFLEX® Kit group ( n = 49) or the four-component PROFORE® group ( n = 43)...
March 5, 2019: Phlebology
Rahmi Aslan, Akif Erbin, Sebahattin Celik, Burak Ucpinar, Sahin Sahinalp, Murat Yıldızhan, Recep Eryilmaz, Kerem Taken
BACKGROUND: The study investigated the association between varicocele, lower extremity venous insufficiency and hemorrhoidal disease. METHODS: The study included 62 patients with varicocele and 60 voluntary subjects with no varicocele. Patients who were diagnosed as having varicocele on physical examination and Doppler ultrasonography were included in the study group. Examination of lower extremity venous insufficiency was performed by physical examination and Doppler ultrasonography...
March 5, 2019: Phlebology
Sergio Gianesini, Erica Menegatti, Maria Grazia Sibilla, Diana Neuhardt, Elisa Maietti, Mirko Tessari, Paolo Zamboni
OBJECTIVES: Comparison of a flush sapheno-popliteal junction ligation versus a mini-invasive foam sclerotherapy-assisted ligation. METHODS: Forty-eight chronic venous disease patients underwent sapheno-popliteal junction flush ligation (group A). Forty-one patients underwent small saphenous vein ligation by means of mini-invasive incision with foam sclerotherapy of the popliteal stump (group B). RESULTS: At 4.1 ± 3.3 years mean follow-up, sapheno-popliteal junction recurrence was detected in four patients of group A (4/48; 8...
February 26, 2019: Phlebology
Emily Boyle, Julie Reid, Mark O'Donnell, Denis Harkin, Stephen Badger
BACKGROUND: Venous thromboembolism is rare following varicose vein ablation procedures, but uncertainty about its incidence combined with a lack of evidence-based clinical guidelines regarding thromboprophylaxis has led to debate about best practice. We conducted a national survey to investigate current practice among Irish vascular surgeons. METHODS: An anonymous online questionnaire was emailed to all members of the Irish Association of Vascular Surgeons and the Northern Ireland Vascular Society...
February 12, 2019: Phlebology
Matthew Machin, Safa Salim, Sarah Onida, Alun H Davies
No abstract text is available yet for this article.
February 10, 2019: Phlebology
Anes Yang, Bahar Yasaman, Yana Parsi, Mina Kang, David Connor, Kurosh Parsi
BACKGROUND: Previous studies reported graduated compression stockings can reduce the calibre of deep veins in the standing subjects. However, the literature has been inconclusive on the effect of graduated compression stockings on superficial veins in standing subjects. OBJECTIVES: To assess the effect of two layers of graduated compression stockings on the diameter of saphenous veins in healthy subjects. MATERIALS AND METHODS: In 17 legs of nine healthy subjects, we studied the effect of single layering and double layering of graduated compression stockings (23-32 mmHg, Thigh High Belted Sigvaris, Switzerland) on the diameter of the great saphenous vein mid-thigh, great saphenous vein mid-calf and small saphenous vein mid-calf...
February 10, 2019: Phlebology
Rafael Cires-Drouet, Jashank Sharma, Tara McDonald, John D Sorkin, Brajesh K Lal
OBJECTIVES: Central-venous devices are risk-factors for upper extremity deep vein thrombosis. We surveyed physicians to identify practice-patterns and adherence to American College of Chest Physicians guidelines. METHODS: The 13-question survey obtained physician-demographics and treatment-choices. Respondents were grouped into surgical and medical specialists. Data were reported as ratios and percentages, and compared using Fisher's exact test. RESULTS: We received 143 responses from physicians; 65% treated one-to-two new cases/month...
January 31, 2019: Phlebology
Kurosh Parsi, Mina Kang, Lisa Abbott
BACKGROUND: Livedo vasculopathy is a cutaneous thrombotic microangiopathy favouring the lower legs characterised by an intense reticulate pigmentation, atrophie blanche and recurrent painful stellate ulcerations. There is a strong association with antiphospholipid syndrome, thrombophilic abnormalities, factor V Leiden mutation and more recently, lipoprotein A. Thrombotic occlusion of the dermal venules is the key pathology in livedo vasculopathyand there is no associated vasculitis. Anticoagulation and other currently recommended conservative therapies do not influence the rate of ulcer healing...
January 28, 2019: Phlebology
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