5,777 results match your criteria Chronic Venous Insufficiency


Development of Traumatic Neuromas in a Patient Following Endovenous Laser Ablation and Microphlebectomy Procedures: A Rare Complication From the Removal of Varicose Veins.

Cureus 2021 Jun 22;13(6):e15830. Epub 2021 Jun 22.

Interventional Radiology, Northwestern University Feinberg School of Medicine, Chicago, USA.

Chronic venous insufficiency is one of the most common benign diseases in America. For treatment, minimally invasive techniques have become the first-line option. The literature shows that these procedures are well tolerated and work effectively without leaving the patient with unaesthetic operative scars. Read More

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Deadly Pulmonary Hypertension Cured With a Stent.

JACC Case Rep 2020 Aug 19;2(10):1515-1519. Epub 2020 Aug 19.

Division of Cardiovascular Diseases, University of Mississippi Medical Center, Jackson, Mississippi.

A 77-year-old woman with critical limb ischemia, venous insufficiency, and progressive pulmonary hypertension presented for evaluation. Lower extremity angiography showed a common iliac arteriovenous fistula. Closure was achieved with a covered stent placed in the artery. Read More

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Compression bandages or stockings versus no compression for treating venous leg ulcers.

Cochrane Database Syst Rev 2021 Jul 26;7:CD013397. Epub 2021 Jul 26.

Division of Nursing, Midwifery and Social Work, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.

Background: Leg ulcers are open skin wounds on the lower leg that can last weeks, months or even years. Most leg ulcers are the result of venous diseases. First-line treatment options often include the use of compression bandages or stockings. Read More

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Association Between Lower Extremity Venous Insufficiency and Intrapartum Fetal Compromise: A Nationwide Cross-Sectional Study.

Front Med (Lausanne) 2021 9;8:577096. Epub 2021 Jul 9.

Ramón y Cajal Institute of Sanitary Research (IRYCIS), Madrid, Spain.

Chronic venous disorder (CVeD) has a high prevalence, being commonly diagnosed by the presence of varicose veins. In fact, the development of varicose veins in lower extremities and/or pelvic venous insufficiency (LEPVI) is frequent. However, its potential impact on fetal health has not been investigated. Read More

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Best practices in diagnosis and treatment of chronic iliac vein obstruction.

J Vasc Bras 2020 14;19:e20190134. Epub 2020 Sep 14.

Instituto Dante Pazzanese de Cardiologia de São Paulo - IDPC-SP, São Paulo, SP, Brasil.

Iliac vein obstruction occurs in 20-30% of the general population. In patients with severe chronic venous insufficiency, this prevalence can be even higher, reaching 50-90% when the obstruction is investigated using intravascular ultrasound. Less invasive methods, such as venous Duplex Scanning, and even invasive ones such as venography may fail to diagnose the condition. Read More

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September 2020

CAN COMPLETE BLOOD CELL COUNT PARAMETERS PREDICT DEEP VEIN THROMBOSIS?

Acta Clin Croat 2020 Dec;59(4):661-666

1Kafkas University, Medical Faculty, Department of Cardiovascular Surgery, Kars, Turkey; 2Kafkas University, Medical Faculty, Department of Biochemistry, Kars, Turkey; 3Amasya University, Medical Faculty, Department of Emergency Medicine, Amasya, Turkey; 4Kafkas University, Medical Faculty, Department of Internal Medicine, Kars, Turkey.

The aim of this study was to evaluate complete blood cell count parameters including red blood cell indices, white blood cell subtypes, and platelet indices for predicting deep vein thrombosis (DVT). A total of 71 (44 male and 27 female) patients with acute femoral and popliteal DVT diagnosed by doppler ultrasonography during a period of seven years (2011-2017) were included in the study. By matching age and gender, 142 (88 male and 54 female) subjects diagnosed with venous insufficiency in the same time interval were assigned as control group. Read More

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December 2020

Time course of microvalve pathophysiology in high pressure low flow model of venous insufficiency and the role of micronized purified flavonoid fraction.

Int Angiol 2021 Jul 20. Epub 2021 Jul 20.

Laboratory for Clinical and Experimental Research on Vascular Biology (BioVasc), State University of Rio de Janeiro, Rio de Janeiro, Brazil.

Background: The aim of this study was to characterize, in an experimental model, the mechanisms involved in the initiation of venous insufficiency at the level of microvenous valve and whether they can be influenced by early treatment with micronized purified flavonoid fraction (MPFF).

Methods: The external right iliac vein of 78 male golden Syrian hamsters was ligated to induce chronic venous insufficiency. Internal venular diameter as well as leukocyteendothelium-interaction (leukocytes sticking after staining with rhodamine 6G), were assessed using an intravital microscope. Read More

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Obesity-associated lymphedematous mucinosis and stasis mucinosis.

Clin Dermatol 2021 Mar-Apr;39(2):229-232. Epub 2020 Oct 16.

Unit of Dermatology, Department of Medical Science and Public Health, University of Cagliari, Italy.

Cutaneous dermal mucinoses are a group of conditions characterized by abnormal deposition of mucin (hyaluronic acid and sulfated glycosaminoglycans) in the dermis. They can be classified either as localized or generalized forms and occur primarily or secondarily to systemic disorders. Obesity-associated lymphedematous mucinosis and pretibial stasis mucinosis are uncommon and relatively newly recognized disorders occurring in obese patients or in patients with venous insufficiency. Read More

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October 2020

Symptom improvement after cyanoacrylate glue adhesion and endovenous laser ablation in low-grade CEAP clinical classes.

Authors:
Kilsoo Yie

J Vasc Surg Venous Lymphat Disord 2021 Jul 13. Epub 2021 Jul 13.

Jeju Soo CardioVascular Center (JSCVC), 690-200, 407 Nohyngro, Jeju, Republic of Korea. Electronic address:

Objective: Low-grade primary superficial venous reflux (C - CEpAsPr) is a common feature of chronic venous disease. However, the procedural efficacy focusing on symptom characteristics and improvement patterns in this population has not been fully explored.

Methods: From 2018 to 2019, 325 limbs from 279 patients with C - CEpAsPr (including 66. Read More

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Correlation of Body Mass Index with Recanalization Risk after Endovenous Thermal Ablation.

J Vasc Surg Venous Lymphat Disord 2021 Jul 13. Epub 2021 Jul 13.

Vascular Institute of New York, Brooklyn, NY.

Objective: Chronic venous insufficiency (CVI) has an increased prevalence among obese individuals with body mass indices (BMI) over 30. A safe, efficacious, and evidence-based recommended treatment for CVI due to superficial venous reflux (SVR) in great saphenous veins (GSV), small saphenous veins (SSV), accessory saphenous veins (ASV), and reflux in the perforator veins (PV) is endovenous thermal ablation (EVTA). We sought to identify if BMI is an independent risk factor for recanalization following EVTA. Read More

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Intermittent pneumatic compression for prolonged standing workers with leg edema and pain.

Medicine (Baltimore) 2021 Jul;100(28):e26639

Department of Physical Medicine and Rehabilitation, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

Abstract: Even healthy individuals often encounter leg venous symptoms such as heaviness, pain, and swelling especially after prolonged standing work. Intermittent pneumatic compression (IPC) is a widely used simple therapy for preventing deep vein thrombosis and for treating lymphedema and chronic venous insufficiency. However, IPC has not been evaluated for its effect in relieving venous symptoms of healthy people. Read More

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Prevention of Venous Thromboembolism in Gynecologic Surgery: ACOG Practice Bulletin, Number 232.

Authors:

Obstet Gynecol 2021 07;138(1):e1-e15

Deep vein thrombosis (DVT) and pulmonary embolism (PE) are collectively referred to as "venous thromboembolic events" (VTE). Despite advances in prophylaxis, diagnosis, and treatment, VTE remains a leading cause of cost, disability, and death in postoperative and hospitalized patients (1, 2). Beyond the acute sequelae of leg pain, edema, and respiratory distress, VTE may result in chronic conditions, including postthrombotic syndrome (3), venous insufficiency, and pulmonary hypertension. Read More

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Prevention of Venous Thromboembolism in Gynecologic Surgery: ACOG Practice Bulletin Summary, Number 232.

Authors:

Obstet Gynecol 2021 Jul;138(1):158-161

Deep vein thrombosis (DVT) and pulmonary embolism (PE) are collectively referred to as venous thromboembolic events (VTE). Despite advances in prophylaxis, diagnosis, and treatment, VTE remains a leading cause of cost, disability, and death in postoperative and hospitalized patients (1, 2). Beyond the acute sequelae of leg pain, edema, and respiratory distress, VTE may result in chronic conditions, including postthrombotic syndrome (3), venous insufficiency, and pulmonary hypertension. Read More

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The presence of a pathologic perforator may be predictive of central venous pathology and multilevel disease in severe chronic venous insufficiency.

J Vasc Surg Venous Lymphat Disord 2021 Jul 10. Epub 2021 Jul 10.

Division of Vascular Surgery, New York University Langone Health, New York, NY. Electronic address:

Objectives: The treatment of a refluxing perforator is indicated in the setting of severe chronic venous insufficiency, but there are limited data on the presence of multilevel disease in these patients. This study sought to evaluate whether the presence of a pathologic perforator is predictive of the presence of central venous pathology.

Methods: This study was a retrospective review of the institutional Vascular Quality Initiative database. Read More

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Mechanisms of Lower Extremity Vein Dysfunction in Chronic Venous Disease and Implications in Management of Varicose Veins.

Vessel Plus 2021 29;5. Epub 2021 May 29.

Vascular Surgery Research Laboratories, Division of Vascular and Endovascular Surgery, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA.

Chronic venous disease (CVD) is a common venous disorder of the lower extremities. CVD can be manifested as varicose veins (VVs), with dilated and tortuous veins, dysfunctional valves and venous reflux. If not adequately treated, VVs could progress to chronic venous insufficiency (CVI) and lead to venous leg ulcer (VLU). Read More

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Transcutaneous Partial Pressure of Oxygen Measurement in Advanced Chronic Venous Insufficiency as a Marker of Tissue Oxygenation.

Vasc Specialist Int 2021 Jul 12;37:21. Epub 2021 Jul 12.

Department of General Surgery Unit 1, Christian Medical College, Vellore, India.

Purpose: Determination of oxygen concentration in tissues affected by chronic venous insufficiency (CVI) has shown inconsistent results over the years and has confounded the pathophysiology of venous diseases. This study measured transcutaneous partial oxygen pressure (TcPO) levels in patients with CVI to assess oxygenation and variation in oxygenation according to CVI stage. Materials and. Read More

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Cutaneous findings in patients with chronic venous insufficiency.

J Cosmet Dermatol 2021 Jul 9. Epub 2021 Jul 9.

Yildirim beyazit University, Medical Faculty, Dermatology, Ankara, Turkey.

Background: Venous hypertension causes many different cutaneous findings such as varicosities, telangiectasia, edema, and pigmentation, dermatitis, and venous ulcers on the skin.

Objective: This study aims to investigate the cutaneous signs and symptoms of chronic venous insufficiency (CVI) and to examine their contribution to early diagnosis.

Methods: A total of 150 patients were included in the study who applied to the dermatology outpatient clinic and were diagnosed with skin disease related to CVI or had skin findings. Read More

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Pattern of Chronic Venous Insufficiency among Patients Presenting to a Vascular Surgery Clinic in Low- to Middle-Income Countries (LMIC): A Cross-Sectional Study.

Authors:
Zia Ur Rehman

Ann Vasc Dis 2021 Jun;14(2):118-121

Section of Vascular Surgery, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

: To measure the pattern and severity of chronic venous insufficiency (CVI) in patients presenting to a vascular surgery clinic in Pakistan. : This cross-sectional study has examined patients presenting with CVI for the first time. Patients were assessed for severity of the disease using clinical, etiological, anatomical and pathological (CEAP) score and venous clinical severity score (VCSS). Read More

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Bromelain-based enzymatic debridement of chronic wounds: Results of a multicentre randomized controlled trial.

Wound Repair Regen 2021 Jul 7. Epub 2021 Jul 7.

Plastic and Reconstructive Surgery Department, Meir Medical Center, Kfar Saba, Israel.

Chronic wounds are estimated to affect over 6 million people annually in the United States with an estimated annual cost of $25 billion. Debridement represents a key step in their management and is considered a basic necessity to induce the functional process of tissue repair. However, there is an unmet need for an efficient rapid acting non-surgical debridement agent. Read More

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Topical Sevoflurane: A Novel Treatment for Chronic Pain Caused by Venous Stasis Ulcers.

Anesth Pain Med 2021 Feb 24;11(1):e112832. Epub 2021 Feb 24.

LSU Health Shreveport, Department of Anesthesiology, Shreveport, LA, USA.

In the US, an estimated 1 - 2% of chronic venous insufficiency (CVI) patients (of 6 - 7 million nationwide) develop at least one venous stasis ulcer (VSU) during their illness. Of these, approximately 40% develop subsequent ulcers, making VSU prognostically poor. Current management of VSU is costly, with poor prognosis, high recurrence rate, inadequate pain management, and significantly reduced quality of life (QoL). Read More

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February 2021

Abnormal proinflammatory and stressor environmental with increased the regulatory cellular IGF-1/PAPP-A/STC and Wnt-1/β-Catenin canonical pathway in placenta of women with Chronic venous Disease during Pregnancy.

Int J Med Sci 2021 27;18(13):2814-2827. Epub 2021 May 27.

Department of Medicine and Medical Specialities, Faculty of Medicine and Health Sciences, University of Alcalá, 28801 Alcalá de Henares, Spain.

Lower limbs venous insufficiency refers to a wide variety of venous disorders grouped by the term of chronic venous disease (CVD). Hemodynamic and hormonal changes related to pregnancy period, may promote the development of CVD affecting approximately 1 in 3 women. It has been shown that the presence of this condition is associated with damage and placental suffering. Read More

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Platelet distribution width in young patients with chronic venous insufficiency.

Vascular 2021 Jul 2:17085381211029606. Epub 2021 Jul 2.

Department of Cardiology, Izmir Katip Celebi University, Izmir, Turkey.

Objective: Platelet distribution width (PDW) has been reported in a wide range of pathological settings. In this study, we aimed to investigate the relationship between PDW and lower extremity chronic venous insufficiency (CVI) by comparing the levels of PDW and other parameters derived from complete blood count (CBC) tests in young individuals with or without lower extremity CVI.

Methods: This prospective clinical study was conducted between January 2020 and December 2020. Read More

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Utility of compression immediately after venous closure: Does it matter?

Phlebology 2021 Jul 2:2683555211028533. Epub 2021 Jul 2.

Division of Vascular Surgery, the Mount Sinai Hospital, New York, NY, USA.

Background: Leg compression after venous closures for 24-48 hours or longer is commonplace and controversial.

Objective: The goal of our study was to evaluate compression immediately post-venous closures and its associated costs.

Methods: Records were retrospectively reviewed after consecutive therapies of sclerotherapy, mechanochemical ablation (MOCA) & radiofrequency ablation (RFA) from 1 clinic with 2 cohorts: 7/2/13-10/15/15 were immediately ACE-wrapped for 3-5 days (AW, N = 52) and 10/20/15-1/5/16 were non ACE-wrapped (NAW, N = 49). Read More

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Nonthermal Endovenous Procedures for Varicose Veins: A Health Technology Assessment.

Authors:

Ont Health Technol Assess Ser 2021 4;21(8):1-188. Epub 2021 Jun 4.

Background: Varicose veins are part of the spectrum of chronic venous disease and are a sign of underlying chronic venous insufficiency. Treatments to address varicose veins include surgical vein removal under general anesthesia, or endovenous laser (EVLA) or radiofrequency ablation (RFA) under tumescent anesthesia. Two newer nonthermal endovenous procedures can close veins without any tumescent anesthesia, using either mechanochemical ablation (MOCA, a combination of mechanical and chemical techniques) or cyanoacrylate adhesive closure (CAC). Read More

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Effectiveness of therapeutic exercises for improving the quality of life of patients with chronic venous insufficiency: a systematic review.

J Vasc Bras 2021 Jun 16;20:e20200248. Epub 2021 Jun 16.

Centro Universitário Unifacisa - UNIFACISA, Campina Grande, PB, Brasil.

The main signs and symptoms of chronic venous insufficiency are pain, edema, varicose veins, and tissue changes; conditions that compromise functionality and quality of life. Management of the disease aims to mitigate these losses and involves a wide range of interventions, one of which is therapeutic exercise. This article presents the existing evidence on the effectiveness of therapeutic exercises for quality of life, pain, and functionality in chronic venous insufficiency. Read More

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Bilateral foam polidocanol sclerotherapy of great saphenous veins and their tributaries in synchronous procedure.

J Vasc Bras 2021 Jun 16;20:e20200178. Epub 2021 Jun 16.

Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brasil.

Background: Chronic venous insufficiency is a highly prevalent disease. Advanced cases have high morbidity.

Objectives: To evaluate the risks and benefits of foam sclerotherapy in patients who underwent bilateral treatment of the great saphenous veins in a single procedure, in selected cases of advanced venous insufficiency. Read More

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Potential Activity Mechanisms of Bark: Antioxidant Effects in Chemical and Biological In Vitro Models.

Antioxidants (Basel) 2021 Jun 22;10(7). Epub 2021 Jun 22.

Department of Pharmacognosy, Faculty of Pharmacy, Medical University of Lodz, 90-151 Lodz, Poland.

The bark of is an herbal remedy used in conditions connected with vascular insufficiency; however, there is a lack of data concerning its mechanisms of action. The present work is a preliminary investigation into some of the potential directions of the bark activity. The phytochemically (qualitative UHPLC-PDA-MS/MS and quantitative UHPLC-PDA assays) characterized extract and its four main constituents (esculin, fraxin, (‒)-epicatechin and procyanidin A2) were first evaluated in terms of their antioxidant capacity. Read More

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Elimination of saphenous reflux after tributary sclerotherapy: report of two cases.

J Vasc Bras 2021 Jun 11;20:e20200064. Epub 2021 Jun 11.

Angiovasc, Belo Horizonte, MG, Brasil.

Most patients with chronic venous disease (CVD) and reflux in the saphenous vein are treated with saphenous stripping or ablation. The venous hemodynamics approach offers the possibility of treating saphenous reflux without eliminating the saphenous vein. We present 2 cases in which venous reflux was eliminated while preserving the great saphenous vein, after treatment with hemodynamic sclerotherapy using a protocol of synergic use of Dextrose and long pulse Nd YAG 1064 laser. Read More

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Multidisciplinary electronic protocol for collection of clinical and surgical data on chronic venous insufficiency.

J Vasc Bras 2020 Jul 31;19:e20190127. Epub 2020 Jul 31.

Universidade Federal do Paraná - UFPR, Clínica Cirúrgica, Curitiba, PR, Brasil.

Background: Use of electronic protocols for data collection and storage enables clinical research to be conducted dynamically, contributing to medical advances.

Objectives: To create an electronic data base for collection of clinical and surgical data on chronic venous insufficiency (CVI), to facilitate production of scientific studies.

Methods: Initially, a database was constructed by means of a bibliographic review of text books and relevant scientific articles for all vascular diseases and then a database on CVI was extracted. Read More

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Quality of life assessment before and after surgery for lower limb varicose veins.

J Vasc Bras 2020 May 8;19:e20190108. Epub 2020 May 8.

Instituto de Medicina Integral Professor Fernando Figueira - IMIP, Serviço de Cirurgia Vascular, Recife, PE, Brasil.

Background: Lower limb varicose veins are one of the most prevalent diseases in the global population. The disease is chronic and has a great impact on patients' quality of life, limiting daily activities and functional performance. Several authors have emphasized the importance of including quality of life assessment in management of patients with chronic venous disease. Read More

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