1,636 results match your criteria Phlebology / Venous Forum of the Royal Society of Medicine[Journal]
Phlebology 2018 Dec 12:268355518818619. Epub 2018 Dec 12.
1 Department of Dermatovenereology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Objective: The prevalence of toenail alterations in chronic venous disease has only rarely been studied. We aimed to establish the frequency and clinical characteristics of toenail onychomycosis in chronic venous disease.
Methods: We included 80 adult patients, in all stages of chronic venous disease. Read More
Semergen 2018 Dec 3. Epub 2018 Dec 3.
Medicina Familiar y Comunitaria, Grupo de Trabajo de Vasculopatías de Semergen, Centro de Salud Puerta Blanca, Málaga, España.
Superficial vein thrombosis of the lower limbs used to be considered a benign condition with a self-limiting clinical course. It is now known that its potential complications can be serious or even fatal, such as deep vein thrombosis or pulmonary thromboembolism. There are different forms of clinical presentation, risk factors and different treatments for its approach, mainly in Primary Care. Read More
Angiol Sosud Khir 2018 ;24(4):81-87
Department of Surgery, Institute of Additional Professional Education, South Ural State Medical University of the RF Ministry of Public Health, Chelyabinsk, Russia.
The purpose of this study was to assess the incidence of the development of symptoms of damage to subcutaneous nerves after endovenous laser coagulation (EVLC) of the great saphenous vein (GSV), as well as to determine the effect of these symptoms on quality of life (QoL) of patients. Our retrospective study enrolled a total of 119 patients (mean age 50±13.9 years) subjected to 151 isolated EVLC of the GSV. Read More
Phlebology 2018 Dec 4:268355518816573. Epub 2018 Dec 4.
Department of Surgery and Cancer, Charing Cross Hospital, Imperial College London, London, UK.
Phlebology 2018 Nov 25:268355518814115. Epub 2018 Nov 25.
Division of Vascular Surgery, University of British Columbia, Vancouver, Canada.
Objective: To evaluate the practice patterns and interests of vascular surgeons in Canada in the treatment of chronic venous disorder.
Methods: A web-based 19-question survey was sent to 155 active members of the Canadian Society for Vascular Surgery. Questions assessed training background, interest in venous disease, practice site, venous treatments offered, and obstacles to therapy. Read More
Phlebology 2018 Nov 22:268355518814130. Epub 2018 Nov 22.
3 Center for Clinical Effectiveness, Baylor Scott and White Health, Dallas, Texas, USA.
Objective: To evaluate the effect of endovenous ablation in patients presenting with leg swelling.
Methods: We identified Clinical, Etiology, Anatomy, Pathophysiology (CEAP) clinical class 3 (C3) patients undergoing endovenous ablation from 21 January 2005 to 19 March 2015 with an 810-nm or 1470-nm laser. Patients were surveyed regarding the degree of edema, use of compression stockings, and satisfaction with the procedure. Read More
Phlebology 2018 Nov 21:268355518814124. Epub 2018 Nov 21.
4 Department of Biophysics, Girne American University Medical School, Kyrenia, Cyprus.
Background: Etiology of the varicose veins is still partly known. It has been proposed that varicose veins formation might be a cause of the oxidative stress and/or cause from genetical reasons.
Method: The levels of antioxidant defense system enzymes, superoxide dismutase, catalase, glutathione peroxidase, glutathione S-transferase, and an oxidative stress indicator, malondialdehyde, were measured in saphenous vein samples of varicose veins patients. Read More
Phlebology 2018 Nov 19:268355518813512. Epub 2018 Nov 19.
2 Division of Vascular Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Objective: To investigate the efficacy of a novel low-molecular-weight heparin injection technique compared to the standard technique relative to bruising incidence, bruise size, and pain.
Methods: A randomized controlled trial was conducted in 44 patients with acute deep vein thrombosis. Patients who were randomized into the control group received a 10-s duration injection with immediate needle withdrawal, whereas study group patients received a 30-s duration injection with a 10-s pause before needle withdrawal. Read More
Phlebology 2018 Nov 18:268355518812598. Epub 2018 Nov 18.
Yavapai Regional Medical Center, Prescott, AZ, USA.
Int J Numer Method Biomed Eng 2018 Nov 16. Epub 2018 Nov 16.
Poznan University of Medical Sciences, Department of General and Vascular Surgery.
In interventional procedures the balloon inflation is used to occlude the artery and thus reduce bleeding. There is no practically accepted measure of the procedure efficiency. A finite element method model with state of the art modelling techniques was built in order to predict the occlusions levels under the influence of different balloon inflation and its material stiffness. Read More
Phlebology 2018 Nov 7:268355518810259. Epub 2018 Nov 7.
6 Lake Washington Vascular, Bellevue, USA.
Objective: To evaluate the 36-month efficacy and safety of cyanoacrylate closure for the treatment of incompetent great saphenous veins in comparison with radiofrequency ablation.
Methods: In this multicenter, prospective, randomized controlled trial, 222 symptomatic subjects with incompetent great saphenous veins were assigned to either cyanoacrylate closure or radiofrequency ablation. The primary endpoint, complete closure of the target great saphenous vein, was determined using duplex ultrasound examination starting from three-month visit. Read More
Phlebology 2018 Nov 7:268355518812596. Epub 2018 Nov 7.
Oncology Unit GPP, Sotiria General Hospital, Athens School of Medicine, Athens, Greece.
Ann Vasc Dis 2018 Sep;11(3):265-276
Center for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Pulmonary embolism (PE) contributes substantially to the global disease burden. A key determinant of early adverse outcomes is the presence (and severity) of right ventricular dysfunction. Consequently, risk-adapted management strategies continue to evolve, tailoring acute treatment to the patients' clinical presentation, hemodynamic status, imaging and biochemical markers, and comorbidity. Read More
Phlebology 2018 Nov 4:268355518811033. Epub 2018 Nov 4.
1 The Whiteley Clinic, Guildford, Surrey, UK.
J Vasc Bras 2018 Apr-Jun;17(2):128-135
Hospital São Camilo-Santana - HSC, Departamento de Angiologia e Cirurgia Vascular, São Paulo, SP, Brasil.
Background: There has been a striking increase in female participation in the Brazilian and worldwide medical contingent, but the number of female surgeons does not follow the same trend. In addition to quantitative analysis, there is a need for further study of the determinants of choice of surgical specialty and the characteristics of professional practice.
Objectives: To outline the profile of female vascular surgeons in Brazil in terms of demographic characteristics, qualifications, scientific engagement, and labor market integration. Read More
Phlebology 2018 Oct 25:268355518804379. Epub 2018 Oct 25.
CCSVI Diagnostic Clinic, New South Wales, Australia.
Background: The objective of this review is to describe the diagnosis of neck vein obstruction and the possible role of chronic persistent Chlamydophila pneumoniae infection in producing the syndrome of chronic cerebrospinal venous obstruction.
Method: The normal patterns of flow in the neck veins are described and guidelines for interpretation of the quantitative duplex ultrasound examination of the extracranial neck veins are developed.
Result: An infective cause of neck vein obstruction is proposed and from a literature search of the role of the obligate intracellular bacterium Chlamydophila pneumoniae in vascular and chronic diseases, a diagnostic protocol for confirming chronic persistent Chlamydophila pneumoniae infection, which includes the quantitative duplex ultrasound examination and specific blood tests are suggested. Read More
Phlebology 2018 Oct 25:268355518809226. Epub 2018 Oct 25.
Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.
Eur J Vasc Endovasc Surg 2018 Oct 18. Epub 2018 Oct 18.
Société Française de Phlébologie (SFP), Paris, France; Chaire d'évaluation médicale BSB Cenbiotech, Dijon, France.
Objective: The aim was to evaluate the distribution of the diameter of the great saphenous vein (GSV) at mid-thigh level and to investigate its association with clinical class, symptoms, and proximal extent of reflux.
Methods: Vascular physicians, members of the French Society of Phlebology, were invited to participate in a consecutive observational study in patients presenting with symptoms and/or signs of uni- or bilateral chronic venous disorders (CVDs) in previously untreated limbs (clinical class of the CEAP classification C0s - C6). Patients were included between January and March 2015. Read More
Phlebology 2018 Oct 18:268355518805686. Epub 2018 Oct 18.
2 Unit of Vascular and Transplantation Surgery, University of Catania, Catania, Italy.
Objective To investigate the biological effects of a novel endovenous scaffold in a porcine model. Methods Petalo is a compliant venous scaffold implanted into the internal jugular veins of 12 healthy pigs. The pigs were sacrificed at one, two, three, and six months, respectively. Read More
Phlebology 2018 Oct 18:268355518790409. Epub 2018 Oct 18.
Victoria Vein Clinic, Melbourne, Australia.
Introduction The syringe has become an indispensable instrument for many aspects of interventional medicine and everyday practice. Methods To trace the evolution of the syringe from ancient times to the present, using the internet for past documentation and the literature. Conclusion The syringe has long been used for aspiration, irrigation and infusion. Read More
Phlebology 2018 Oct 18:268355518806117. Epub 2018 Oct 18.
Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.
Objective To evaluate the international normalized ratio (INR) monitoring patterns in patients with deep vein thrombosis. Methods Of 32,012 patients with ≥1 outpatient INR measurement and 42,582 patients with confirmed deep vein thrombosis diagnosis registered to our hospital between 1 January 2010 and 31 December 2013, 6720 records were identified to have both deep vein thrombosis and international normalized ratio measurement, and 4.377 out of 6. Read More
Phlebology 2018 Oct 18:268355518805364. Epub 2018 Oct 18.
Lahore General Hospital Lahore General Hospital, Lahore, Pakistan.
Purpose To present a case series of percutaneous sclerotherapy of para-orbital and orbital venous malformations. Method Seven patients with venous malformations in the orbital and para-orbital region were reviewed. Puncture venogram was performed on all patients and image guided bleomycin injections using biplane digital subtraction in angiography suite. Read More
Phlebology 2018 Oct 18:268355518804360. Epub 2018 Oct 18.
1 Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR, USA.
Objectives The purpose of this study is to test venous valve performance and identify differences between native tissue and replacement devices developed with traditional tissue treatment methods using a new in vitro model with synchronized hemodynamic parameters and high-speed valve image acquisition. Methods An in vitro model mimicking the venous circulation to test valve performance was developed using hydrostatic pressure driven flow. Fresh and glutaraldehyde-treated vein segments were placed in the setup and opening/closing of the valves was captured by a high-speed camera. Read More
Phlebology 2018 Oct 18:268355518798283. Epub 2018 Oct 18.
Victoria Vein Clinic, Melbourne, Australia.
Introduction Sclerotherapy in all its current forms is based on experience going back to the 1850s. Methods To trace the evolution of sclerotherapy over the past 250 years, using the internet for past documentation and the literature. Conclusion Sclerotherapy principles were established long ago, although current modifications have been made possible by the introduction of detergent sclerosants and ultrasound guidance. Read More
Phlebology 2018 Oct 18:268355518805658. Epub 2018 Oct 18.
1 Department of Vascular Surgery, University of Birmingham, Birmingham, UK.
Background NICE Clinical Guidelines (CG) 168, published in July 2013, recommend specialist vascular referral for all leg ulcers, defined as a break in the skin below the knee that has not healed within two weeks. Aim To examine the impact of CG168 on the primary care management of leg ulcers using The Health Improvement Network database. Methods An eligible population of approximately two million adult patients was analysed over two 18-month periods before and after publication of CG168. Read More
Phlebology 2018 Oct 3:268355518802693. Epub 2018 Oct 3.
2 Department of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Introduction Deep vein thrombosis is a multifactorial disease with many acquired and genetic risk factors. Polymorphism in the APOE gene is an upcoming potential pathogenic factor whose role is unclear in deep vein thrombosis. Methods An equal number of deep vein thrombosis cases and controls (N = 100, each) were investigated for APOE gene polymorphisms along with known acquired and hereditable thrombophilic risk factors. Read More
J Vasc Surg Venous Lymphat Disord 2018 Sep 17. Epub 2018 Sep 17.
Department of Dermatology, Erasmus MC, Rotterdam, The Netherlands.
In daily phlebology practice, duplex ultrasound may sometimes reveal unusual pathways of reflux. A 46-year-old woman presented with heaviness and pain at the medial side of the left thigh after exercise. A tortuous intramuscular course of a large refluxing vein was seen in the sartorius muscle in connection with a femoral vein perforator cranially and the below-knee great saphenous vein distally. Read More
Phlebology 2018 Sep 18:268355518801641. Epub 2018 Sep 18.
Lake Washington Vascular Surgeons, Bellevue, USA.
Purpose Studies examining cyanoacrylate closure of saphenous veins with the VenaSeal™ System have not allowed concomitant procedures for tributaries at the time of the index procedure. Outside of clinical trials, however, concomitant procedures are frequently performed in conjunction with endovenous ablation. We report on the frequency of need for saphenous tributary treatment three months after cyanoacrylate closure of the treatment of great saphenous vein, small saphenous vein, and/or accessory saphenous vein. Read More
Phlebology 2018 Sep 18:268355518800191. Epub 2018 Sep 18.
The Vascular Unit, Worcestershire Royal Hospital, Worcester, UK.
Background Thermal ablation, usually performed with tumescent local anaesthesia (TLA), is the preferred method for varicose veins treatment. Tumescent local anaesthesia is always cited; however, little detail of the procedure is presented in publications. This retrospective audit of clinical tumescent local anaesthesia practice aims to provide detailed information on an important aspect of endovenous practice. Read More
Phlebology 2018 Sep 18:268355518801172. Epub 2018 Sep 18.
1 Department of Vascular Surgery, Peking University Second School of Clinical Medicine, Peking University People's Hospital, Beijing, China.
Background Iliofemoral vein stenosis or occlusion is a common cause of severe chronic venous insufficiency. Endovascular venous stenting has become a preferred treatment because it is minimally invasive and has a high safety profile. Despite the wide application of the wallstent, it is not specifically designed for veins. Read More
Phlebology 2018 12 14;33(10):696-698. Epub 2018 Sep 14.
CCSVI Diagnostic Clinic, Broadmeadow, New South Wales, Australia.
Phlebology 2018 Sep 12:268355518799609. Epub 2018 Sep 12.
1 Sydney Centre for Venous Disease, Sydney, Australia.
Background Recurrence rates and patterns after endovenous radiofrequency ablation (ERFA) are poorly documented. Objective To assess the incidence and anatomical recurrence patterns of saphenous vein reflux after ERFA. Method Two hundred patients previously treated with ERFA were recalled for clinical assessment and venous-duplex ultrasound at three years post-treatment. Read More
J Dtsch Dermatol Ges 2018 Nov 12;16(11):1391-1394. Epub 2018 Sep 12.
Department of Dermatology, Venerology, Allergology and Phlebology, Johannes Wesling Medical Centre, University Hospital of Ruhr-University Bochum, Germany.
Phlebology 2018 12 10;33(10):695. Epub 2018 Sep 10.
Southern Health Care Trust, Portadown, UK.
Phlebology 2018 Sep 6:268355518798153. Epub 2018 Sep 6.
3 NYU Langone Medical Center, New York, USA.
Objectives To describe compliance rates of compression therapy in a cohort of patients with chronic venous disease and also to describe frequent causes of non-compliance. Methods A total of 889 patients with primary chronic venous disease were prescribed compression therapy after being evaluated by vascular surgeons. Subjects had a first visit during which time compression therapy was prescribed in addition to a follow-up visit. Read More
PLoS One 2018 6;13(9):e0203350. Epub 2018 Sep 6.
Department of General and Vascular Surgery, Poznan University of Medical Sciences, Poznan, Poland.
Background: Little is known on the role of selenoprotein genes in cardiovascular disease. This study examines the associations of the SEPP1, SELENOS, TXNRD1, TXNRD2, GPX4, and SOD2 polymorphisms and selenoprotein P (SeP) and thioredoxin concentrations with the development of abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease (AOID), as well as their influence on cardiac phenotype.
Methods: 564 patients with AAA, 400 patients with AIOD, and 543 controls were enrolled and characterized for coronary artery disease, myocardial infarction, and systolic heart failure (HF) occurrence. Read More
Phlebology 2018 Aug 29:268355518797567. Epub 2018 Aug 29.
4 Department of Vascular Surgery, Singapore General Hospital, Singapore, Singapore.
Phlebology 2018 Aug 27:268355518795329. Epub 2018 Aug 27.
1 Department of Obstetrics and Gynaecology, Croydon University Hospital, Croydon, UK.
Objective Compression stockings are the primary treatment for lipodermatosclerosis secondary to chronic venous disease, but do not improve the skin condition. The aim of this study was to investigate the impact of copper on lipodermatosclerosis. Methods A double-blind randomised controlled pilot study was performed including patients with bilateral lipodermatosclerosis. Read More
Phlebology 2018 Aug 16:268355518794105. Epub 2018 Aug 16.
Division of Vascular Surgery, University of British Columbia, Vancouver, Canada.
Objective To review clinical outcomes of varicose vein patients treated with cyanoacrylate embolization and radiofrequency ablation at our institution. Methods A retrospective review of patients who underwent cyanoacrylate embolization and radiofrequency ablation during a three-year period. Patient records were reviewed to assess demographics, location and severity of disease, treatment details and outcome at short- and mid-term follow-ups. Read More
Phlebology 2018 Aug 12:268355518793467. Epub 2018 Aug 12.
Department of Dermatology, Vienna Medical University, Vienna, Austria.
Aim Self-application of properly performed compression bandages is generally considered as problematic. Therefore, the aim of this study was to measure the pressure of self-applied short stretch adjustable compression wrap compression systems (Juxta fit™) and to compare the results with the pressure achieved by bandaging other legs using the same material. Methods In the two training courses for nurses, specifically interested in leg ulcer treatment, the new bandage type of adjustable compression wrap was explained and workshops were organized, in which the interface pressure achieved by Juxta fit™ was measured. Read More
Phlebology 2018 12 31;33(10):660-662. Epub 2018 Jul 31.
3 Department of Vascular Surgery, Queen Elizabeth Hospital, Birmingham, UK.
Phlebology 2018 Jul 27:268355518790407. Epub 2018 Jul 27.
1 Department of Vascular Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.
Purpose The aim of the present study was to report the clinical outcomes of endovascular treatment for extensive lower limb deep vein thrombosis with AngioJet rheolytic thrombectomy (ART) plus catheter-directed thrombolysis (CDT) using a contralateral femoral approach. Methods A retrospective analysis of consecutive ART+CDT treatments in 38 deep vein thrombosis patients (LET I-III, from September 2014 to March 2016) was performed. Results The technical success rate was 100%. Read More
Ann Vasc Surg 2018 Nov 18;53:266.e9-266.e11. Epub 2018 Aug 18.
Department of Vascular and Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, Poznan, Poland.
Posttraumatic reconstruction of large lower extremity veins is a challenging and rarely performed procedure. We describe a case of an 18-year-old male traffic accident victim presenting with extensive venous injury of the right inguinal region including external iliac vein and common femoral vein requiring immediate ligation. Owing to life-threatening phlegmasia cerulea dolens, venous reconstruction was successfully performed using an femoral vein interposition autograft from the contralateral lower limb. Read More
Phlebology 2018 Jan 1:268355518785482. Epub 2018 Jan 1.
Department of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
Objective To reach consensus on which complications of varicose vein treatments physicians consider major or minor, in order to standardize the informed consent procedure and improve shared decision-making. Methods Using the e-Delphi method, expert physicians from 10 countries were asked to rate complications as "major" or "minor" on a 5-point Likert scale. Reference articles from a Cochrane review on varicose veins were used to compose the list of complications. Read More
J Dtsch Dermatol Ges 2018 Jul;16(7):873-890
Department of Dermatology, Venereology and Allergology, University Medical Center Bochum, Bochum, Germany.
Successful management of patients with leg ulcers requires identification of the underlying etiology, with subsequent initiation of causal treatment, if feasible. Supplementary measures of first choice include stage-adjusted wound treatment, usually combined with compression therapy. The significance of systemic drugs has been the subject of controversial debate, depending on the underlying cause of the condition. Read More
Phlebology 2018 Jan 1:268355518781432. Epub 2018 Jan 1.
2 Vascular Surgery, Imperial College London, London, UK.
Hautarzt 2018 Aug;69(8):662-673
Klinik für Dermatologie, Venerologie und Allergologie, Venenzentrum der Dermatologischen und Gefäßchirurgischen Kliniken, Ruhr-Universität Bochum, Hiltroper Landwehr 11-13, 44805, Bochum, Deutschland.
Under the direction of the German Society of Phlebology (Deutsche Gesellschaft für Phlebologie) and in cooperation with other specialist associations, the S1 guideline on intermittent pneumatic compression (IPC) was adopted in January 2018. It replaces the previous guideline from March 2005. The aim of the guideline is to optimize the indication and therapeutic use of IPC in vascular diseases and edema. Read More
Gefasschirurgie 2018 20;23(Suppl 1):19-22. Epub 2018 Apr 20.
Department of Vascular Surgery and Phlebology, Contilia Heart and Vascular Center, Elisabeth Hospital, Klara-Kopp-Weg 1, 45138 Essen, Germany.
Visceral artery aneurysms are rare with an incidence of only 0.01-0.1% of the population. Read More
Phlebology 2018 Jan 1:268355518783635. Epub 2018 Jan 1.
1 West London Vascular and Interventional Centre, Northwick Park Hospital and The Hillingdon Hospital, Watford Road, Harrow, London.
Sapheno femoral junctional tributaries are usually left untreated at the time of endovenous ablation of axial vein. The long-term clinical significance of these untreated tributaries remains elusive and there is very little research done into this area. This article reviews the fate of untreated tributaries at sapheno femoral junction following ablation of incompetent axial vein. Read More