255 results match your criteria Varicose Veins and Spider Veins


Effects of 1064-nm Nd:YAG long-pulse laser on polidocanol microfoam injected for varicose vein treatment: a controlled observational study of 404 legs, after 5-year-long treatment.

Lasers Med Sci 2019 Feb 1. Epub 2019 Feb 1.

Fundación Antoni de Gimbernat, Instituto Médico Vilafortuny, Av. Vilafortuny 31, Cambrils, E43850, Tarragona, Spain.

Sclerotherapy continues to be the treatment of choice for varicose veins in the legs. However, isolated treatment using microfoam or lasers requires a high number of sessions to eliminate them. In 2013, we published results about the efficacy and safety 3 years after the combined treatment with microfoam injections and subsequent application of Nd:YAG laser. Read More

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http://dx.doi.org/10.1007/s10103-019-02736-1DOI Listing
February 2019
4 Reads

A Pial Arteriovenous Fistula in Infancy as the Presenting Manifestation of Hereditary Hemorrhagic Telangiectasia.

World Neurosurg 2019 Feb 1;122:322-325. Epub 2018 Nov 1.

Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Background: Pial arteriovenous fistulas (PAVFs) are rare, accounting for 1.6%-4.7% of all intracranial vascular malformations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183244
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http://dx.doi.org/10.1016/j.wneu.2018.10.146DOI Listing
February 2019
21 Reads

[Cryocompression sclerotherapy of reticular veins and teleangiectasias].

Angiol Sosud Khir 2018;24(3):92-97

Russian National Research Medical University named after N.I. Pirogov under the RF Ministry of Public Health, Moscow, Russia.

Compression serves as an important component for carrying out successful and safe phlebosclerosing treatment. At the same time, the necessity of wearing compression hosiery or bandages is associated with known limitations and objections of patients, especially in a hot season. We comparatively assessed efficacy of usual compression stockings and a short-term pneumatic bandage with cryoelements while carrying out sclerosing treatment of dilated intradermal veins. Read More

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December 2018
2 Reads

[Laser surgery on varicose veins].

Magy Seb 2018 09;71(3):134-141

Á+B Gyógycentrum 1081 Budapest, Népszínház u. 46.

Introduction: With the development of medicine, technical inventions have been intoduced into the therapy of varicose veins, such as ultrasound examination and laser treatment.

Patients And Methods: Over 11 years 1729 laser surgery were performed on varicose veins. Junctions of saphenous veins, saphenous stems and perforator veins were treated with lasers, but reticular and spider veins were treated with other methods. Read More

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http://dx.doi.org/10.1556/1046.71.2018.3.4DOI Listing
September 2018
2 Reads

Liquid and Foam Sclerotherapy for Spider and Varicose Veins.

Surg Clin North Am 2018 Apr 22;98(2):415-429. Epub 2017 Dec 22.

Lake Washington Vascular Surgeons, 1135 116th Avenue Northeast, Suite 305, Bellevue, WA 98004, USA.

Sclerotherapy has wide applicability in treating venous disease at every stage of clinical disease. The various sclerosant drugs and formulations each have unique properties, utilities, and side effects. Treating physicians should be aware of the differences between agents, accounting for disease presentation, vein characteristics, and patient comorbidities when selecting the appropriate sclerosing agents. Read More

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http://dx.doi.org/10.1016/j.suc.2017.11.010DOI Listing
April 2018
5 Reads

An Evidence-Based Review of Off-Label Uses of Polidocanol.

Curr Clin Pharmacol 2017 ;12(4):223-230

Drug Applied Research Center, Department of Pharmacology and Toxicology, School of Pharmacy, Tabriz University of Medical Sciences, Tabriz 51656-65811, Iran.

Background: Polidocanol is approved for its competence in the treatment of varicose veins and spider veins; however, unfortunately, many of its off-label uses are still underappreciated.

Objective: Lack of an appropriate comprehensive review for off-label uses of this medication troubles physicians about making evidence-based decisions on prescribing it for its various outstanding off-label uses. This article attempts to provide physicians with the latest information concerning successful and unsuccessful use of polidocanol as an alternative treatment for esophageal and gastric varices, tendinopathy and epicondylitis, vascular malformations, varicocele, hydrocele and spermatocele, aneurysmal bone cysts, itching, management of gastrointestinal bleeding, simple renal cysts, reducing the incidence and severity of radio-induced dermatitis and hemorrhoids. Read More

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http://dx.doi.org/10.2174/1574884713666180223121828DOI Listing
April 2019
9 Reads

Magnolol inhibits venous remodeling in mice.

Sci Rep 2017 Dec 19;7(1):17820. Epub 2017 Dec 19.

Institute of Physiology and Pathophysiology, Division of Cardiovascular Physiology, Heidelberg University, Heidelberg, Germany.

Due to gravity the venous vasculature in the lower extremities is exposed to elevated pressure levels which may be amplified by obesity or pregnancy. As a consequence, venules dilate and may be slowly transformed into varicose or spider veins. In fact, chronically elevated venous pressure was sufficient to cause the corkscrew-like enlargement of superficial veins in mice. Read More

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http://dx.doi.org/10.1038/s41598-017-17910-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5736655PMC
December 2017
2 Reads

[New Developments in Compression Treatment].

Dtsch Med Wochenschr 2017 May 28;142(9):679-686. Epub 2017 Apr 28.

Patients with peripheral arterial occlusive disease who show an ankle arterial pressure of minimum 60 mmHg can be decongested by use of special padded bandages. Afterwards, medical compression stockings (class 1) with high strength and less elasticity are recommended. Mobile patients seem to benefit from progressive compression therapy with highest pressure above the calf. Read More

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http://dx.doi.org/10.1055/s-0042-117867DOI Listing
May 2017
3 Reads

Quantification of early cutaneous manifestations of chronic venous insufficiency by automated analysis of photographic images: Feasibility and technical considerations.

Phlebology 2018 Jun 12;33(5):309-314. Epub 2017 Apr 12.

2 Laboratoires Innothéra, Arcueil, France.

We postulate that blue telangiectasia and brownish pigmentation at ankle level, early markers of chronic venous insufficiency, can be quantified for longitudinal studies of chronic venous disease in Caucasian people. Objectives and methods To describe a photographic technique specially developed for this purpose. The pictures were acquired using a dedicated photo stand to position the foot in a reproducible way, with a normalized lighting and acquisition protocol. Read More

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http://dx.doi.org/10.1177/0268355517703840DOI Listing
June 2018
6 Reads

Postpartum Varicose Veins: Supplementation with Pycnogenol or Elastic Compression-A 12-Month Follow-Up.

Int J Angiol 2017 Mar 29;26(1):12-19. Epub 2014 May 29.

Department of Biomedical Sciences, Irvine 3 Labs, CH-PE University, Pescara, Italy.

This open registry aimed to evaluate the clinical evolution of postpartum varicose veins (VVs), in healthy women after the second pregnancy, how these veins regain shape and competence, and possible treatments. The registry included two groups of women: (1) those who used elastic compression stockings, and (2) who used an oral venotonic agent (Pycnogenol, 100 mg/d). A total of 12 evaluation targets were established. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0033-1363784
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http://dx.doi.org/10.1055/s-0033-1363784DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5330748PMC
March 2017
3 Reads

Extensive Acquired Telangiectasias: Comparison of Generalized Essential Telangiectasia and Cutaneous Collagenous Vasculopathy.

Actas Dermosifiliogr 2017 Apr 21;108(3):e21-e26. Epub 2016 Sep 21.

Servicio de Anatomía Patológica, Hospital Universitari Son Espases, Palma de Mallorca, España.

The late development of symmetrical, ascending telangiectasias over an extensive area of the skin with no associated systemic manifestations is a common presentation of generalized essential telangiectasia (GET). It was recently suggested that cutaneous collagenous vasculopathy (CCV) is clinically identical to GET but that the 2 conditions can be distinguished by their distinctive histopathologic findings. We present 2 patients, both women, with multiple telangiectasias and describe the histopathologic findings that led to the diagnoses of GET and CCV. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00017310163028
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http://dx.doi.org/10.1016/j.ad.2016.02.020DOI Listing
April 2017
25 Reads

[Practical Aspects of Sclerotherapy].

Wien Med Wochenschr 2016 Jun 5;166(9-10):302-4. Epub 2016 Jul 5.

Klinik für Dermatologie, Venerologie und Allergologie, Venenzentrum der dermatologischen und gefäßchirurgischen Kliniken, Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland.

Sclerotherapy is an important part of the treatment of varicose veins. It may also be performed in patients with contraindications for operative procedures. By adjusting the mode of application (liquid or foam) and the concentration it can be used for the treatment of all vein types. Read More

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http://dx.doi.org/10.1007/s10354-016-0483-9DOI Listing
June 2016
19 Reads

[Transitory (evening) venous reflux in patients with intracutaneous varicosity and medicamentous correction thereof].

Angiol Sosud Khir 2016 ;22(2):110-6

Chair of Surgical Diseases and Urology, Omsk State Medical University, Omsk, Russia.

The authors carried out a study aimed at revealing transitory refluxes along the great saphenous vein (GSV) in patients with intracutaneous varicosity, and at investigating the possibility of removing them by means of preparations of micronized purified flavonoid fraction (MPFF). The study included a total of one hundred and forty-seven 21-to-47-year-old (mean age 31±4.4 years) women presenting with cutaneous varicosity (class C1s). Read More

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August 2016
6 Reads

Orthostatic-loading-induced transient venous refluxes (day orthostatic loading test), and remedial effect of micronized purified flavonoid fraction in patients with telangiectasia and reticular vein.

Int Angiol 2017 Apr 17;36(2):189-196. Epub 2016 Jun 17.

Department of Surgical Diseases, Omsk State Medical University, Omsk, Russia.

Background: Orthostatic loading can induce transient venous reflux (TVR). Among patients with telangiectasia and reticular varices, we determined the proportion that developed TVR after a day of orthostatic loading (DOL test), and investigated the remedial effects of micronized purified flavonoid fraction (MPFF).

Methods: All 96 patients enrolled in this study had telangiectasia and reticular varices. Read More

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http://dx.doi.org/10.23736/S0392-9590.16.03708-1DOI Listing
April 2017
34 Reads

Sclerotherapy of telangiectasias or spider veins in the lower limb: A review.

Authors:
Lily Thomson

J Vasc Nurs 2016 Jun;34(2):61-2

Section of Vascular Surgery, Health Sciences Centre, Vascular Research Lab, Winnipeg, Manitoba, Canada; St. Boniface General Hospital, Operating Room, Winnipeg, Manitoba, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jvn.2016.04.002DOI Listing
June 2016
4 Reads

Safety Concerns for Sclerotherapy of Telangiectases, Reticular and Varicose Veins.

Pharmacology 2016 23;98(1-2):62-9. Epub 2016 Apr 23.

Department of Medical Laboratories, Faculty of Health and Caring Professions, Technological Educational Institute of Athens, Athens, Greece.

Background: Sclerotherapy has been extensively used in the treatment of valvular insufficiency of superficial veins. Although sclerotherapy seems safe, reports of serious adverse events (AE) have been published. This paper aims to review AE of sclerosing agents. Read More

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http://dx.doi.org/10.1159/000445436DOI Listing
March 2017
3 Reads

Predicted burden of venous disease.

Phlebology 2016 Mar;31(1 Suppl):74-9

Charing Cross Hospital, London, UK

Chronic venous disease is a common condition with clinical signs and symptoms ranging from spider veins, to varicose veins, to active venous ulceration. Both superficial and deep venous dysfunction may be implicated in the development of this disease. Socio-economic factors are shaping our population, with increasing age and body mass index resulting in significant pressure on healthcare systems worldwide. Read More

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http://journals.sagepub.com/doi/10.1177/0268355516628359
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http://dx.doi.org/10.1177/0268355516628359DOI Listing
March 2016
6 Reads

Vessels of the Central Airways: A Bronchoscopic Perspective.

Chest 2016 Mar 14;149(3):869-81. Epub 2015 Dec 14.

Respiratory Institute, Cleveland Clinic, Cleveland, OH. Electronic address:

Blood supply of the tracheobronchial tree is derived from a dual system involving pulmonary and bronchial circulation. Various primary and secondary abnormalities of central airway vasculature can present with patterns that are distinct during bronchoscopy. These patterns maybe visualized during bronchoscopic evaluation of a patient with hemoptysis or as an incidental finding during an airway examination for other indications. Read More

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http://journal.publications.chestnet.org/data/Journals/CHEST
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http://linkinghub.elsevier.com/retrieve/pii/S001236921500295
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http://dx.doi.org/10.1016/j.chest.2015.12.003DOI Listing
March 2016
5 Reads

Management of reticular veins and telangiectases.

Phlebology 2015 Nov;30(2 Suppl):46-52

British Vein Institute, Buckinghamshire, UK

Aim: To review the literature related to the management of reticular varices and telangiectases of the lower limbs to provide guidance on the treatment of these veins.

Findings: Very few randomised clinical trials are available in this field. A European Guideline has been published on the treatment of reticular varices and telangiectases, which is largely based on the opinion of experts. Read More

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http://journals.sagepub.com/doi/10.1177/0268355515592770
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http://dx.doi.org/10.1177/0268355515592770DOI Listing
November 2015
5 Reads

Comparison of high ligation and stripping of the great saphenous vein combined with foam sclerotherapy versus conventional surgery for the treatment of superficial venous varicosities of the lower extremity.

Int J Clin Exp Med 2015 15;8(5):7843-8. Epub 2015 May 15.

Department of Vascular Surgery, Tianjin Hospital Tianjin, P. R. China.

The aim of this study was to compare the results of high ligation and stripping of the great saphenous vein (GSV) trunk combined with foam sclerotherapy with conventional surgery for the treatment of superficial venous varicosities of the lower extremity. One hundred and thirty eight patients with primary or secondary superficial venous varicosities of the lower extremity were included. 60 underwent conventional surgery and 78 were treated with high ligation and stripping of the GSV trunk and foam sclerotherapy of GSV branches, spider veins, and reticular veins. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4509283PMC
July 2015
7 Reads

Venous insufficiency after prolonged standing: Is joint hypermobility an important risk factor?

Adv Biomed Res 2015 11;4:98. Epub 2015 May 11.

Department of Internal medicine, Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Varicose veins are extremely common disease which is due to elevated superficial venous pressures. We aimed to know that if joint hypermobility causes the venous insufficiency following the prolonged standing.

Materials And Methods: This prospective cohort study conducted on the soldiers of training periods in a military base of Iran Army in Isfahan in 2013. Read More

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http://dx.doi.org/10.4103/2277-9175.156666DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434442PMC
May 2015
2 Reads

Polidocanol versus hypertonic glucose for sclerotherapy treatment of reticular veins of the lower limbs: study protocol for a randomized controlled trial.

Trials 2014 Dec 19;15:497. Epub 2014 Dec 19.

Department of Surgery and Orthopedics, School of Medicine, São Paulo State University (UNESP), Rubião Junior s/n, CEP 18,618-970 Botucatu, SP, Brazil.

Background: The prevalence of chronic venous disease is high and occurs more frequently in females. According to the clinical, etiological, anatomical, and pathological classification (CEAP) definition, the reticular veins are included in the C1 class and are mainly associated with aesthetic complaints. Several invasive techniques are used for treatment, including mini phlebectomy, laser ablation, and radiofrequency ablation. Read More

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http://dx.doi.org/10.1186/1745-6215-15-497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4301449PMC
December 2014
10 Reads

[Spider-bust, varicosis, crural ulcer - problems of the legs].

MMW Fortschr Med 2014 Oct;156(18):40

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October 2014
3 Reads

Consensus for sclerotherapy.

Dermatol Surg 2014 Dec;40(12):1309-18

*Department of Dermatology, University of Maryland School of Medicine, Baltimore, Maryland; †Maryland Laser, Skin & Vein Institute, Hunt Valley, Maryland; ‡Department of Dermatology, Dartmouth Medical School, Hanover, New Hampshire; §Department of Dermatology, University of California, San Francisco, California; ‖Department of Dermatology, Weill Cornell Medical College, New York, New York; ¶Department of Dermatology, University of Buffalo, Buffalo, New York; #Department of Dermatology, University of Southern California, Los Angeles, California.

Background: The American Society for Dermatologic Surgery (ASDS) periodically develops consensus documents for its members concerning various aspects of dermatologic surgery. Unwanted and painful leg veins are a very widespread problem. Many advances in sclerotherapy of varicose and telangiectatic leg veins have occurred since the previous consensus documents. Read More

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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/DSS.0000000000000225DOI Listing
December 2014
18 Reads

Unusual bleeding from hepaticojejunostomy controlled by adult variable stiffness colonoscopy: report of a case and literature review.

Int Surg 2014 Sep-Oct;99(5):584-9

1 Saitama Medical Center, Saitama Medical University, Saitama, Japan.

We herein present a case of a 59-year-old man who had undergone pylorus preserving pancreaticoduodenectomy with regional lymph node dissection prior to episodes of melena. Series of conventional endoscopic investigations failed to identify the bleeding source. Enhanced computed tomography scan revealed complete obstruction of the main portal vein with numerous collateral veins running towards the hepatic hilus. Read More

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http://www.internationalsurgery.org/doi/10.9738/INTSURG-D-13
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http://dx.doi.org/10.9738/INTSURG-D-13-00126.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4253928PMC
January 2016
21 Reads

Varicose veins.

Authors:
Gregory Piazza

Circulation 2014 Aug;130(7):582-7

From the Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.

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https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.113.0
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http://dx.doi.org/10.1161/CIRCULATIONAHA.113.008331DOI Listing
August 2014
4 Reads

A review of the current management and treatment options for superficial venous insufficiency.

World J Surg 2014 Oct;38(10):2580-8

Texas A&M Health Science Center, MS 1359, 8447 State Highway 47, HPEB 3064, Bryan, TX, 77807-3260, USA.

The recognition of lower extremity venous disease as a significant cause of morbidity and lower quality of life, afflicting up to 25 % of Western populations, has led to rapid and drastic improvements in treatment options as well as an increasing awareness of the disease. Superficial venous disease, a frequent medical problem encountered in clinical practices, is now a common reason for referral to providers offering a spectrum of interventions. Venous guidelines have been set forth by the American Venous Forum and Society for Vascular Surgery covering simple spider veins to chronic venous ulcerations. Read More

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http://dx.doi.org/10.1007/s00268-014-2621-0DOI Listing
October 2014
5 Reads

Ins and outs of endovenous laser ablation: afterthoughts.

Lasers Med Sci 2014 Mar 8;29(2):513-8. Epub 2014 Jan 8.

Department of Dermatology, Erasmus University Medical Center, Rotterdam, The Netherlands.

Physicists and medical doctors "speak" different languages. Endovenous laser ablation (EVLA) is a good example in which technology is essential to guide the doctor to the final result: optimal treatment. However, for the doctor, it is by far insufficient just to turn on the knobs of the laser. Read More

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http://link.springer.com/10.1007/s10103-013-1499-7
Publisher Site
http://dx.doi.org/10.1007/s10103-013-1499-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953605PMC
March 2014
12 Reads

Teleconsultation in vascular surgery: a 13 year single centre experience.

J Telemed Telecare 2014 Jan 18;20(1):24-8. Epub 2013 Dec 18.

Clinic for Cardiovascular Surgery, University Hospital Zurich, Switzerland.

The University Hospital of Zurich has provided an email-based medical consultation service for the general public since 1999. We examined the enquiries in a 13-year period to identify those related to vascular surgery (based on 22 ICD-10 codes specific for vascular surgery). There were 40,062 questions, of which 643 (2%) were selected by ICD-10 codes. Read More

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http://journals.sagepub.com/doi/10.1177/1357633X13517356
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http://dx.doi.org/10.1177/1357633X13517356DOI Listing
January 2014
4 Reads

Percutaneous foam sclerotherapy for venous leg ulcers.

Authors:
R Bush P Bush

J Wound Care 2013 10;22(10 Suppl):S20-2

Medical Director, Vein Experts, Water’s Edge Dermatology, Palm Beach Gardens, Florida, US.

The technique of foam sclerotherapy directed at the distal most vessels, draining the ulcer bed was first described in 2010, with excellent penetration into the underlying venous network possible with this technique. Thirty-five patients have now been treated with this technique as the initial treatment at Midwest Vein Laser, USA. There have been no complications with this technique and rapid healing occurred within 4-8 weeks after the initial treatment in 90% of the patients, and all ulcers were healed at 4 months. Read More

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http://www.magonlinelibrary.com/doi/10.12968/jowc.2013.22.Su
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http://dx.doi.org/10.12968/jowc.2013.22.Sup10.S20DOI Listing
October 2013
17 Reads

1064 nm Nd:YAG long pulse laser after polidocanol microfoam injection dramatically improves the result of leg vein treatment: a randomized controlled trial on 517 legs with a three-year follow-up.

Phlebology 2014 Dec 29;29(10):658-66. Epub 2013 Aug 29.

Instituto Médico Vilafortuny, Cambrils, Tarragona, Spain

Objective: To assess the efficacy and safety of a new method of clearing varicose veins in the long term. It consists of applying the long-pulsed Nd:YAG laser following the injection of polidocanol microfoam, in two consecutive sessions, treating both legs in full in each session.

Method: Randomized, Polidocanol-controlled, blind evaluation clinical trial comparing the results between 79 legs treated with Polidocanol and 517 treated with Polidocanol + Laser. Read More

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http://dx.doi.org/10.1177/0268355513502786DOI Listing
December 2014
22 Reads

Superficial venous disease.

Surg Clin North Am 2013 Aug 18;93(4):963-82, ix-x. Epub 2013 Jun 18.

Division of Vascular Surgery, The Medical College of Wisconsin, Milwaukee, WI 53226, USA.

Superficial venous disease is a common clinical problem. The concerning disease states of the superficial venous system are venous reflux, varicose veins, and superficial venous thrombosis. Superficial venous reflux can be a significant contributor to chronic venous stasis wounds of the lower extremity, the treatment of which can be costly both in terms of overall health care expenditure and lost working days for affected patients. Read More

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http://dx.doi.org/10.1016/j.suc.2013.04.007DOI Listing
August 2013
3 Reads

Visual disturbance following sclerotherapy for varicose veins, reticular veins and telangiectasias: a systematic literature review.

Phlebology 2013 Apr;28(3):123-31

Academic Section of Vascular Surgery Imperial College School of Medicine Charing Cross Hospital, London, UK.

The objective of the study was to review the literature reporting visual disturbance (VD)following sclerotherapy for varicose veins. Underlying mechanisms will be discussed. A literature search of the databases Medline and Google Scholar was performed. Read More

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http://dx.doi.org/10.1258/phleb.2012.012051DOI Listing
April 2013
5 Reads

Treating telangiectasias: my method.

Authors:
F Ferrara G Ferrara

Minerva Cardioangiol 2013 Apr;61(2):221-7

Studio Flebologico Ferrara, Naples, Italy.

Aim: The authors propose a new classification of telangiectasias: conditions involving demonstrated reflux are classified as type A telangiectasias; clustered, spider telangiectasias not related to reflux and with vein diameters of >0.2 mm are classified as type B, while isolated telangiectatic veins of ≤0.2 mm diameter are classed as type C. Read More

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April 2013
4 Reads

[Definition, classification and diagnosis of chronic venous insufficiency - part II].

Ginekol Pol 2013 Jan;84(1):51-5

Oddzial Chirurgiczny, Wojewódzki Szpital w Kaliszu, Polska.

Venous insufficiency can be defined as a fixed venous outflow disturbance of the limbs. It is caused by the malfunction of the venous system, that may or may not be associated with venous valvular insufficiency and may involve the superficial or deep venous system of the lower limbs, or both. The CEAP scale includes clinical, etiologic, anatomic and pathophysiologic aspects and has been used in the assessment of venous insufficiency Clinical classification comprises of 7 groups. Read More

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January 2013
3 Reads

Management of varicose veins and venous insufficiency.

Authors:
Allen Hamdan

JAMA 2012 Dec;308(24):2612-21

Department of Surgery, Beth Israel Deaconess Medical Center, 110 Francis St, Boston, Massachusetts 02215, USA.

Chronic venous disease, reviewed herein, is manifested by a spectrum of signs and symptoms, including cosmetic spider veins, asymptomatic varicosities, large painful varicose veins, edema, hyperpigmentation and lipodermatosclerosis of skin, and ulceration. However, there is no definitive stepwise progression from spider veins to ulcers and, in fact, severe skin complications of varicose veins, even when extensive, are not guaranteed. Treatment options range from conservative (eg, medications, compression stockings, lifestyle changes) to minimally invasive (eg, sclerotherapy or endoluminal ablation), invasive (surgical techniques), and hybrid (combination of ≥1 therapies). Read More

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http://dx.doi.org/10.1001/jama.2012.111352DOI Listing
December 2012
4 Reads

Laser use for cutaneous vascular alterations of cosmetic interest.

Dermatol Ther 2012 Jul-Aug;25(4):340-51

Istituto di Chirurgia e Laserchirurgia In Dermatologia, Milano, Italy.

In 1983, selective photothermolysis dramatically transformed vascular surgery, reducing the adverse effects and increasing its efficacy. As a result, laser surgery is now considered the gold standard treatment for many congenital and acquired skin vascular disorders. In this paper, the authors analyze the main laser sources for vascular surgery, the general parameters regarding laser-tissue interactions that can influence the treatment (such as hemodynamic features, anatomical areas, vessel depth, and diameters), and other aspects important for a good laser practice. Read More

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http://dx.doi.org/10.1111/j.1529-8019.2012.01463.xDOI Listing
March 2013
2 Reads

Sclerotherapy in an undetected pregnancy - a catastrophe?

Vasa 2012 Jul;41(4):243-7

Vein Centre of the Departments of Dermatology & Vascular Surgery, Ruhr-University Bochum, Germany.

According to the guidelines and the manufacturer's information, pregnancy is a contraindication for sclerotherapy with Polidocanol. However, in some cases sclerotherapy has been conducted in a period when the pregnancy is not known by the patient. When pregnancy is diagnosed, patients and gynecologists often ask the phlebologist if there is an indication for the interruption of pregnancy. Read More

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https://econtent.hogrefe.com/doi/10.1024/0301-1526/a000199
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http://dx.doi.org/10.1024/0301-1526/a000199DOI Listing
July 2012
13 Reads

Sclerotherapy in tumescent anesthesia of reticular veins and telangiectasias.

Dermatol Surg 2012 May 23;38(5):748-51. Epub 2012 Jan 23.

Department of Dermatology, Inselspital, Bern, Switzerland.

Background: Some leg telangiectasias may be refractory to treatment, including sclerotherapy and lasers.

Objective: To describe the innovative Sclerotherapy in Tumescent Anesthesia of Reticular veins and Telangiectasias (START) approach to achieving good results in such patients, which also proves effective in treating reticular veins.

Method: Because compression enhances the rate of success of sclerotherapy of C1 veins (telangiectasias and reticular), Ringer solution (with or without lidocaine-epinephrine) was injected subcutaneously before, during, or immediately after sclerotherapy of therapy-refractory C1 veins. Read More

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http://dx.doi.org/10.1111/j.1524-4725.2011.02287.xDOI Listing
May 2012
4 Reads

Telangiectasia and venous reflux in the Edinburgh Vein Study.

Phlebology 2012 Sep 21;27(6):297-302. Epub 2011 Nov 21.

Centre for Population Health Sciences, Wolfson Unit for Prevention of Peripheral Vascular Diseases, University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, UK.

Objective: The purpose of this study was to correlate the clinical findings in the Edinburgh Vein Study with the results of duplex scanning of the deep and superficial venous systems.

Methods: An age-stratified random sample of 1566 people (699 men and 867 women) aged 16-64 were selected from computerized age-sex registers of participating practices (twelve general practices with catchment areas geographically and socioeconomically distributed throughout Edinburgh). Screening included clinical examination, photography and duplex ultrasonography of the superficial veins and the deep veins down to popliteal level. Read More

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http://journals.sagepub.com/doi/10.1258/phleb.2011.011007
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http://dx.doi.org/10.1258/phleb.2011.011007DOI Listing
September 2012
5 Reads

A double-blind, randomized study comparing pure chromated glycerin with chromated glycerin with 1% lidocaine and epinephrine for sclerotherapy of telangiectasias and reticular veins.

Dermatol Surg 2011 Nov 24;37(11):1590-4. Epub 2011 Aug 24.

Service of Angiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.

Background: Chromated glycerin (CG) is an effective, although painful, sclerosing agent for telangiectasias and reticular leg veins treatment.

Objective: To determine pain level and relative efficacy of pure or one-third lidocaine-epinephrine 1% mixed chromated glycerin in a prospective randomized double-blind trial.

Method: Patients presenting with telangiectasias and reticular leg veins on the lateral aspect of the thigh (C(1A) or (S) E(P) A(S) P(N1) ) were randomized to receive pure CG or CG mixed with one-third lidocaine-epinephrine 1% (CGX) treatment. Read More

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http://dx.doi.org/10.1111/j.1524-4725.2011.02130.xDOI Listing
November 2011
5 Reads

Sclerotherapy: it is back and better.

Authors:
Margaret W Mann

Clin Plast Surg 2011 Jul;38(3):475-87, vii

Department of Dermatology, University of California, C340 Medical Sciences I, Irvine, CA 92697, USA.

With the recent US Food and Drug Administration (FDA) approval of polidocanol in the United States, there has been a resurgence of interest in sclerotherapy. Despite the popularity of laser therapy, sclerotherapy remains the gold standard for treating spider and reticular veins. Although this traditional method of treatment has been around for more than 100 years, better sclerosing agents and newer techniques have made sclerotherapy safer and more efficacious than ever before. Read More

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http://dx.doi.org/10.1016/j.cps.2011.02.006DOI Listing
July 2011
4 Reads

Compression versus sclerotherapy for patients with isolated refluxing reticular veins and telangiectasia: a randomized trial comparing quality-of-life outcomes.

Phlebology 2011 Jun 21;26(4):148-56. Epub 2011 Mar 21.

Lafayette Regional Vein Center, 985 South Creasy Lane, Lafayette, IN 47905-4800, USA.

Objective: To prospectively study quality-of-life (QoL) benefits comparing compression stockings to sclerotherapy in subjects with symptomatic reticular veins and telangiectasia.

Methods: Fifty-eight consecutive female patients with normal saphenous and deep venous systems and venous dysfunction score (VDS) ≥ 4 were randomized to either sclerotherapy (N = 29) or thigh high 20-30 mmHg compression stockings (N = 29). Following a trial of compression, subjects in the compression arm were eligible to crossover to the sclerotherapy arm. Read More

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http://dx.doi.org/10.1258/phleb.2010.009092DOI Listing
June 2011
3 Reads

Laser vein therapy.

Obstet Gynecol Clin North Am 2010 Dec;37(4):501-6, vii

Women's Institute for Health PC, Atlanta, GA 30342, USA.

Similar to other antiaging procedures like Botox, skin rejuvenation, and facial plastic surgery, spider vein therapy is seen as a way to reverse the signs of aging. This article will introduce the clinician to this issue and describe treatment, which may be accomplished with the same lasers used for laser hair reduction. Read More

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http://dx.doi.org/10.1016/j.ogc.2010.09.001DOI Listing
December 2010
1 Read

My sclerotherapy technique for telangiectasia and reticular veins.

Dermatol Surg 2010 Jun;36 Suppl 2:1040-5

Department of Dermatology/Medicine, University of California at San Diego, California 92121, USA.

Background: Sclerotherapy is an effective treatment for reticular and telangiectatic leg veins.

Objective: To highlight the author's treatment technique.

Method: Review rational for technique supported by experience and literature. Read More

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http://dx.doi.org/10.1111/j.1524-4725.2009.01408.xDOI Listing
June 2010
7 Reads

The French polidocanol study on long-term side effects: a survey covering 3,357 patient years.

Dermatol Surg 2010 Jun;36 Suppl 2:993-1003

Cabinet de Phlébologie, Nice, France.

Background: AIMS Short- and mid-term side effects of sclerotherapy, in particular with polidocanol (lauromacrogol 400), have been previously described in our registry of 12,173 sessions. The objective of this follow-up registry was to evaluate the long-term incidence of adverse events with polidocanol.

Methods: The physicians involved in the initial French registry were contacted and asked to partake in the follow-up survey. Read More

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http://dx.doi.org/10.1111/j.1524-4725.2009.01407.xDOI Listing
June 2010
16 Reads

Commentary: Choosing the appropriate sclerosing concentration for vessel diameter.

Authors:
Melanie D Palm

Dermatol Surg 2010 Jun;36 Suppl 2:982

Dermatology/Cosmetic Laser Associates of La Jolla, La Jolla, California, USA.

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http://Insights.ovid.com/crossref?an=00042728-201006002-0000
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http://dx.doi.org/10.1111/j.1524-4725.2010.01509.xDOI Listing
June 2010
6 Reads