13,473 results match your criteria Venous Insufficiency


A Wearable Compression Device to Normalise Calf Muscle Pump Function in Chronic Venous Insufficiency for Each Postural Position.

Eur J Vasc Endovasc Surg 2019 Apr 17. Epub 2019 Apr 17.

Professor Emeritus, Department of Dermatology, Vienna Medical University, Vienna, Austria.

Background: For the currently used compression therapy, the applied compression pressure is usually inadequate to exert an effective impact on the veins in different body positions. The aim was to assess the venous ejection fraction achieved by a new compression device which automatically adjusts the interface pressure to body position in an acute experimental setting.

Methods: A new portable, battery driven compression device providing pressure adjusted to allow for body position, and connected to a less or very stiff calf cuff wrap was tested. Read More

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http://dx.doi.org/10.1016/j.ejvs.2018.12.017DOI Listing
April 2019
1 Read

LIMPRINT: Estimation of the Prevalence of Lymphoedema/Chronic Oedema in Acute Hospital in In-Patients.

Lymphat Res Biol 2019 Apr;17(2):135-140

1 Department of Vascular Medicine, EA2992, University of Montpellier, CHU Montpellier, Montpellier, France.

To estimate the prevalence of lymphedema/chronic edema (CO) and wounds in acute hospital inpatients in five different countries. A point-prevalence study was carried out during working day periods in six general hospitals in four countries (Denmark, France, United Kingdom, and Australia) and one hospital oncology inpatient unit in one other country (Ireland). The study used validated clinical tools for the assessment and collection of data. Read More

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http://dx.doi.org/10.1089/lrb.2019.0024DOI Listing
April 2019
1 Read

Cardiovascular Disease: Chronic Venous Insufficiency and Varicose Veins.

FP Essent 2019 Apr;479:16-20

Womack Army Medical Center Department of the Army, WAMC Stop A 2817 Reilly Rd, Ft Bragg, NC 28310-7301.

Chronic venous insufficiency (CVI) results from long-term venous hypertension in the legs caused by venous obstruction, venous valve incompetency, muscle pump dysfunction, or a combination of these. CVI occurs in 9.4% of men and 6. Read More

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April 2019
2 Reads

Vascular Tests for Dermatologists.

Am J Clin Dermatol 2019 Apr 15. Epub 2019 Apr 15.

Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

Dermatologists encounter patients with a variety of lower extremity ulcers including those related to venous insufficiency and peripheral arterial disease. Vascular studies, including ankle brachial pressure index, toe pressure, toe brachial index, Doppler arterial waveform, Duplex ultrasonography, and angiography, play an essential role in the prevention, diagnosis, and management of vascular diseases. In fact, dermatologists are often the first medical providers to see patients with complex vascular conditions. Read More

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http://link.springer.com/10.1007/s40257-019-00441-x
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http://dx.doi.org/10.1007/s40257-019-00441-xDOI Listing
April 2019
2 Reads

Non-O1, non-O139 bacteremia in an urban academic medical center in the United States.

IDCases 2019 27;15:e00527. Epub 2019 Mar 27.

Department of Internal Medicine, Wayne State University, Detroit, MI, United States.

Non-O1, non-O139 (NOVC) are genetically diverse strains that are generally non-pathogenic in healthy hosts. In immunocompromised patients or those with liver disease, NOVC have been shown to cause gastroenteritis, wound infections or sepsis and are often associated with high mortality rates. We report a case of a patient with liver cirrhosis and chronic venous insufficiency who was found to have NOVC bacteremia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22142509193005
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http://dx.doi.org/10.1016/j.idcr.2019.e00527DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6447745PMC
March 2019
2 Reads

Escin suppresses HMGB1-induced overexpression of aquaporin-1 and increased permeability in endothelial cells.

FEBS Open Bio 2019 Mar 5. Epub 2019 Mar 5.

Department of Orthopedics, Qilu Hospital of Shandong University, Jinan, China.

Escin, a natural triterpene saponin mixture obtained from the horse chestnut tree (Aesculus hippocastanum), has been used for the treatment of chronic venous insufficiency (CVI), hemorrhoids, and edema. However, it is unclear how escin protects against endothelial barrier dysfunction induced by pro-inflammatory high mobility group protein 1 (HMGB1). Here, we report that escin can suppress (a) HMGB1-induced overexpression of the aquaporin-1 (AQP1) water channel in endothelial cells and (b) HMGB1-induced increases in endothelial cell permeability. Read More

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http://dx.doi.org/10.1002/2211-5463.12622DOI Listing
March 2019
4 Reads

Association between varicose veins anatomical pattern and procedural complications following endovascular laser photothermolysis for chronic venous insufficiency.

Braz J Med Biol Res 2019 Apr 8;52(4):e8330. Epub 2019 Apr 8.

TopMed Medical Center, Tîrgu Mureş, Romania.

We sought to assess clinical characteristics and pattern of collateral network involvement associated with development of truncal (systematized) versus diffuse/non-truncal (non-systematized) varicose veins (VVs) in patients undergoing endovascular laser photothermolysis for chronic venous insufficiency (CVI). Secondly, we aimed to assess whether the type of VVs influenced the procedural complications of endovascular laser therapy. A total of 508 patients with hydrostatic VVs of the lower limbs who underwent endovenous laser treatment were included, out of which 84. Read More

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http://dx.doi.org/10.1590/1414-431X20198330DOI Listing
April 2019
1 Read

Complication Rates for Pediatric Hepatectomy and Nephrectomy: A Comparison of NSQIP-P, PHIS, and KID.

J Surg Res 2019 Apr 4;240:182-190. Epub 2019 Apr 4.

Department of Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois; Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois. Electronic address:

Background: Three large national data sets are commonly used to assess operative outcomes in pediatric surgery; National Surgical Quality Improvement Program Pediatric (NSQIP-P), Pediatric Health Information System (PHIS), and Kids' Inpatient Data set (KID). Hepatectomy and nephrectomy are rare pediatric surgical procedures, which may benefit from large administrative data sets for the assessment of short-term complications.

Materials And Methods: A retrospective review of NSQIP-P (2012-2015), KID (2012), and PHIS (2012-2015) was performed for hepatectomy or nephrectomy cases for children aged 0 to 18 y. Read More

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http://dx.doi.org/10.1016/j.jss.2019.03.005DOI Listing
April 2019
2 Reads

Mild hypothermia is associated with improved outcomes in patients undergoing microvascular head and neck reconstruction.

Am J Otolaryngol 2019 Mar 16. Epub 2019 Mar 16.

Department of Otolaryngology Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

Objective: Microvascular free tissue transfer has become the standard for reconstruction for large defects. With long operative times and an increased surface area exposed, transient hypothermia is common, but it is unclear how this impacts surgical outcomes. This study evaluated the impact of core body temperature on free tissue flap outcomes in patients undergoing microvascular reconstruction. Read More

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http://dx.doi.org/10.1016/j.amjoto.2019.03.010DOI Listing

Using bioelectrical impedance analysis to compare the treatment of edema with the Unna's boot and noncompression in individuals with venous ulcers.

J Vasc Nurs 2019 Mar 14;37(1):58-63. Epub 2019 Jan 14.

Department of Cardiology and Cardiovascular Surgery, Medicine School (FAMERP), CNPq (National Council for Research and Development) researcher, São José do Rio Preto, SP, Brazil.

Venous insufficiency is related to aging. Edema, pathological evolution of venous insufficiency, favors the appearance of venous ulcers as the main complication. Leg ulcers can be treated with compression, the Unna's boot being one of them, and noncompression therapies (conventional dressing). Read More

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http://dx.doi.org/10.1016/j.jvn.2018.11.003DOI Listing
March 2019
1 Read

Incidence and distribution of lower extremity reflux in patients with pelvic venous insufficiency.

Phlebology 2019 Apr 3:268355519840846. Epub 2019 Apr 3.

1 Center for Vein Restoration, Greenbelt, MD, USA.

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. Read More

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http://dx.doi.org/10.1177/0268355519840846DOI Listing
April 2019
2 Reads

Therapeutic approach to chronic venous insufficiency - clinical benefits of red-vine-leaf-extract AS 195 (Antistax).

Pharmazie 2019 Apr;74(4):193-200

Chronic Venous Disorders or Diseases (CVD) of the lower extremities are a common finding affecting almost 90 % of an adult population. CVD includes varicose veins with a prevalence of approx. 25 %, overlapping with Chronic Venous Insufficiency (CVI) with a prevalence of approx. Read More

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http://dx.doi.org/10.1691/ph.2019.9326DOI Listing
April 2019
2 Reads

Single-center retrospective review of early outcomes of radiofrequency ablation versus cyanoacrylate ablation of isolated great saphenous vein insufficiency.

J Vasc Surg Venous Lymphat Disord 2019 Mar 26. Epub 2019 Mar 26.

Department of Cardiovascular Surgery, Goztepe Training and Research Hospital, Istanbul Medeniyet University Medical Faculty, Istanbul, Turkey. Electronic address:

Objective: Data comparing radiofrequency ablation (RFA) with cyanoacrylate closure (CAC) treatment of isolated great saphenous vein (GSV) insufficiency are limited. In this study, we present our early outcomes of RFA vs CAC for the treatment of GSV insufficiency.

Methods: Between March 2015 and February 2017, a total of 159 patients underwent CAC (n = 75) or RFA (n = 84) for treatment of GSV insufficiency by a single surgeon. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.12.017DOI Listing

Defining the utility of anteroposterior venography in the diagnosis of venous iliofemoral obstruction.

J Vasc Surg Venous Lymphat Disord 2019 Mar 26. Epub 2019 Mar 26.

Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

Background: Intravascular ultrasound (IVUS) is the current standard for the diagnosis of obstruction in the iliac and femoral veins. However, multiple venographic findings including collaterals, pancaking, and contrast thinning have been suggested to improve the sensitivity of venography. The objective of our study was to further elucidate where and how anteroposterior venography may successfully guide the diagnosis of venous obstruction. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.11.012DOI Listing
March 2019
2 Reads

[Endovascular Recanalization of Chronic Venous Outflow Obstructions].

Dtsch Med Wochenschr 2019 Apr 29;144(7):478-483. Epub 2019 Mar 29.

Klinik für Angiologie, Klinikum Hochsauerland GmbH, Arnsberg.

Approximately 60 % of patients with acute iliofemoral deep vein thrombosis recover without further symptoms. However, 40 % will have some degree of post-thrombotic syndrome (PTS) and 4 % will develop severe PTS. PTS is the most common complication; it reduces quality of life and increases DVT-related costs. Read More

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http://dx.doi.org/10.1055/a-0653-7714DOI Listing
April 2019
1 Read

Management of hard-to-heal wounds arising as a result of surgical oncology treatment- usage of the modern wound dressings.

Pol Przegl Chir 2019 Jan;91(1):10-13

Uniwerystet Medyczny w Łodzi Klinika Chirurgii Onkologicznej.

The problem of hard-to-heal wounds concerns 1-1.5% of the total population and about 3% of the population above 60 years of age. The risk factors associated with impaired wound healing are diabetes, arterial and venous insufficiency, advanced atherosclerosis, obesity, and inadequate wound supply. Read More

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http://dx.doi.org/10.5604/01.3001.0012.8304DOI Listing
January 2019
3 Reads

"Waiting for Science to Catch up with Practice": an examination of 10-year YouTube trends in discussions of chronic cerebral spinal venous insufficiency treatment for multiple sclerosis.

Inform Health Soc Care 2019 Mar 26:1-11. Epub 2019 Mar 26.

d Department of Occupational Science and Occupational Therapy , University of British Columbia , Vancouver , Canada.

Objective: The objective of this longitudinal study examined, first, whether people with multiple sclerosis who previously advocated for angioplasty to treat chronic cerebral spinal venous insufficiency (CCSVI) through YouTube continued reporting benefits. Second, it examined a new cohort reporting on CCSVI treatment, and third, whether perspectives have changed.

Method: YouTube videos from August 2011 to January 2019 related to CCSVI were retrieved. Read More

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http://dx.doi.org/10.1080/17538157.2019.1582052DOI Listing
March 2019
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Erosive Pustular Dermatosis of the Leg Successfully Treated With an Oral Retinoid and a Bi-layered Skin Substitute

J Drugs Dermatol 2019 Mar;18(3):301-302

Erosive pustular dermatosis is a rare inflammatory skin disorder characterized by crusted erosions, sterile pustules, skin atrophy, and scarring alopecia. Cases of involvement of lower extremities, with or without scalp lesions, have been scarcely reported in the literature, and have been denominated Erosive Pustular Dermatosis of the Legs. The disorder usually affects elderly patients associated with chronic venous insufficiency and venous dermatitis. Read More

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March 2019
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May-Thurner Syndrome: An often-missed cause of chronic pelvic pain.

Authors:
Jennifer Ruel

J Am Assoc Nurse Pract 2019 Mar 21. Epub 2019 Mar 21.

University of Detroit Mercy, Detroit, MI.

May-Thurner syndrome (MTS), or iliac vein compression syndrome, is a pelvic condition that involves compression of the iliac veins resulting in endothelial damage. This condition is typically asymptomatic and often missed in primary care. As progression occurs over time, symptoms related to venous hypertension may be present including acute extremity pain and swelling, pelvic pain, venous claudication, deep venous thrombosis, or chronic development of venous insufficiency. Read More

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http://dx.doi.org/10.1097/JXX.0000000000000205DOI Listing
March 2019
1 Read

Major risk factors for chronic venous disease development in women: is childbirth among them?

Women Health 2019 Mar 24:1-10. Epub 2019 Mar 24.

a Faculty of Medicine Novi Sad , University of Novi Sad , Novi Sad , Serbia.

Many studies have reported that Chronic venous disease (CVD) occurs more in females than males, due to pregnancy. The study was conducted over the period 2014-2015 at the Dermatovenereological clinic, Novi Sad, Serbia. We performed a cross-sectional study of 554 women. Read More

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http://dx.doi.org/10.1080/03630242.2019.1590492DOI Listing
March 2019
3 Reads

Comparison of Four Haemodynamic Tests that Quantify Superficial Venous Insufficiency.

Eur J Vasc Endovasc Surg 2019 Apr 19;57(4):570-577. Epub 2019 Mar 19.

Klinik für Dermatologie, Allergologie und Venerologie, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.

Objectives: Reflux assessment with ultrasound (U/S) is usually qualitative. Quantitative measurements of superficial venous insufficiency (SVI) include the venous arterial flow index (VAFI), recirculation index (RCI), venous filling index (VFI), and the postural diameter change (PDC) of the saphenous trunk. The aim was to investigate their relationship. Read More

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http://dx.doi.org/10.1016/j.ejvs.2018.10.003DOI Listing

Chronic Venous Insufficiency and Dystrophic Subcutaneous Calcification.

Acta Med Port 2019 Feb 28;32(2):165. Epub 2019 Feb 28.

Serviço de Medicina Interna. Hospital Pedro Hispano. Matosinhos. Portugal.

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http://dx.doi.org/10.20344/amp.11110DOI Listing
February 2019
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Calciphylaxis as A Rare Cause of A Chronic Wound in An 83-Year-Old Woman.

Geriatrics (Basel) 2019 Mar 18;4(1). Epub 2019 Mar 18.

Department of Endocrinology, Diabetology and Geriatrics, Stuttgart General Hospital, 70374 Bad Cannstatt, Prießnitzweg 24, Germany.

Chronic wounds are common in elderly patients, and the majority of them are caused by vascular diseases, such as peripheral arterial occlusive disease (PAD) or chronic venous insufficiency. Because of typical signs, these diseases can be usually easily differentiated. However, 10% of chronic wounds are caused by specific rare diseases, such as vasculitis, specific infections, skin cancer, or calciphylaxis. Read More

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http://dx.doi.org/10.3390/geriatrics4010028DOI Listing
March 2019
2 Reads

Leeching as Salvage Venous Drainage in Ear Reconstruction: Clinical Case and Review of Literature.

Plast Reconstr Surg Glob Open 2018 Nov 5;6(11):e1820. Epub 2018 Nov 5.

Clinic of Plastic and Reconstructive Surgery, University of Padova, Padua, Italy.

Background: Ear avulsion is a rare complication of different traumas, such as car accidents, human or animal bites and stab wounds, and can result in dramatic cosmetic consequences for the patient. Ear replantation, revascularization, and reattachment are the options offering best aesthetic results. But venous outflow insufficiency is responsible for a high rate of failures. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001820DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414113PMC
November 2018
1 Read

[The Swollen Leg in Vascular Medical Practice].

Dtsch Med Wochenschr 2019 Mar 14;144(6):398-410. Epub 2019 Mar 14.

In case of an acute leg swelling a deep leg vein thrombosis needs to be excluded. In order to do this, compression sonography and the D-dimer-test are applied in the framework of an established diagnostic algorithm. The ensuing therapy consists in anticoagulation and compression. Read More

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http://dx.doi.org/10.1055/a-0379-9997DOI Listing
March 2019
6 Reads

A randomised controlled trial comparing compression therapy after stripping for primary great saphenous vein incompetence.

Phlebology 2019 Mar 12:268355519833255. Epub 2019 Mar 12.

1 Department of Vascular Surgery, Zuyderland Medical Centre, Heerlen, The Netherland.

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. Read More

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http://dx.doi.org/10.1177/0268355519833255DOI Listing
March 2019
5 Reads

Possible applications of normative lower to upper limb ratios of tissue dielectric constant to lower extremity edema.

Int Angiol 2019 Feb;38(1):70-75

College of Medical Sciences, Nova Southeastern University, Fort Lauderdale, FL, USA.

Background: Lower extremity edema occurs in many conditions including congestive heart failure, lymphedema, diabetes-related, kidney and liver disease, chronic venous insufficiency with venous hypertension. Clinical edema assessment methods are often subjective and variable. Our goals were to introduce a simple noninvasive measurement procedure potentially useful to characterize lower extremity edema by providing normative values from which edema thresholds might emerge. Read More

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http://dx.doi.org/10.23736/S0392-9590.18.04088-9DOI Listing
February 2019

The Relationship Between Vein Diameters, Clinical Severity, and Quality of Life: A Systematic Review.

Eur J Vasc Endovasc Surg 2019 Mar 5. Epub 2019 Mar 5.

Department of Surgery & Cancer, Imperial College London, Charing Cross Hospital, London, UK. Electronic address:

Objective/background: The aim was to summarise the evidence for the relationship between vein diameters and clinical severity, and elucidate the relationship between diameters and health related quality of life (HRQoL) METHODS: A systematic review was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) guidelines. The MEDLINE and Embase databases were searched from 1946 to 31 August 2018. Reference lists of included studies were searched for further relevant papers. Read More

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http://dx.doi.org/10.1016/j.ejvs.2019.01.024DOI Listing
March 2019
1 Read

[Embolization of insufficient pelvic veins for pelvic congestion syndrome. Analysis of 17 cases].

Rev Med Chil 2019 ;147(1):41-46

Departamento de Cirugía Vascular y Endovascular, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.

Background: Pelvic venous insufficiency may cause pelvic congestion syndrome that is characterized by chronic pelvic pain exacerbated by prolonged standing, sexual activity or menstrual cycle. It may be treated by embolizing the dysfunctional pelvic venous drainage and sometimes resecting vulvar, perineal and thigh varices.

Aim: To assess the results of embolization of insufficient pelvic or ovarian veins on pelvic congestion syndrome. Read More

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http://dx.doi.org/10.4067/S0034-98872019000100041DOI Listing
March 2019
10 Reads

The influence of May-Thurner syndrome on post-thrombotic syndrome in young women.

Vasa 2019 Mar 8:1-6. Epub 2019 Mar 8.

2 Department of Vascular Diseases, University Medical Centre Ljubljana, Slovenia.

Background: The mechanism for post-thrombotic syndrome (PTS), the most important long-term sequelae of deep venous thrombosis, is not entirely known. It is probably caused by venous hypertension due to venous insufficiency and venous obstruction. Venous hypertension could also be a consequence of the May-Thurner syndrome (MTS), i. Read More

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http://dx.doi.org/10.1024/0301-1526/a000776DOI Listing
March 2019
2 Reads

MR venography using time-resolved imaging in interventional management of pelvic venous insufficiency.

Abdom Radiol (NY) 2019 Mar 7. Epub 2019 Mar 7.

Department of Interventional Radiology, University of Calgary, Calgary, Canada.

Purpose Of Review: To evaluate the utility of magnetic resonance venography with time-resolved imaging (MRV TRI) in the diagnosis of pelvic vein insufficiency (PVI).

Recent Findings: A retrospective single-center review of N = 17 consecutive patients who underwent pelvic MRI for the assessment of PVI was performed. N = 8/17 (47%) studies were positive for PVI. Read More

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http://link.springer.com/10.1007/s00261-019-01965-w
Publisher Site
http://dx.doi.org/10.1007/s00261-019-01965-wDOI Listing
March 2019
3 Reads

Effects of preventive use of compression stockings for elderly with chronic venous insufficiency and swollen legs: a systematic review and meta-analysis.

BMC Geriatr 2019 Mar 7;19(1):76. Epub 2019 Mar 7.

Division of Health Services, Norwegian Institute of Public Health, Box 4404 Nydalen, 0130, Oslo, Norway.

Background: Many home-dwelling elderly use medical compression stockings to prevent venous insufficiency, deep venous thrombosis, painful legs and leg ulcers. Assisting users with applying and removing compression stockings demands resources from the home based health services, but the effects are uncertain. This systematic review aims to summarize the effects of preventive use of medical compression stockings for patients with chronic venous insufficiency and swollen legs. Read More

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http://dx.doi.org/10.1186/s12877-019-1087-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407277PMC
March 2019
1 Read

A near-infrared spectroscopy-assisted test discriminates patients with peripheral arterial disease and venous insufficiency with changes of foot oxygenation following light elastic compression therapy.

Vasa 2019 Mar 6:1-7. Epub 2019 Mar 6.

3 Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Ferrara, Italy.

Background: Elastic compression therapy (CT) in patients with peripheral artery disease (PAD) and chronic venous insufficiency (CVI) may compromise arterial perfusion. We evaluated the feasibility of a toe-flexion test, which quantifies dynamic foot perfusion by near-infrared spectroscopy (NIRS), for the assessment of hemodynamic sustainability of CT in PAD patients with CVI.

Patients And Methods: In this prospective observational study, PAD patients aged 50-85 with combined CVI at CEAP stages II-IV were studied. Read More

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http://dx.doi.org/10.1024/0301-1526/a000780DOI Listing
March 2019
2 Reads

Ultrasound-accelerated catheter-assisted thrombolytic therapy applicatıons in deep vein thrombosis.

Niger J Clin Pract 2019 Mar;22(3):399-405

Department of Radiology, Faculty of Medicine, Gazi University, Ankara, Turkey.

Background: Ultrasound-accelerated catheter-directed thrombolysis (UCT) increases the invasion of thrombolytic agent into the thrombus using ultrasonic energy, provides less infusion of thrombolytic agent, reduces complication, and post-thrombotic syndrome (PTS) development rates. For these reasons, this procedure is a promising method for the treatment of deep vein thrombosis (DVT).

Materials And Methods: Patients diagnosed with DVT by ultrasonography (USG) who underwent UCT between May 2013 and August 2014 at Gazi University Hospital Cardiovascular Surgery Clinic were included in the study. Read More

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http://dx.doi.org/10.4103/njcp.njcp_27_18DOI Listing
March 2019
1 Read

Evaluation of hemorrhoidal disease and lower extremity venous insufficiency in primary adult varicocele: A prospective controlled study.

Phlebology 2019 Mar 5:268355519834426. Epub 2019 Mar 5.

1 Department of Urology, Medical Faculty, Yuzuncu Yil University, Van, Turkey.

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. Read More

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http://dx.doi.org/10.1177/0268355519834426DOI Listing
March 2019
4 Reads

Current Therapeutic Interventions in Lower Extremity Venous Insufficiency: a Comprehensive Review.

Curr Pain Headache Rep 2019 Mar 4;23(3):16. Epub 2019 Mar 4.

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Purpose Of Review: Chronic venous disease (CVD), although affecting up to 40% of the US population, is often underdiagnosed by healthcare professionals due to an incomplete understanding of the presenting symptoms. CVD is a common cause of lower extremity pain and discomfort, including aching, cramping, tingling, burning, swelling, heaviness, restlessness, and fatigue, and may lead to significant morbidity if left untreated. The negative impact of CVD on quality of life is well established and the optimization of management strategies is an important area of evolving research. Read More

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http://dx.doi.org/10.1007/s11916-019-0759-zDOI Listing
March 2019
3 Reads

Compression Stockings for the Prevention of Venous Leg Ulcer Recurrence: A Health Technology Assessment.

Authors:

Ont Health Technol Assess Ser 2019 19;19(2):1-86. Epub 2019 Feb 19.

Background: People with chronic venous insufficiency who develop leg ulcers face a difficult condition to treat. Venous leg ulcers may persist for long periods of time and have a negative impact on quality of life. Treatment requires frequent health care provider visits, creating a substantial burden across health care settings. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394515PMC
April 2019
1 Read

One-Year Results of Iliocaval Stenting.

Ann Vasc Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Vascular & Endovascular Surgery, Perth, Western Australia, Australia. Electronic address:

Background: The aim of the study was to assess results of interventions for iliocaval obstruction or compression in patient with acute and chronic venous disease.

Methods: Patients with chronic venous insufficiency (CVI) C3-C6 (Clinical, Etiology, Anatomy, Pathology - classification of venous insufficiency) and acute deep venous thrombosis were assessed by ultrasound scan, computed tomography, venography, and/or intravascular ultrasound, and if an obstruction in their iliocaval or iliofemoral segments were confirmed, they underwent venoplasty and stenting. Acute deep venous thrombosis cases were treated with pharmacomechanical and/or catheter-directed thrombolysis and residual obstruction was then stented. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.082DOI Listing
March 2019
4 Reads

Endoscopic injection sclerotherapy for pediatric bleeding esophageal varices complicated by gastric vein, main portal vein, splenic mesenteric junction, and splenic vein occlusion: a case report.

BMC Gastroenterol 2019 Feb 28;19(1):37. Epub 2019 Feb 28.

Liver Transplant Program, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Background: Endoscopic injection sclerotherapy (EIS) is a life-saving procedure for pediatric patients with bleeding gastric varices (GV) associated with advanced liver cirrhosis and severe portal hypertension. Because of the lack of an endoscopic banding ligation device for pediatric patients, EIS is usually performed for bleeding esophageal varices (EV) in infants with congenital biliary atresia.

Case Presentation: We present a case of a 15-month-old female infant with type I biliary atresia with jaundice (total serum bilirubin, 22. Read More

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http://dx.doi.org/10.1186/s12876-019-0955-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396477PMC
February 2019
2 Reads

Early complications of endovenous laser ablation.

Int Angiol 2019 Feb 22. Epub 2019 Feb 22.

Vein center "Antireflux", Zheleznodorozhnyy, Russia.

Background: The aim of this work was to evaluate the frequency, structure and characteristics of complications after Endovenous Laser Ablation (EVLA).

Methods: 1,247 consecutive patients (1,417 limbs) with superficial venous insufficiency were treated with EVLA procedures with a wavelength of 1470 nm and automatic pull-back traction of the fiber. Control examinations using duplex ultrasound were carried out on the second day after EVLA, and in 2 weeks and 1 month after the EVLA procedure. Read More

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http://dx.doi.org/10.23736/S0392-9590.19.04097-5DOI Listing
February 2019

Venoplasty and stenting in post-thrombotic syndrome and non-thrombotic iliac vein lesion.

Minim Invasive Ther Allied Technol 2019 Feb 22:1-7. Epub 2019 Feb 22.

c Department of Vascular Surgery , Emam Khomeini Hospital, Tehran University of Medical Science , Tehran , Iran.

Introduction: Venous outflow obstruction is a common condition among patients with chronic venous insufficiency. Endovascular treatment is favourable over open surgery. This study aimed to assess stent patency and clinical outcome in venous outflow obstruction of lower limbs, and also to compare it between post-thrombotic syndrome and non-thrombotic iliac vein lesions. Read More

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http://dx.doi.org/10.1080/13645706.2019.1580748DOI Listing
February 2019
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Management of cardiovascular complications in Klinefelter syndrome patients.

Expert Rev Endocrinol Metab 2019 Mar 22;14(2):145-152. Epub 2019 Feb 22.

a Department of Medical, Surgical, Neurologic , Metabolic and Aging Sciences, University of Campania "L. Vanvitelli" Naples , Naples , Italy.

Introduction: Klinefelter syndrome (KS), also known as 47, XXY, shows increased mortality when compared with mortality rates among the general population. Cardiovascular, hemostatic, metabolic diseases are implicated. Moreover, cardiac congenital anomalies in KS can contribute to the increase in mortality. Read More

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http://dx.doi.org/10.1080/17446651.2019.1584036DOI Listing
March 2019
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[Granulocytes function in patients with chronic venous insufficiency followed by chronic wounds].

Khirurgiia (Mosk) 2019(1):37-42

Voyno-Yasenetsky Krasnoyarsk State Medical University of Healthcare Ministry of the Russia, Krasnoyarsk, Russia.

Aim: To analyze efficiency of ozone therapy, ultrasound and cryotherapy for infected and purulent wounds due to chronic venous insufficiency.

Material And Methods: There were 127 patients with chronic venous insufficiency followed by chronic wounds. Efficacy of systemic and local ozone therapy was assessed. Read More

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http://dx.doi.org/10.17116/hirurgia201901137DOI Listing
January 2019

Current Management of Cancer-associated Venous Thromboembolism: Focus on Direct Oral Anticoagulants.

J Korean Med Sci 2019 Feb 1;34(6):e52. Epub 2019 Feb 1.

Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Cancer-associated venous thromboembolism (CAT) is a common complication associated with high morbidity and mortality. In accordance with major clinical trials comparing low-molecular-weight heparin (LMWH) with a vitamin K antagonist (VKA), LMWH is currently the standard treatment for CAT, owing to its efficacy for thrombosis recurrence and improved safety profile compared to VKA. Over the past few years, direct oral anticoagulants (DOACs) have emerged as potential alternative therapies to LMWH due to their convenient route of administration and predictable pharmacokinetics, but evidence for their use in CAT is inconclusive, as only a small fraction of the study populations in these trials had CAT. Read More

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http://dx.doi.org/10.3346/jkms.2019.34.e52DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374546PMC
February 2019
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Lower Extremity Blood Flow Velocity in Obese versus Nonobese Pregnant Women.

Am J Perinatol 2019 Feb 19. Epub 2019 Feb 19.

Department of Obstetrics and Gynecology, University of Texas Medical Branch at Galveston, Galveston, Texas.

Background:  Obesity and pregnancy are risk factors for venous thromboembolism (VTE). In nonpregnant individuals, abdominal obesity is associated with venous insufficiency.

Objective:  To compare venous Doppler volume flow and velocity in the lower extremities of obese versus nonobese women. Read More

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http://dx.doi.org/10.1055/s-0039-1679867DOI Listing
February 2019

Extended-duration betrixaban versus shorter-duration enoxaparin for venous thromboembolism prophylaxis in critically ill medical patients: an APEX trial substudy.

Intensive Care Med 2019 Apr 18;45(4):477-487. Epub 2019 Feb 18.

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

Purpose: To assess the efficacy and safety of betrixaban for venous thromboembolism (VTE) prophylaxis among critically ill patients.

Methods: The APEX trial randomized 7513 acutely ill hospitalized patients to betrixaban for 35-42 days or enoxaparin for 10 ± 4 days. Among those, 703 critically ill patients admitted to the intensive care unit were included in the analysis, and 547 patients who had no severe renal insufficiency or P-glycoprotein inhibitor use were included in the full-dose stratum. Read More

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http://dx.doi.org/10.1007/s00134-019-05565-6DOI Listing
April 2019
1 Read
7.214 Impact Factor

Ultrasound-based topographic analysis of tributary vein connection with the saphenous vein during ambulatory conservative hemodynamic correction of chronic venous insufficiency.

Authors:
Sangchul Yun

J Vasc Surg Venous Lymphat Disord 2019 May 15;7(3):356-363. Epub 2019 Feb 15.

Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea. Electronic address:

Objective: Preoperative mapping of great saphenous vein (GSV) escape points to tributary veins (TVs) and targeted intervention of escape points may reduce recurrence rates of varicose veins (VVs) after endovascular treatment of saphenous veins and prevent saphenous nerve complications. The aim of this study was to perform an analysis of cartography after Doppler ultrasound mapping of escape points in patients with VVs and to suggest one point that may prevent recurrence and nerve complications.

Methods: Ultrasound assessment of VVs was performed from March 4, 2016, to July 15, 2016, specifically focusing on the locations of escape points from the saphenous vein to TVs. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.09.011DOI Listing

Autogenously derived regenerative cell therapy for venous leg ulcers.

Arch Med Sci Atheroscler Dis 2018 15;3:e156-e163. Epub 2018 Dec 15.

Department of Cardiovascular Surgery, Bakirkoy Dr Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Introduction: Venous leg ulcers (VLUs), which arise from chronic venous insufficiency in the lower limbs, are a major cause of morbidity and significantly negatively impact patients' health-related quality of life. Treatment of venous ulcers can be either conservative or surgical. Despite appropriate treatment, VLUs can be resistant to healing. Read More

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http://dx.doi.org/10.5114/amsad.2018.81000DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374579PMC
December 2018

Regarding "Retrograde administration of ultrasound-guided endovenous microfoam chemical ablation for the treatment of superficial venous insufficiency".

J Vasc Surg Venous Lymphat Disord 2019 Mar;7(2):311-313

Division of Pharmacovigilance, Office of Surveillance and Epidemiology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Md.

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http://dx.doi.org/10.1016/j.jvsv.2018.09.014DOI Listing

Genetic biases related to chronic venous ulceration.

J Wound Care 2019 Feb;28(2):59-65

Head of Center for Human Molecular Genetics and Pharmacogenomics, Professor of Biochemistry and Genetics; University of Maribor, Faculty of Medicine, Center for human molecular genetics and pharmacogenomics, Taborska ulica 8, SI-2000 Maribor, Slovenia. University of Maribor, Faculty for Chemistry and Chemical engineering, Laboratory for Biochemistry, Molecular Biology and Genomics, Smetanova 17, SI-2000 Maribor, Slovenia.

Chronic wounds represent a major socioeconomic problem. Chronic venous ulceration is one of the least well-understood types of chronic wounds. A chronic venous ulcer arises as a result of chronic venous insufficiency (CVI), which affects approximately 10-35% of people in the developed world, yet not all people with CVI develop ulceration. Read More

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http://dx.doi.org/10.12968/jowc.2019.28.2.59DOI Listing
February 2019
3 Reads