13,288 results match your criteria Venous Insufficiency


Transilluminated Powered Phlebectomy in the Treatment of Large Area Venous Leg Ulcers: a case-control study with 3 years follow-up.

Microcirculation 2018 Dec 16:e12523. Epub 2018 Dec 16.

Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.

Objective: To evaluate the efficacy, safety and long-term outcome of transilluminated powered phlebectomy (TIPP) for the adjunct therapy of superficial venous reflux -related venous leg ulcers (VLUs).

Methods: A total of 93 consecutive patients (104 legs) with superficial venous insufficiency-related VLUs who underwent TIPP (53 legs) or conventional phlebectomy (51 legs) between January 2010 and December 2013 were retrospectively studied.

Results: Compared to patients in the conventional phlebectomy group, TIPP patients had larger ulcer areas before surgery (p <. Read More

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http://dx.doi.org/10.1111/micc.12523DOI Listing
December 2018

Study of the bioaccumulation of tinzaparin in renally impaired patients when given at prophylactic doses - The STRIP study.

Thromb Res 2018 Dec 2;174:48-50. Epub 2018 Dec 2.

Faculté de pharmacie, Université de Montréal, Montréal, Québec, Canada; Research Center, Montreal Heart Institute; Montréal, Québec, Canada.

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http://dx.doi.org/10.1016/j.thromres.2018.11.031DOI Listing
December 2018

Dystrophic Calcifications in Chronic Venous Insufficiency.

Authors:
Rukma Govindu

Am J Med Sci 2018 Nov 14. Epub 2018 Nov 14.

Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, TX. Electronic address:

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http://dx.doi.org/10.1016/j.amjms.2018.11.005DOI Listing
November 2018

Right Mini-Thoracotomy Subaortic Membrane Resection.

Innovations (Phila) 2018 Nov/Dec;13(6):428-432

From the Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY USA.

Objective: Subaortic membrane is an anatomical intracardiac anomaly that may cause discrete subaortic stenosis and aortic insufficiency. Patients requiring subaortic membrane resection may benefit from a minimally invasive approach; however, subaortic membranes are typically resected through a median sternotomy. We present our initial clinical experience of adult patients who have undergone a mini-thoracotomy subaortic membrane resection. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000564DOI Listing
December 2018

Noninvasive vascular occlusion with HIFU for venous insufficiency treatment: preclinical feasibility experience in rabbits.

Phys Med Biol 2018 Dec 3. Epub 2018 Dec 3.

INSERM U979, Institut Langevin, Paris, FRANCE.

Venous insufficiency is a common disease arising when veins of the lower limb become incompetent. A conventional surgical strategy consists in stripping the incompetent veins. However, this treatment option is invasive and carries complication risks. Read More

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http://dx.doi.org/10.1088/1361-6560/aaf58dDOI Listing
December 2018

Prospective study of clinical, neurophysiological and urodynamic findings in multiple scleosis patients undergoing percutaneous transluminal venous angioplasty.

Clin Neurophysiol 2018 Nov 26;130(1):138-144. Epub 2018 Nov 26.

Department of Medicine, Surgery and Neuroscience, Unit of Neurology and Clinical Neurophysiology, University of Siena, Italy. Electronic address:

Objective: Verify whether Percutaneous Transluminal Angioplasty (PTA) may affect neural conduction properties in Multiple Sclerosis (MS) patients, thereby modifying patients' disability, with prospective neurophysiological, urodynamic, clinical and subjective well-being evaluations.

Methods: In 55 out of 72 consecutively screened MS patients, the following procedures were carried out before (T0), at 2-6 months (T1) and at 6-15 months (T2) after a diagnostic phlebography, eventually followed by the PTA intervention if chronic cerebrospinal venous insufficiency (CCSVI) was diagnosed: clinical/objective evaluation (Expanded Disability Status Scale, EDSS), ratings of subjective well-being, evaluation of urodynamic functions and multimodal EPs (visual, acoustic, upper and lower limbs somatosensory and motor evoked potentials).

Results: The number of dropouts was relatively high, and a complete set of neurophysiological and clinical data remained available for 37 patients (19 for urological investigations). Read More

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http://dx.doi.org/10.1016/j.clinph.2018.10.015DOI Listing
November 2018

Evaluation of Antibiotic Treatment on the Duration of Hospitalization of Patients with Erysipelas and Bacterial Cellulitis.

Dermatol Ther (Heidelb) 2018 Dec 7. Epub 2018 Dec 7.

Department of Dermatology, University of Rzeszow, Rzeszow, Poland.

Introduction: Erysipelas and bacterial cellulitis are two of the most common infectious skin diseases. They are usually caused by the β-hemolytic group of Streptococcus, and less frequently by other bacteria. The objective of the study was to assess the factors affecting the length of stay of patients admitted to hospital with erysipelas or bacterial cellulitis. Read More

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http://dx.doi.org/10.1007/s13555-018-0276-8DOI Listing
December 2018
1 Read

Deep Vein Thrombosis Prophylaxis after Total Hip Arthroplasty in Asian Patients.

Authors:
Jun-Shik Kim

Hip Pelvis 2018 Dec 6;30(4):197-201. Epub 2018 Dec 6.

The Joint Replacement Center, Ewha Womans University Medical Center, Seoul, Korea.

In Western patient populations, the reported incidence of imaging-demonstrated deep vein thrombosis (DVT) after total hip arthroplasty (THA) is as high as 70% without prophylaxis. The reported rates of symptomatic pulmonary embolism (PE) after THA in recent studies range from 0.6% to 1. Read More

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http://dx.doi.org/10.5371/hp.2018.30.4.197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284075PMC
December 2018

[Contemporary data on efficacy of anticoagulant therapy in recanalization of deep veins].

Angiol Sosud Khir 2018 ;24(4):185-190

Department for General Surgery and Urology, Volgograd State Medical University under the RF Ministry of Public Health, Volgograd, Russia.

The article is a literature review containing a detailed description of anticoagulant therapy variants, their efficacy in recanalization of deep veins, as well as patients' compliance to treatment. Russian specialists have demonstrated that the processes of active re-organization of thrombotic masses, in some cases leading to complete clearing of the vessel's lumen from a thrombus, may be observed at terms from 3 to 6 months, with a failure to occur within the above period reportedly followed by formation of irreversible cicatricial-sclerotic alterations in the veins. That is why adequate anticoagulant therapy should be initiated promptly in order to prevent the development of irreversible alterations and a decompensated form of chronic venous insufficiency. Read More

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January 2018

[State of the venous outflow from the small pelvis after surgical correction of pelvioperineal reflux].

Angiol Sosud Khir 2018 ;24(4):90-94

Chair of Faculty Surgery #1, Therapeutic Department, Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia.

Objective: The study was aimed at assessing the venous outflow from the small pelvis after surgical correction of pelvioperineal reflux with the use of reference methods of examination.

Patients And Methods: We examines a total of 43 female patients (aged 41.5±5. Read More

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January 2018

Can early detection prevent venous leg ulceration?

Authors:
Michelle Porter

Br J Community Nurs 2018 Dec;23(Sup12):S14-S17

Senior Tissue Viability Clinical Nurse Specialist, Lincolnshire Community Health Services NHS Trust.

Venous leg ulceration is the most common form of leg ulceration, affecting 1.5% of the UK adult population. This was reviewed within the latest best practice statement (2016) which set out to create clear guidance on the assessment, management and preventing the reoccurrence of venous leg ulceration. Read More

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http://dx.doi.org/10.12968/bjcn.2018.23.Sup12.S14DOI Listing
December 2018
1 Read

Foam Sclerotherapy Augmented Phlebectomy (SAP) Procedure for Varicose Veins: Report of a Novel Technique.

EJVES Short Rep 2018 16;41:16-18. Epub 2018 Nov 16.

Cambridge University Hospitals and Imperial College, London, UK.

Introduction: While traditional ambulatory phlebectomy (AP) is a safe and effective procedure, few adverse effects such as hematoma, bleeding, bruising and nerve injury have been reported. To improve AP and to reduce some of these adverse events, herein we report a novel technique - Foam Sclerotherapy Assisted Phlebectomy (SAP).

Report: The details of the above technique, along with the potential advantages and limitations will be discussed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24056553183004
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http://dx.doi.org/10.1016/j.ejvssr.2018.10.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260319PMC
November 2018
5 Reads

Vitamin D status in Kancheepuram District, Tamil Nadu, India.

BMC Public Health 2018 Dec 5;18(1):1345. Epub 2018 Dec 5.

SRM Institute of Gastroenterology, Hepatobiliary Sciences & Transplantation, SIMS Hospital, Jawaharlal Nehru Road, Vadapalani, Chennai, Tamil Nadu, India.

Background: Vitamin D has multifarious roles in maintenance of health and prevention of disease. The present study was undertaken to assess the vitamin D status of a rural adult south Indian population and to identify its associations with socioeconomic status and cultural practices.

Methods: Between June 2015 and July 2016, 424 healthy adults residing in Kattankulathur block in Tamil Nadu, India, provided venous blood samples and answered questions by personal interview. Read More

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https://bmcpublichealth.biomedcentral.com/articles/10.1186/s
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http://dx.doi.org/10.1186/s12889-018-6244-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280507PMC
December 2018
2 Reads

Breadth of complications of long-term oral anticoagulant care.

Hematology Am Soc Hematol Educ Program 2018 Nov;2018(1):432-438

Department of Medicine and Surgery, University of Insubria, Varese, Italy.

The majority of patients with venous thromboembolism (VTE) have a considerable long-term risk of recurrence and may require extended duration of anticoagulant treatment after the initial 3 to 6 months. The decision to extend treatment is based not only on the individual risk of recurrence, but should also consider the potential complications associated with anticoagulation, taking into account that anticoagulant drugs are among the drugs most frequently associated with hospital admission due to adverse drug reactions. The most feared complication of oral anticoagulants is bleeding, which in some cases may be fatal or may affect critical organs. Read More

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http://dx.doi.org/10.1182/asheducation-2018.1.432DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6245998PMC
November 2018
1 Read

Unilateral leg edema: Is it always vascular?

Turk Kardiyol Dern Ars 2018 12;46(8):706-709

Department of Cardiology, Koç University Hospital, İstanbul, Turkey.

Unilateral lower extremity edema below the knee commonly results from deep venous thrombosis, venous insufficiency, or lymphedema. The patient history, a physical examination, and lower extremity venous duplex ultrasound often reveal the underlying etiology, which is frequently of vascular origin. Presently described is the case of a 23-year-old patient who underwent a diagnostic workup for unilateral leg swelling and was found to have a relatively uncommon cause of edema: lipedema. Read More

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December 2018
1 Read

Superficial femoral venous aneurysm in a patient with Klippel-Trenaunay Syndrome: the inguinal hernia mimic.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Vascular Surgery, Waikato District Health Board, Hamilton, New Zealand.

Venous aneurysms are a rare vascular anomaly characterised by a solitary area of dilatation containing all three layers of the venous vessel wall. Described throughout the venous system, venous aneurysms can be classified as deep or superficial based on the vein involved. Whilst generally asymptomatic, superficial venous aneurysms can be associated with venous insufficiency or venous thromboembolism and are often confused for soft tissue masses or hernias. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183090
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http://dx.doi.org/10.1016/j.avsg.2018.09.028DOI Listing
November 2018
5 Reads

[The application of combined low-intensity laser therapy for the treatment of the patients presenting with trophic ulcers associated with chronic venous insufficiency of the lower extremities].

Vopr Kurortol Fizioter Lech Fiz Kult 2018 ;95(6):27-33

O.K. Skobelkin State Scientific Centre of Laser Medicine, Russian Federal Medico-Biological Agency, Moscow, Russia.

Aim: The objective of the present study was the evaluation of the effectiveness of the combined treatment of the patients presenting with trophic ulcers associated with chronic venous insufficiency of the lower extremities of venous etiology with the application of low-intensity laser therapy (LILT) at different wavelengths.

Material And Methods: The study included the patients presenting with chronic venous insufficiency (CVI) (class C6 in accordance with the CEAP clinical classification). The ultrasonic Doppler examination (USDG) of the lower extremities revealed valvular insufficiency in the saphenous veins in 98. Read More

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http://dx.doi.org/10.17116/kurort20189506127DOI Listing
January 2018
1 Read

Behavior of Smooth Muscle Cells under Hypoxic Conditions: Possible Implications on the Varicose Vein Endothelium.

Biomed Res Int 2018 18;2018:7156150. Epub 2018 Oct 18.

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

Varicose veins are a disease with high incidence and prevalence. In the venous wall, the smooth muscle cells (SMCs) act in the vascular homeostasis that secretes multiple substances in response to stimuli. Any alteration of these cells can modify the function and structure of the other venous layers such as the endothelium, resulting in increases in endothelial permeability and release of substances. Read More

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http://dx.doi.org/10.1155/2018/7156150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220744PMC
October 2018
1 Read

Thrombophilia in non-thrombotic chronic venous disease of the lower limb - a systematic review.

Br J Haematol 2018 Dec;183(5):703-716

Department of Vascular Surgery, Imperial College London, Charing Cross Hospital, London, UK.

Chronic venous disease (CVD) represents a significant healthcare burden. Thrombophilia is proposed as a risk factor, particularly for post-thrombotic CVD. A systematic review was performed to determine the relationship between thrombophilia and non-thrombotic CVD. Read More

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http://dx.doi.org/10.1111/bjh.15692DOI Listing
December 2018
1 Read

Addison's disease in antiphospholipid syndrome: a rare complication.

Endocrinol Diabetes Metab Case Rep 2018 Nov 22;2018. Epub 2018 Nov 22.

Endocrinology, Diabetes and Metabolism Department, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

Addison's disease (AD) is the most common endocrine manifestation of antiphospholipid syndrome (APS), but it remains a very rare complication of the syndrome. It is caused by adrenal venous thrombosis and consequent hemorrhagic infarction or by spontaneous (without thrombosis) adrenal hemorrhage, usually occurring after surgery or anticoagulant therapy. We present a clinical case of a 36-year-old female patient with a previous diagnosis of APS. Read More

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http://dx.doi.org/10.1530/EDM-18-0118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280132PMC
November 2018
2 Reads

Predicting Renal Function Outcomes After Partial and Radical Nephrectomy.

Eur Urol 2018 Nov 23. Epub 2018 Nov 23.

Department of Urology, Mayo Clinic, Rochester, MN, USA. Electronic address:

Background: Partial nephrectomy (PN) is generally favored for cT1 tumors over radical nephrectomy (RN) when technically feasible. However, it can be unclear whether the additional risks of PN are worth the magnitude of renal function benefit.

Objective: To develop preoperative tools to predict long-term estimated glomerular filtration rate (eGFR) beyond 30d following PN and RN, separately. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03022838183087
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http://dx.doi.org/10.1016/j.eururo.2018.11.021DOI Listing
November 2018
7 Reads

Duplex ultrasound findings and clinical classification of lower extremity chronic venous insufficiency in a Thai population.

J Vasc Surg Venous Lymphat Disord 2018 Nov 23. Epub 2018 Nov 23.

Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Background: The objective of this study was to evaluate the association between the clinical classification of chronic venous insufficiency and duplex ultrasound findings.

Methods: A total of 1010 limbs with clinically suspected chronic venous insufficiency were stratified according to the Clinical, Etiology, Anatomy, and Pathophysiology (CEAP) classification and underwent duplex ultrasound evaluation consecutively between January 2012 and June 2015. Venous thrombosis, venous reflux, and anatomic distribution of the deep and superficial venous systems were investigated across the CEAP clinical classes. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.08.012DOI Listing
November 2018
1 Read

Carboxytherapy: Controls the inflammation and enhances the production of fibronectin on wound healing under venous insufficiency.

Int Wound J 2018 Nov 22. Epub 2018 Nov 22.

Stem Cell, Cell Therapy and Toxicological Genetics Research Centre (CeTroGen), "Maria Aparecida Pedrossian" University Hospital, Brazilian Hospital Services Company (EBSERH), Campo Grande, Brazil.

To examine the influence of carboxytherapy on wound healing under venous insufficiency, full-thickness excisional wounds were created on Wistar rats. We used three groups with 32 rats each: Group (I): daily cleaning with 0.9% saline solution; Group Sulfadiazine (II): 1% silver sulfadiazine; and Carboxytherapy (III): subcutaneous application of 0. Read More

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http://doi.wiley.com/10.1111/iwj.13031
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http://dx.doi.org/10.1111/iwj.13031DOI Listing
November 2018
5 Reads

Color Doppler Artifact Masking Iatrogenic Aortic Valve Injury Related to an Impella Device.

J Cardiothorac Vasc Anesth 2018 Sep 27. Epub 2018 Sep 27.

Department of Anesthesiology and Perioperative Medicine, Tufts Medical Center, Boston, MA.

The Impella (Abiomed, Danvers, MA) is a minimally invasive transvalvular left ventricular assist device (LVAD) that effectively unloads the left ventricle (LV), especially in patients with ventricular arrhythmias in the setting of a venous-arterial extracorporeal membrane oxygenator (VA ECMO). Utilization of the Impella device has increased significantly in the last few years for high-risk percutaneous coronary intervention and cardiogenic shock because of its relatively easy implantation in the catheterization lab and the operating room. Although rare, iatrogenic injury of the aortic valve (AV) can be caused by placement of the device across the AV. Read More

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http://dx.doi.org/10.1053/j.jvca.2018.09.035DOI Listing
September 2018
8 Reads

Patient-reported outcomes of endovenous superficial venous ablation for lower extremity swelling.

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

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http://dx.doi.org/10.1177/0268355518814130DOI Listing
November 2018
4 Reads

Endovenous Photocoagulation Using a Diode Laser for Complicated Varicose Veins Related to Stasis Ulcers.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S103-S107

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University.

Background: The objective of this study was to assess the efficacy and safety of endovenous laser photocoagulation (EVLP) at a wavelength of 810 nm for treating complicated venous insufficiency associated with venous ulcers.

Materials And Methods: A retrospective review of 110 patients with 180 legs having chronic venous insufficiencies associated with varicose veins treated over an 8-year period was conducted. Patients ranged from 16 to 80 years of age and included 85 women and 25 men. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001726DOI Listing
January 2019
1 Read

Utility of Skin Biopsy and Culture in the Diagnosis and Classification of Chronic Ulcers: A Single-Institution, Retrospective Study.

Am J Dermatopathol 2018 Nov 15. Epub 2018 Nov 15.

Department of Pathology, University of Washington, Seattle, WA.

In the United States, chronic ulcers affect 6.5 million people, with a cost of ≈$20 million annually. The most common etiology of chronic ulcers in the United States is venous stasis, followed by arterial insufficiency and neuropathic ulcers. Read More

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http://dx.doi.org/10.1097/DAD.0000000000001299DOI Listing
November 2018
6 Reads

Acroangiodermatitis of Mali (Pseudo-Kaposi Sarcoma) Associated with Chronic Venous Insufficiency and Obesity: A Case Report.

Wounds 2018 Nov;30(11):E105-E107

College of Medicine, Taif University, Taif, Saudi Arabia.

Introduction: Acroangiodermatitis, also known as psesudo-Kapsoi sarcoma, is a rare and benign angioproliferative malady. It presents clinically as purple-colored plaques, patches, or nodules resembling Kaposi sarcoma and is often related to chronic venous insufficiency, arteriovenous malformation of the legs, paralyzed limbs, and residual limbs. Obesity is a risk factor for venous insufficiency and could be related to acroangiodermatitis. Read More

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November 2018
8 Reads

Comparison of ultrasound therapy and radial shock wave therapy in the treatment of venous leg ulcers - clinical, pilot study.

Postepy Dermatol Alergol 2018 Oct 19;35(5):454-461. Epub 2018 Jul 19.

Chair and Department of Medical Biophysics, School of Medicine, Medical University of Silesia, Katowice, Poland.

Introduction: Venous insufficiency and venous leg ulcers each year affect more and more people, especially in developed countries. The challenge of our time is to find an effective method of treating venous leg ulcers, which will further shorten treatment time and reduce the cost of treatment.

Aim: To compare the effects of treating venous leg ulcers using ultrasound therapy, radial shock wave therapy and standard care. Read More

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https://www.termedia.pl/doi/10.5114/ada.2018.79191
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http://dx.doi.org/10.5114/ada.2018.79191DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232539PMC
October 2018
3 Reads

Appropriateness of DOAC Prescribing Before and During Hospital Admission and Analysis of Determinants for Inappropriate Prescribing.

Front Pharmacol 2018 30;9:1220. Epub 2018 Oct 30.

Centre for Pharmaceutical Research, Vrije Universiteit Brussel, Jette, Belgium.

Appropriate dosing of direct oral anticoagulants (DOACs) is required to avoid under- and overdosing that may precipitate strokes or thromboembolic events and bleedings, respectively. Our objective was to analyze the appropriateness of DOAC dosing according to the summaries of product characteristics (SmPC). Furthermore, determinants for inappropriate prescribing were investigated. Read More

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https://www.frontiersin.org/article/10.3389/fphar.2018.01220
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http://dx.doi.org/10.3389/fphar.2018.01220DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218888PMC
October 2018
2 Reads
100 Citations
10.000 Impact Factor

Extended Use of Chimeric Medial Sural Artery Perforator Flap for 3-Dimensional Defect Reconstruction.

Ann Plast Surg 2019 Jan;82(1S Suppl 1):S86-S94

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chiayi Branch, Taiwan.

Background: The medial sural artery perforator (MSAP) flap has become increasingly popular because it is thin and pliable for small to moderate defect soft tissue reconstruction. Furthermore, chimeric MSAP flap, which includes a skin paddle and a separated piece of medial gastrocnemius muscle, allowed more freedom for flap insetting, especially in 3-dimensional defect reconstruction. Here we describe our experience regarding this clinical application. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001697DOI Listing
January 2019
6 Reads

Free flap and kickstand external fixator in foot and ankle soft tissue reconstruction. The versatility of a microsurgical-friendly application of an orthopedic device.

Injury 2018 Nov;49 Suppl 3:S105-S109

Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari Aldo Moro, Bari, Italy.

Introduction: Foot and ankle are prone to injuries and often require free flap for complex soft tissue reconstruction due to the insufficiency of local soft tissue. Lower limb reconstruction can be commonly compromised by venous insufficiency, and the elevation of the limb represents a critical component of the postoperative care. This study aims to explore the versatility of combining free soft tissue flap reconstruction for complex foot and ankle defect with a temporary Kickstands External Fixator (KEF) placement. Read More

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http://dx.doi.org/10.1016/j.injury.2018.09.048DOI Listing
November 2018
1 Read

Mechanical Properties of Diseased Veins.

Methodist Debakey Cardiovasc J 2018 Jul-Sep;14(3):182-187

RICE UNIVERSITY, HOUSTON, TEXAS.

Extensive research exists on arterial mechanical properties and how they change in disease conditions, but substantially less is known about venous mechanics in healthy and disease states. Although the mechanics of both vessel types are determined by the unique layered composition of the vessel wall, the precise distribution of the layers differs greatly between arteries and veins. Thus, vein mechanics must be analyzed and understood independently from those of arteries. Read More

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http://dx.doi.org/10.14797/mdcj-14-3-182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217571PMC
November 2018
1 Read

Central Venous Pathologies: Treatments and Economic Impact.

Authors:
Kenneth Ouriel

Methodist Debakey Cardiovasc J 2018 Jul-Sep;14(3):166-172

SYNTACTX, NEW YORK, NEW YORK.

Chronic venous insufficiency (CVI) is responsible for significant costs to society in the form of medical and surgical treatment and, importantly, unmeasurable lost work productivity due to pain and disability. Symptomatic chronic central vein obstruction, a cause of CVI, is potentially treatable using open surgical and endovascular techniques to restore vessel patency. Although upper extremity central vein obstruction often requires an open surgical procedure for durable relief, endovascular stents have proven remarkably useful for iliofemoral disease. Read More

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http://dx.doi.org/10.14797/mdcj-14-3-166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217555PMC
November 2018
6 Reads

Vein Size and Disease Severity in Chronic Venous Diseases.

Int J Angiol 2018 Dec 6;27(4):185-189. Epub 2018 Apr 6.

Department of Cardiovascular Diseases and Diabetes Biology, Rajiv Gandhi Centre for Biotechnology, Thiruvananthapuram, Kerala, India.

Given the high prevalence of chronic venous diseases (CVD), defining criteria to screen patients who are in need for intervention is attaining primacy. An important clinical criterion for treating CVD is incompetence of larger veins. We have assessed the association of size of afflicted veins with disease severity in patients with CVD to define an acceptable criterion to identify patients who need intervention. Read More

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http://dx.doi.org/10.1055/s-0038-1639355DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6221802PMC
December 2018
6 Reads

Rutosides for treatment of post-thrombotic syndrome.

Cochrane Database Syst Rev 2018 11 8;11:CD005625. Epub 2018 Nov 8.

Division of Epidemiology and Public Health, University of Nottingham, C120, Clinical Sciences Building - Ph2, City Hospital Campus, Hucknall Road, Nottingham, UK, NG5 1PB.

Background: Post-thrombotic syndrome (PTS) is a long-term complication of deep venous thrombosis (DVT) that is characterised by pain, swelling, and skin changes in the affected limb. One in three patients with DVT will develop post-thrombotic sequelae within five years. Rutosides are a group of compounds derived from horse chestnut (Aesculus hippocastanum), a traditional herbal remedy for treating oedema formation in chronic venous insufficiency (CVI). Read More

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http://doi.wiley.com/10.1002/14651858.CD005625.pub4
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http://dx.doi.org/10.1002/14651858.CD005625.pub4DOI Listing
November 2018
9 Reads

Rutosides for prevention of post-thrombotic syndrome.

Cochrane Database Syst Rev 2018 11 8;11:CD005626. Epub 2018 Nov 8.

Division of Epidemiology and Public Health, University of Nottingham, C120, Clinical Sciences Building - Ph2, City Hospital Campus, Hucknall Road, Nottingham, UK, NG5 1PB.

Background: Post-thrombotic syndrome (PTS) is a long-term complication of deep venous thrombosis (DVT) that is characterised by pain, swelling, and skin changes in the affected limb. One in three patients with DVT will develop post-thrombotic sequelae within five years. The current standard care for the prevention of PTS following DVT is elastic compression stockings. Read More

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http://doi.wiley.com/10.1002/14651858.CD005626.pub4
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http://dx.doi.org/10.1002/14651858.CD005626.pub4DOI Listing
November 2018
5 Reads

The Effect of Saphenous Vein Ablation on Combined Segmental Popliteal Vein Reflux.

Korean J Thorac Cardiovasc Surg 2018 Oct 5;51(5):338-343. Epub 2018 Oct 5.

Department of Thoracic and Cardiovascular Surgery, National Health Insurance Service Ilsan Hospital.

Background: This study examined the role of superficial vein surgery in patients with combined superficial venous reflux and segmental popliteal vein reflux.

Methods: We retrospectively reviewed 42 limbs in 38 patients with combined superficial venous reflux and segmental popliteal vein reflux who underwent saphenous vein ablation between January 2014 and February 2017. Patients underwent outpatient follow-up duplex ultrasonography at 3, 6, and 12 months postoperatively. Read More

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http://dx.doi.org/10.5090/kjtcs.2018.51.5.338DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200168PMC
October 2018

Multi-observer comparison study between unenhanced quiescent-interval single-shot magnetic resonance angiography and invasive carbon dioxide angiography in patients with peripheral arterial disease and chronic renal insufficiency.

Eur J Radiol 2018 Nov 28;108:140-146. Epub 2018 Sep 28.

Department of Diagnostic and Interventional Radiology, University Hospital Frankfurt, Frankfurt am Main, Germany.

Objectives: Non-contrast-enhanced quiescent-interval single-shot magnetic resonance angiography (QISS-MRA) and invasive carbon dioxide (CO2) angiography are suggested as nephroprotective methods for accurate staging of peripheral arterial disease (PAD) in patients with chronic renal insufficiency (CRI). The aim of our study was to compare the image quality of both examinations.

Methods: 16 consecutive PAD patients with highly impaired renal function (estimated glomerular filtration rate (eGFR) < 30 ml/min/1. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0720048X183034
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http://dx.doi.org/10.1016/j.ejrad.2018.09.029DOI Listing
November 2018
2 Reads

Sulodexide in venous disease.

J Thromb Haemost 2018 Nov 5. Epub 2018 Nov 5.

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

Sulodexide is a glycosaminoglycan extracted from porcine intestinal mucosa. The purpose of this review is to discuss sulodexide's complex pharmacological profile and its clinical applications for venous disease. Sulodexide has wide-ranging biological effects on the vascular system, including antithrombotic, profibrinolytic, anti-inflammatory, endothelial protective and vasoregulatory effects. Read More

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http://doi.wiley.com/10.1111/jth.14324
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http://dx.doi.org/10.1111/jth.14324DOI Listing
November 2018
5 Reads

A Randomised Clinical Trial of Buffered Tumescent Local Anaesthesia During Endothermal Ablation for Superficial Venous Incompetence.

Eur J Vasc Endovasc Surg 2018 Nov 29;56(5):699-708. Epub 2018 Jun 29.

Academic Vascular Surgery, Hull-York Medical School, Hull Royal Infirmary, Hull, UK.

Objective/background: Endovenous thermal ablation (EVTA) is the recommended first line intervention for superficial venous incompetence (SVI). While the infiltration of perivenous tumescent local anaesthesia (TLA) is key to procedural success, it is paradoxically the predominant source of patient reported discomfort. This randomised controlled trial investigates the potential to reduce peri-procedural pain and improve patient reported outcome measures (PROMs), including quality of life (QoL) using TLA buffered to physiological pH. Read More

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http://dx.doi.org/10.1016/j.ejvs.2018.05.017DOI Listing
November 2018
3 Reads

Comparison of cutaneous manifestations in diabetic and nondiabetic obese patients: A prospective, controlled study.

North Clin Istanb 2018 21;5(2):114-119. Epub 2018 May 21.

Department of Dermatology, Faculty of Medicine, Istanbul Medeniyet University, Istanbul, Turkey.

Objective: Obesity is known to be a risk factor for many diseases including dermatological problems. Here, we aimed to determine the cutaneous manifestations in obese patients and the frequency of the accompanying dermatoses and to investigate the effect of diabetes mellitus in obese patients on cutaneous manifestations compared with the control group.

Methods: Our study included a total of 600 adults: 450 obese volunteers and 150 healthy volunteers. Read More

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http://dx.doi.org/10.14744/nci.2017.68553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6191549PMC
May 2018
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Precision Onion Skinning Technique for Transjugular Intrahepatic Portosystemic Shunt Revision.

Cureus 2018 Aug 22;10(8):e3180. Epub 2018 Aug 22.

Interventional Radiology, University of Florida Health, Jacksonville, USA.

A transjugular intrahepatic portosystemic shunt is the standard of care for complications of portal hypertension, such as variceal bleeding, refractory ascites, and hepatic hydrothorax. Hepatic encephalopathy, hepatic insufficiency, and right heart failure are the major complications after shunt creation. If medical management is unsuccessful, the interventionalist is consulted to close/revise the shunt. Read More

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https://www.cureus.com/articles/13698-precision-onion-skinni
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http://dx.doi.org/10.7759/cureus.3180DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6199139PMC
August 2018
6 Reads

Chronic venous insufficiency and varicose veins of the lower extremities.

Korean J Intern Med 2018 Oct 26. Epub 2018 Oct 26.

Division of Interventional Cardiology, Calhoun Cardiology Center, UConn Health, University of Connecticut School of Medicine, Farmington, CT, USA.

Chronic venous insufficiency (CVI) of the lower extremities manifests itself in various clinical spectrums, ranging from asymptomatic but cosmetic problems to severe symptoms, such as venous ulcer. CVI is a relatively common medical problem but is often overlooked by healthcare providers because of an underappreciation of the magnitude and impact of the problem, as well as incomplete recognition of the various presenting manifestations of primary and secondary venous disorders. The prevalence of CVI in South Korea is expected to increase, given the possible underdiagnoses of CVI, the increase in obesity and an aging population. Read More

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http://kjim.org/journal/view.php?doi=10.3904/kjim.2018.230
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http://dx.doi.org/10.3904/kjim.2018.230DOI Listing
October 2018
9 Reads

RESULTS OF EVLT: RADIAL FIBER VERSUS BARE-TIP FIBER WITH CHEMICAL ASSISTANCE.

Georgian Med News 2018 Sep(282):12-17

Odessa National Medical University, Ukraine.

Purpose of the study - comparison of the effectiveness of various methods of endovenous laser coagulation of the great saphenous vein, searching the optimal scheme for the treatment of chronic venous insufficiency. Retrospective analyze of 318 clinical cases of combined surgical treatment using various methods of thermoablation (bare-tip fiber, radial fiber, simultaneous thermoablation and echosclerobliteration) of a great saphenous vein. By the parameter of the great saphenous vein occlusion, the results in the group of simultaneous thermoablation and echosclerobliteration surpassed the bare-tip thermoablation group results and were comparable with the results of radial thermoablation. Read More

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September 2018
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Combined therapy in the treatment of mixed etiology leg ulcer - case report.

Ther Clin Risk Manag 2018 8;14:1915-1921. Epub 2018 Oct 8.

Department of Internal Medicine, Angiology and Physical Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Bytom, Poland.

The most frequent causes of leg ulcers are chronic venous disease (CVD) related mainly to venous hypertension and peripheral arterial disease (PAD) related to disseminated atheromatous lesions in lower limb arteries. In 15%-21% of patients, ulcers of mixed venous-arterial etiology occur, which are usually more resistant for conservative therapy (compression therapy, pharmacotherapy, wearing elastic stockings, leg elevation and massage, change of lifestyle, and regular physical exercises). The contemporary model of complex therapy of leg ulcers in the course of chronic venous and arterial insufficiency more often also comprises numerous physical therapy procedures as associated therapy. Read More

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http://dx.doi.org/10.2147/TCRM.S176321DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6183550PMC
October 2018
4 Reads

Hepatic encephalopathy: Sometimes more portal than hepatic.

J Gastroenterol Hepatol 2018 Oct 21. Epub 2018 Oct 21.

Department of Surgery, School of Medicine, Complutense University of Madrid, Madrid, Spain.

Hepatic encephalopathy is a severe complication of both chronic and acute liver diseases. The term hepatic encephalopathy stems from the belief that hepatic insufficiency is its fundamental etiopathogenic factor. However, most clinical cases show liver failure along with mesenteric venous portal hypertension. Read More

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http://doi.wiley.com/10.1111/jgh.14514
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http://dx.doi.org/10.1111/jgh.14514DOI Listing
October 2018
6 Reads

The Discord Outcome Analysis (DOA) as a Reporting Standard at Three Months and Five Years in Randomised Varicose Vein Treatment Trials.

Eur J Vasc Endovasc Surg 2018 Oct 17. Epub 2018 Oct 17.

Josef Pflug Vascular Laboratory, Ealing Hospital, Middlesex, UK; Department of Surgery and Cancer, Imperial College, London, UK; West London Vascular and Interventional Centre, Northwick Park Hospital, Harrow, UK. Electronic address:

Objectives: Treatment success for chronic superficial venous insufficiency could be defined as an improvement in three domains: (i) disease specific quality of life, (ii) clinical severity, (iii) reflux. The aim was to report these at five years using a Venn diagram to profile the outcomes: a discord outcome analysis (DOA).

Materials And Methods: Patients (n = 50 patients/legs in each treated group) were randomised to endovenous laser ablation (EVLA) with concurrent phlebectomies vs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10785884183068
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http://dx.doi.org/10.1016/j.ejvs.2018.09.013DOI Listing
October 2018
12 Reads