Part 1 NEW TECHNIQUES Phlebolymphology – 2003; S9 Part 2 SURGICAL PROCEDURES Phlebolymphology – 2003; S29 Part 3 THROMBOEMBOLISM Phlebolymphology – 2003; S39 Part 4 NEWS IN RESEARCH Phlebolymphology – 2003; S43 Part 5 SPECIAL TOPICS Phlebolymphology – 2003; S55 Part 6 AVF SYMPOSIUM Phlebolymphology – 2003; S75 Part 7 UIP INITIATIVES AND AWARDS Phlebolymphology – 2003; S81
UIP INITIATIVES AND AWARDS Chairpersons: C. ALLEGRA (Italy), H. PARTCH (Austria) The “C” of CEAP: suggested definitions and refinements. An International Union of Phlebology Conference of Experts A. CORNU-THENARD (France) The CEAP classification was created in order to facilitate meaningful communication about CVD and serve as a basis for a more scientific analysis of management alternatives. It was found that intraobserver reproducibility was 85% while interobserver was of 47%. A conference of experts on its refinement met at the 14th World Congress of the International Union of Phlebology in Rome (September 2001). The key points they worked on were the…
AMERICAN VENOUS FORUM SYMPOSIUM. THE MANAGEMENT OF VENOUS DISORDERS: GUIDELINES OF THE AMERICAN VENOUS FORUM Chairpersons: P. GLOVICZKI (USA) A. J. COMEROTA (USA) Current management of acute iliofemoral venous thrombosis: the AVF guidelines A. J. COMEROTA (USA) What is the goal of therapy of deep vein thrombosis? We want to prevent the worst immediate consequences, such as pulmonary embolism, but in the long term we must also prevent the postthrombotic syndrome, a highly debilitating situation that frequently results from iliofemoral venous thrombosis, especially if both venous incompetence and venous obstruction are present. There are studies showing that an aggressive approach…
COMPRESSION Chairpersons: J. CAPRINI (USA), H. PARTSCH (Austria) The influence of the dynamic elasticity coefficient on the action of compression therapy H. A. M. NEUMANN (Netherlands) In the presented paper, the author challenged the official CEN measurement technique for prediction of the dynamic effect of different compression hosiery in the same compression class. The second conclusion was that differences in hysteresis of the hosiery can lead to differences between static and dynamic behavior of compression hosiery. Low hysteresis in the knitwear makes hosiery more effective, with greater hysteresis the hosiery is comparable to nonelastic or textile elastic bandages. The role…
NEW TOPICS IN PHLEBOLOGY RESEARCH Chairpersons: J. MAURIELLO (USA) and E. RABE (Germany) Microvenous valves in the normal human lower limb and chronic venous insufficiency (CVI) A. M. VAN RIJ (New Zealand) Contrary to previous belief, venous valves are present not only in the macrocirculation but in microcirculation of normal limbs, and in patients with CVI. Using electron scanning microscopy, microvenous valves were observed in veins down to 20 μm in diameter in the superficial venous system. The regional distribution of valves and the size of veins containing valves were not significantly different in the normal and in venous ulcerated…
THROMBOEMBOLISM Moderators: BO EKLÖF (Sweden), SHUNICHI HOSHINO (Japan) Safety and effectiveness of combined regional thrombolysis and thrombectomy in acute lower- limb thrombosis W. BLÄTTLER (Switzerland) The gold standard for treatment of deep vein thrombosis is unknown. Conservative management of heparin therapy shows postthrombotic syndrome in 49.1% after 24 months.1 Heparin and compression therapy was able to reduce the frequency of postthrombotic sequelae to 20%.2 Systemic thrombolysis gives a high rate of patent, recanalized vessels, but has a higher bleeding rate. Thrombectomy removes the thrombus but leads to valve damage and has an unacceptably high mortality rate. In this report, regional…
LASER PHLEBECTOMY AND RELATED TECHNIQUES Chairpersons: A. A. RAMELET (Switzerland), R. A. WEISS (USA) Combination of phlebectomy of side branches and foam sclerotherapy of the saphenous stem as a second stage A. CAVEZZI (Italy) Since the year 2000 the author has used the therapeutic two-step combination of: 1) phlebectomy of varicose tributaries with flush ligation at the entry of the upper incompetent tributary with saphenous stem, followed by 2) duplex-guided foam sclerotherapy of the residual saphenous stem after 2 months, in patients with saphenous incompetence without saphenofemoral or sapehopopliteal junction reflux. The sclerosant foam is formed using the Tessari method….
Classical operations for varicose veins (VV) are performed less and less. The increasing use of foam sclerotherapy and various endovenous closure devices (endovenous laser therapy (EVLT), VNUS® radiofrequency closure) rather than classical surgical management is becoming evident. These less invasive therapies allow treatment of older people who in the past would have been treated only by compression. Prof J. J. Bergan (USA) pointed out that with these techniques the classical surgical approach to the saphenofemoral junction in VV disease is only necessary in cases with venous aneurysms exceeding 2 cm in diameter at the level of the preterminal valve in…
The reports from the World Congress Chapter Meeting of the Internationale Union of Phlebology were prepared by the following members of the MRA team: Grzegorz BIOLIK Ul. Malwy 15 40-748 Katowice, Poland Yves BLOMME Volkskliniek Tichelrei B-9000 Gent, Belgium Vadim BOGATCHEV 1 Gradskaya Hospital 8-6, Leninsky Prospect 117049 Moscow, Russia Andrzej GABRUSIEWICZ Dpt of Vascular Surgery S. Elisabeth Hospital 1. Goszcynskeigo Str 02-616 Warszawa, Poland Elena IBORRA Ciutat Sanitaria i Universitaria de Bellvitge Servicio de Angiología y Cirurgía Vascular C/ Feixa Llarga, s/n 08907 L’ Hospitalet de Llobregat, Spain Andrew NICOLAIDES Institute of Neurology and Genetics 6, International Airport Avenue…
PREFACE This report from the American Chapter Meeting of the Union Internationale de Phlébologie, San Diego, has been prepared by the members of the Medical Reporters’ Academy (MRA). This group, composed of young medical doctors selected from different European countries, was created and sponsored by Servier 7 years ago. Since then, the MRA group has been attending major international congresses in Phlebology and Angiology in order to keep specialists all over the world fully informed of recent developments in the field. Each day of the congress, all sessions are covered, and the team select the best information at evening meetings….
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