Phlebolymphology N°50

Phlebolymphology N°50 (Vol 13 – N°1 – 2006)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2006; 13(1): 2 A new concept of the mechanism of venous valve closure and role of valves in circulation F. Lurie, R. L. Kistner, B. Eklof, D. Kessler – Phlebolymphology – 2006; 13 (1): 3 Evaluation of the new severity scoring system in chronic venous disease of the lower limbs: an observational study conducted by French angiologists M. Perrin, F. Dedieu, V. Jessent, M-P. Blanc – Phlebolymphology – 2006; 13 (1): 6 BOOK REVIEW Benefit of MPFF at a dose of 500 mg in chronic venous disease-related edema F. Pitsch – Phlebolymphology –…

Full text

Prevalence of patients with chronic venous disease-related symptoms but without visible signs (described as C0s in the CEAP classification): the Italian experience

Guiseppe Maria ANDREOZZI Angiology Care Unit University Hospital of Padua, Italy SUMMARY The [C[0S]] item of the CEAP classification is one of the emerging topics in venous disease epidemiology. It has been referred to by several studies, but until today it has not been clearly assessed by any specific study. In Italy, the topic has interested several groups of researchers since the 1980s. The author carried out several pilot studies with infrared photoplethysmography (PPG), strain-gauge plethysmography, laser-Doppler and echo-duplex. The results suggested that one of the pathophysiological causes of venous disease-related subjective symptoms without varicose veins could be caused by…

Full text

Relationship between the small saphenous vein and nerves: implications for the management of chronic venous disease

Jean-François UHL,1 Claude GILLOT,2 Philippe LEMASLE3 1 Laboratoire d’anatomie – Biomédicale des Saint Pères – Université Paris 5 – France 2 Centre de Chirurgie des Varices – Neuilly sur Seine – France 3 Le Chesnay – 78150 – France SUMMARY The aim of this study was to describe the anatomical relations of the short saphenous vein in the lower limb as an aid in locating important anatomical landmarks in the surgical treatment of chronic venous disease. The small saphenous vein (SSV) runs in a compartment demarcated by muscular fascia and a membranous layer of subcutaneous tissue. Muscular contraction can affect…

Full text

Benefit of MPFF at a dose of 500 mg in chronic venous disease-related edema

Françoise PITSCH Servier International Paris – France INTRODUCTION Lower-extremity edema is often encountered in clinical practice, and represents a manifestation of a variety of possible disease processes. Edema results from fluid accumulation in the interstitial compartment of the extravascular space.1 This fluid retention clinically is shown by the “pitting” test. The underlying cause should be actively investigated to optimize treatment. The etiology is multifactorial, revolving around the intricate balance of capillary blood and oncotic pressures, tissue pressures, lymphatic flow, and capillary permeability. Changes in any of these factors can offset the extravascular fluid balance. Hormonal impregnation, plasma and interstitial protein…

Full text

Evaluation of the new severity scoring system in chronic venous disease of the lower limbs: an observational study conducted by French angiologists

Michel PERRIN* Florence DEDIEU, Valérie JESSENT, Marie-Pascale BLANC *Chassieu, France SUMMARY In 2000, Rutherford proposed a new tool to measure the severity of venous disease. Its aim was to quantify the progression and treatment of chronic venous disease. It consists of three scores comprising clinical aspects, anatomic and pathophysiologic abnormalities (venous segmental disease score), and disability. French angiologists, in order to evaluate the relevance and usefulness of such scores in their daily practice, conducted an observational study. The scores were tested on 1900 patients by 398 angiologists, who completed an opinion questionnaire. In any class of the CEAP classification, the…

Full text

A new concept of the mechanism of venous valve closure and role of valves in circulation

Fedor LURIE, MD, PhD, Robert L. KISTNER, MD, Bo EKLOF, MD, PhD, Darcy KESSLER, RVT. Department of Surgery, John A. Burns School of Medicine, University of Hawaii One can not overestimate the importance of venous valves in the vascular system. They are relatively simple membranous structures, and yet, their malfunction causes almost all known venous disorders. In primary venous insufficiency malfunction of the valves leads to broad spectrum of pathological changes, from spider varicose veins to lypodermatosclerosis to venous ulcers. Venous thrombi originate from the valve sinus. As the thrombus resolves, additional damage to venous valves occurs, leading to secondary…

Full text

Phlebolymphology N°50 – Editorial

Dear Readers, Several exciting phlebological problems will be discussed in this issue of Phlebolymphology. Up to now, our understanding of how venous valves work was mainly based on theoretical concepts. Modern ultrasound technology enables the observer to record simultaneously the motions of valve leaflets, and changes in size and shape of the venous sinus and blood flow through the valve during the respiratory cycle and during exercise in different body positions. Fedor Lurie, together with Robert Kistner and coworkers from the University of Hawaii provide us with a meticulous analysis of the exact mechanisms of a valve cycle between the…

Full text