Phlebolymphology N°60

Chronic venous disease in general practice in the Slovak Republic: the TRIANGLE Survey

Viera STVRTINOVA Second Department of Internal Medicine, Medical Faculty of Comenius University, Bratislava, Slovak Republic RATIONALE OF THE TRIANGLE SURVEY IN THE SLOVAK REPUBLIC The TRIple Assessment in chronic venous disease linkiNg siGns, symptoms and quaLity of lifE (TRIANGLE) Survey is a screening program initiated by Servier. TRIANGLE is an international observational research program designed to provide information on the prevalence of chronic venous disease (CVD) and to help achieve better understanding of the triangular relationship between symptoms, signs, and the quality of life in patients suffering from CVD. The Slovakian TRIANGLE program, which is reported in this paper, was…

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Pathophysiology of pain in venous disease

Nicolas DANZIGER Fédération de Neurophysiologie Clinique, Faculté de Médecine Pitié-Salpêtrière, Pitié- Salpêtrière Medical Center, Paris, France SUMMARY Pain is the chief complaint that leads to the diagnosis of venous disease and it has a significant impact on patients’ quality of life. But for the clinician as well as the researcher, pain in venous disease is difficult to assess, both because of its multifaceted nature and due to the absence of a close relationship between pain as a symptom and the severity of venous disease. Current hypotheses on the mechanisms of pain in venous disease emphasize a local inflammatory origin. However,…

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The role of compression in the prevention of postthrombotic syndrome

Athanasios D. GIANNOUKAS Department of Vascular Surgery, University Hospital of Larissa, University of Thessaly Medical School, Larissa, Greece. ABSTRACT The role of compression with or without early ambulation in patients with deep venous thrombosis (DVT) in the prevention of postthrombotic syndrome (PTS) has not been widely accepted in clinical practice. This article investigates the existing evidence regarding the effects of compression in the prevention of PTS, with or without early ambulation after proximal DVT. Electronic and hand searching of the relevant literature was undertaken. Two systematic reviews and four randomized studies were identified. In these four studies there was lack…

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Current status of thrombolysis for acute deep venous thrombosis

Anthony J. COMEROTA, Marilyn H. GRAVETT Jobst Vascular Center University of Michigan The Toledo Hospital, OH, USA ABSTRACT An important question involving the management of patients with acute deep venous thrombosis (DVT) is whether thrombus removal improves outcome, either by reducing postthrombotic morbidity or reducing recurrence rates. Eliminating thrombus is intuitively appealing since persistent thrombus causes venous obstruction and destroys valve function, leading to ambulatory venous hypertension and, ultimately, symptoms of the postthrombotic syndrome. Natural history studies of acute DVT have demonstrated that when spontaneous lysis of thrombus occurs, valve function is preserved, especially when lysis occurs within 1-2 months…

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Phlebolymphology N°60 (Vol 15 – N°3 – 2008)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2008 ; 15(3): 84 PHLEBOLOGY Current status of thrombolysis for acute deep venous thrombosis A. J. Comerota – Phlebolymphology – 2008; 15 (3): 85 The role of compression in the prevention of postthrombotic syndrome A. D. Giannoukas – Phlebolymphology – 2008; 15 (3): 94 Chronic venous disease in general practice in the Slovak Republic: the TRIANGLE Survey V. Stvrtinova – Phlebolymphology – 2008; 15 (3): 98 Compliance with compression stockingsin chronic venous disease S. Raju – Phlebolymphology – 2008; 15 (3): 103 Pathophysiology of pain in venous disease N. Danziger – Phlebolymphology –…

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Compliance with Compression Stockings in Chronic Venous Disease*

Seshadri RAJU University of Mississippi Medical Center and River Oaks Hospital, Jackson, Mississippi * Presented at the 19th American Venous Forum meeting, San Diego, California. Excerpted with permission from – Raju S, Hollis K, Neglen P. Use of compression stockings in chronic venous disease: patient compliance and efficacy. Ann Vasc Surg. 2007;21:790-795. ABSTRACT Data regarding past and present stocking use was collected from 3144 chronic venous disease (CVD) patients who had been under the prior care of primary care physicians or specialists. Only 21% of patients reported using the stockings on a daily basis, 12% used them most days, and…

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Phlebolymphology N°60 – Editorial

Dear Readers, This issue of Phlebolymphology contains several highlights. Anthony Comerota, Director of the Jobst Vascular Center of the University of Michigan, Toledo, Ohio, USA, gives a very comprehensive overview of the current status of thrombolysis for acute deep vein thrombosis. Due to the development of various forms of special catheter techniques, the rate of successful procedures can be increased and the previous risks connected with systemic fibrinolysis seem to be diminished. Long-term studies will be needed in order to prove that the rate of postthrombotic syndrome can be diminished in comparison with conservative therapy with adequate anticoagulation, mobilization, and…

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