Phlebolymphology N°79

Phlebolymphology N°79 (Vol 20 – N°3 – 2013)

EDITORIAL Editorial Karel Roztocil – (Prague, Czech Republic) – Phlebolymphology – 2013 ; 20 (3): 126 PHLEBOLOGY Current management of superficial thrombophlebitis of the lower limb Athanasios D. GIANNOUKAS – (Larissa, Greece) – Phlebolymphology – 2013 ; 20 (3): 127 Management of mixed arterial and venous lower leg ulcers Michel PERRIN, Marzia LUGLI, Oscar MALETI – (Lyon, France, Modena, Italy) – Phlebolymphology – 2013 ; 20 (3): 133 The Essentials of the UIP Congress in Boston Phlebolymphology – 2013 ; 20 (3): 138 Pelvic congestion syndrome: an update Javier LEAL MONEDERO, Santiago ZUBICOA EZPELETA, Michel PERRIN – (Madrid, Spain, Lyon,…

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Phebolymphology N°79 – Editorial

Dear Readers, This issue of Phlebolymphology once again brings topics of immediate interest to the fore—venous ulcers, varicose vein treatment, venous pelvic congestion syndrome, and superficial vein thrombosis. Allow me to comment on them briefly. For years, chronic venous diseases have been neglected and considered to be less important than other cardiovascular diseases. At present such a view is definitely not acceptable, at least in patients with venous ulcers, which is the most serious condition associated with chronic venous diseases and the development of chronic venous insufficiency. The results of the recent Vein Consult Program have shown that the incidence…

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Current management of superficial thrombophlebitis of the lower limb

Athanasios D. GIANNOUKAS Professor of Vascular Surgery, University of Thessalia Medical School Chairman of Vascular Surgery Department, University Hospital of Larissa, Larissa, Greece ABSTRACT Superficial thrombophlebitis is a manifestation of thrombosis that involves the superficial venous system of the lower limb. It is frequently underreported and is considered an insignificant entity. In some cases it may coexist with deep vein thrombosis, or may extend from the superficial system to the deep veins, increasing the risk of complications such as pulmonary embolism. Diagnosis by ultrasound scanning is essential to exclude deep venous thrombosis and confirm the extent of the superficial thrombophlebitis….

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The Essentials from the XVIIth World Meeting of the Union Internationale de Phlébologie, 7-14 September 2013, Boston, USA

VENOUS SYMPTOMS AND CHRONIC VENOUS DISEASE Whether venous symptoms form part of chronic venous disease (CVD) was the first question asked in the MPFF at a dose of 500 mg symposium organized under the framework of the ‘Union Internationale de Phlébologie’ (UIP) in Boston. This remains a controversial question. For some patients, lower limb pain is poorly related to the presence of varicose veins,1-3 C-class of the Clinical, Etiological, Anatomical, Pathophysiological (CEAP) classification,4 degree of reflux,5 or to the presence of inflammatory markers.6 In contrast, other patients may have a significant correlation between lower limb pain/ symptoms and worsening clinical…

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Management of mixed arterial and venous lower leg ulcers

Michel PERRIN,1 Marzia LUGLI,2 Oscar MALETI2 1 Vascular and Endovascular Surgery department Jean Kunlin Lyon, France. 2 Hospital Hesperia, Modena, Italy ABSTRACT Vascular mixed ulcers are identified in about 10% of lower leg ulcers, but their prevalence is underestimated. A combination of anatomical and physiopathological venous and arterial anomalies makes their management difficult. Both must be investigated in detail to allow optimal treatment. There is consensus that when the ankle brachial index is less than 0.6, the first step should be revascularization for ulcer healing and to prevent recurrence. Conversely, when the ankle brachial index is above 0.6 there is…

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Pelvic congestion syndrome: an update

Javier LEAL Monedero1 Santiago Zubicoa Ezpeleta1 Michel PERRIN2 1. Hospital Ruber Internacional, Madrid, Spain 2. Clinique du Grand Large, Chassieu, Lyon, France ABSTRACT Pelvic congestion syndrome is a common cause of chronic pelvic pain in women caused by abnormal ovarian and pelvic varices. The diagnosis is established using Duplex ultrasonography followed by selective venography according to an investigation algorithm, in order to obtain anatomic and hemodynamic information. This allows the precise detection of any anomaly present and whether it is responsible for the symptoms of pelvic congestion syndrome. If treatment is indicated, a number of options are available, but endovenous…

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A retrospective study of 100 patients with varicose veins treated with radiofrequency ablation and stripping

Andrian O. Tonev, Stoyan G. Genadiev, Svetoslav G. Dimitrov, Todor T. Zahariev, Gencho K. Nachev Clinic of Vascular Surgery and Angiology “St. Ekaterina” University Hospital Sofia, Bulgaria ABSTRACT The management of varicose veins has changed rapidly in recent years. Saphenofemoral ligation and stripping of the great saphenous vein (GSV), which once used to be the standard treatment for GSV reflux, has been challenged–and in some areas replaced–by endovenous therapies. We retrospectively analyzed the records of 100 consecutive patients with chronic saphenofemoral insufficiency. Between 2009 and 2011, 50 patients underwent endovenous ablation using radiofrequency with ClosureFAST™ catheter (Group 1) and 50…

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Differential diagnosis of chronic leg ulcers

Sandra Marinović Kulišić, Jasna Lipozenčić University Department of Dermatology and Venereology, University Hospital Center Zagreb and School of Medicine, Zagreb, Croatia ABSTRACT Background: Chronic leg ulcers are nonhealing wounds on the distal aspects of the leg. Chronic venous insufficiency occurs when the venous system of the legs becomes inefficient and is a price we pay for our upright posture. The majority of chronic leg ulcers are caused by venous disease, but occasionally ulcers are associated with arterial problems or vessel inflammation (vasculitis). Objective: To describe the varying dermatoses found in patients with chronic leg ulcers. Study design: Literature search and…

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