I. Reports from the XVIIth World Meeting of the Union Internationale de Phlébologie – Medical Reporters’ Academy (MRA) – Editorial – I. UIP Consensus, UIP Fellowships – II. Anatomy – III. Pathophysiology – IV. Investigations – V. Treatments – VI. Emergencies – VII. Assessment Tools II. Second meeting of the Deep Venous Reconstructive Surgery (DVRS) Club
VII. Assessment Tools Chronic venous disease and quality of life – the time has come to choose a tool Burden of venous disease: comparing worldwide and American findings Armando Mansilha, Portugal The prevalence and socioeconomic burden of chronic venous disease (CVD) are significant in the USA and Europe, and only increase with older age. The presence of venous symptoms has a marked effect on both the physical and mental health of patients with varicose veins; findings that have been verified with generic and specific quality-of-life tools. CVD is not a cosmetic problem and patients with CVD deserve treatment. The long-term…
VI. Emergencies Emergencies in phlebology: anaphylaxis, intra-arterial injection, neurological and cardiac repercussions Kurosh Parsi, Australia Even though emergencies in phlebology are rare, they can be life-threatening. Complications with foam sclerotherapy may be related to the drug and/or gas and can be localized or generalized. Significant complications include anaphylactic reactions (
V. Treatments a. Compression therapy and primary chronic venous disease Ask the experts New concepts in compression treatment Giovanni Mosti, Italy During this session, several accepted dogmas regarding compression therapy were questioned, and new concepts supported by scientific data were presented. 1 – The pressure exerted by the bandage depends on the person applying it rather than the bandage. It has been shown that even experienced nurses may be unable to apply a bandage correctly so that the intended pressure range can be achieved.1 2 – The stiffness of the material is crucial for its behavior. The static stiffness index…
IV. Investigations The need for a consensus on venous ultrasound-guided sclerotherapy Fernando Vega Rasgado, Mexico Although the UIP has published two venous consensus guidelines on ultrasoundguided sclerotherapy (UGS), the authors of this paper suggest that a standardized report of venous ultrasound is required for uniformity in applying the method. This standardization should take into account details of the equipment used for UGS, pictures or drawings of varicose veins, ulcers or other findings, a systematic description of the venous system emphasizing permeability, reflux after Valsalva’s maneuver, as well as further details such as diameter, wall thickness, intensity of reflux, etc. Thus,…
III. Pathophysiology a. Primary chronic venous disease Heritability of chronic venous disease Andreas Fiebig, Germany This presentation described the results of a study performed in Germany in a group of 2701 patients with chronic venous disease (CVD), examined clinically and by duplex ultravenography. The patients’ genetic contribution was assessed by estimating the heritability of CVD using a pedigree-based likelihood approach as implemented in the SOLAR software package. The results of the study confirm that heritability in CVD is high. Heritability was found to vary only little with disease severity by CEAP classification (18.5% C2 and 16.7% C4). There was a…
Nick MORRISON The XVIIth World Congress of the Union Internationale de Phlébologie (UIP) took place in Boston and was hosted by the American College of Phlebology (ACP), under the leadership of UIP Past-President Eberhard Rabe and current President Angelo Scuderi. During the meeting a new Executive Committee and President were elected. As UIP President Elect, I would like to thank all those who have entrusted me with the task of continuing, from 2015 to 2019, what my predecessors have started, and of enforcing the commitments of the UIP: • To strengthen the links between societies and associations, existing or planned,…
The reports from the XVIIthWorld Meeting of the Union Internationale de Phlébologie, Boston, MA, USA were prepared by the following members of the MRA team: • José Daniel BRANDAO FERNANDES (Portugal) • Daciana BRANISTEANU (Romania) • Sylvain CHASTANET (France) • Fidel FERNANDEZ-QUESADA (Spain) • José Benhur PARENTE (Brazil) • Robert VLACHOVSKY (Czech Republic) • Igor ZOLOTHUKIN (Russia) And chaired by: • Andrew NICOLAIDES : Vascular Screening and Diagnostic Center; Nicosia, CYPRUS
I. UIP Consensus, UIP Fellowships Report from the President of the Union Internationale de Phlébologie Angelo Scuderi, Brazil The President of the Union Internationale de Phlébologie (UIP) summarized the 60-year history of the UIP, which evolved from national associations to supranational phlebological societies, to become an international learning society. It now represents 61 societies from 57 countries over five continents. In the last 5 years, more than 20 new societies have joined the UIP, and this year 10 new candidate countries wish to join the society. Guidelines and consensus documents are a very important focus of a President’s term and…
II. Anatomy The terminal and pre-terminal valves of the anterior accessory saphenous vein Alessandro Pieri, Italy An anterior accessory saphenous vein (AASV) is found in only 44%-52% of individuals, but it is incompetent in approximately 50% of cases, and is a very important source of reflux when the terminal or pre-terminal valves are not competent. The other differential characteristic of the AASV is that it is the only saphenous junction tributary that joins the saphenofemoral junction against gravity. Its length ranges from 3 to 30 cm (mean 10 cm), and it is located over the muscular fascia in alignment with…
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