Phlebolymphology N°84

1.6 Vascular access

1.6.1 Tunneled catheters Prevention and treatment of sepsis. J. Pengloan According to the author, tunneled catheters (TCs) are essential devices for patients on hemodialysis, but are frequently associated with high levels of morbidity and mortality due to an inflammatory process or infection. Development of an intraluminal bacterial biofilm is the cause of bacteremia and abscesses may occur during the introduction of bacteria from skin flora during the connection and disconnection of TCs. The treatment is based on the association of a systemic antibiotic lock solution with a fibrinolytic treatment of TC that should be continued at least 2 weeks after…

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1.7 Imaging and navigation tools

How accurate is intraoperative overlay imaging? H. Kobeiter The author started by defining accuracy as the quality or state of being correct or precise, and, technically, it is the degree to which the result of a measurement, calculation, or specification conforms to the correct value or the standard. Next, he stated that in the last decade, there have been significant improvements and new developments in image guidance. Two-dimensional (2D) angiography has developed into three-dimensional (3D) rotational angiography, and more recently, C-arm cone-beam computed tomography (CBCT) has enabled 3D volumetric imaging. These recent image acquisition capabilities have been developed to assist…

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2.1 Deep vein and perforator

Deep venous reconstructive surgery for CVI. New procedures and tricks. O. Maleti Postthrombotic deep vein incompetence is an incapacitating disease, which, in most cases, can lead to severe chronic venous insufficiency. The author proposed a question: What do we mean by deep venous reconstructive surgery for chronic venous insufficiency (CVI)? In answering, surgery aimed at repairing one or more venous valves, or aimed at reconstructing a nonrefluxing segment. Repair is frequently possible in CVI due to primary reflux, rarely possible in secondary reflux, never possible in valve agenesis. Reconstruction is possible in secondary reflux and valve agenesis. The main repair…

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1.1 Thoracic Endovascular Aortic Repair (TEVAR)

1.1.1 Thoracic aorta: open, endo, or hybrid Can we stratify the operative risk of TEVAR? M. Thompson Even though thoracic endovascular aortic repair (TEVAR) presents a lower short-term mortality and morbidity than traditional open surgery, it is still associated with a high morbimortality rate (10% to 15%) and a high rate of all-cause death at follow-up. Considering these facts, the author developed a system to stratify patient-specific risk to aid in preoperative planning. The MOTHER database (Medtronic endOvascular THoracic Endovascular Registry) gathered data from five prospective clinical trials and a single institutional series. Rates of perioperative adverse events were calculated,…

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Controversies and Updates in Vascular Surgery

I. Arterial diseases 1.1 Thoracic Endovascular Aortic Repair (TEVAR) 1.2 Abdominal Aortic Aneurysms (AAA) 1.3 Carotid stenosis 1.4 Superficial femoral artery and stents, visceral arteries, and leg arteries 1.5 Critical limb ischemia 1.6 Vascular access 1.7 Imaging and navigation tools II. Venous diseases 2.1 Deep vein and perforator 2.2 Iliofemoral vein 2.3 Venous Malformation 2.4 Sclerotherapy 2.5 Thermal ablation 2.6 Other

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Medical Reporters’ Academy

The reports from four recent meetings: “Controversies & Updates in Vascular Surgery” in Paris, the “Charing Cross Vascular Meeting” in London, the XVth Meeting of the European Venous Forum in Paris, and the “Paris Dermatological Meeting”. were prepared by the following members of the Medical Reporters’ Academy (MRA):

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Editorial

  The Medical Reporters’ Academy (MRA) is an international group of young specialists with a core interest in venous disease drawn from various fields including dermatology and internal medicine in addition to the more directly related areas of angiology and vascular surgery, not to mention phlebology itself. Each year, they are invited to report from international congresses of interest to venous disease specialists. The goal of the MRA is to act as an authoritative first-hand source of state-of-the-art information for clinicians who cannot attend every international congress they would like or who miss parallel presentations at those congresses. We warmly…

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Phlebolymphology N°84 (Vol 21 – N°4 – 2014)

Editorial Medical Reporters’ Academy   Controversies and Updates in Vascular Surgery – Paris, France, January 23-25, 2014 Charing Cross Vascular Meeting – London, UK, April 5-8, 2014 XVth Annual Meeting of the European Venous Forum – Paris, France, June 25-28, 2014 Paris Dermatological Meeting 2013 – Paris, France, December 10-14, 2013

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