Phlebolymphology N°85

Deep venous reflux definitions and associated clinical and physiological significance

Lim KH, Hill G, Tarr G, van Rij A. J Vasc Surg: Venous and Lym Dis.2013;1:325-332. Classification validation as well as physiopathological significance of deep venous reflux (DVR) remains debated knowing that DVR is frequently combined with superficial venous reflux (SVR). Numerous key questions need to be answered. First, does segmental deep reflux have an impact on CVD or not? Second, does segmental reflux location matter? In other words, do isolated common femoral vein reflux or popliteal vein reflux have the same physiopathological importance in terms of clinical and hemodynamic anomalies? Third, does SVR suppression abolish or improve DVR segmental…

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The role of duplex ultrasound in the workup of pelvic congestion syndrome

Malgor RD, Adrahtas D, Spentzouris G, Gasparis AP, Tassiopoulos AK, Labropoulos N. J Vasc Surg: Venous and Lym Dis. 2014;2:34-38. This article reports on an evaluation of using duplex ultrasound (DU) as a diagnostic technique in the diagnosis and follow-up of pelvic congestion syndrome (PCS) due to its noninvasive nature that contrasts with other standard techniques, such as conventional venography (CV). To asses this study, the authors performed a comparative study using patients imaged with DU, computed tomography venography (CTV), and CV in order to measure the accuracy of DU in the PCS diagnosis. Their results showed that DU has…

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Chronic venous disease progression and modification of predisposing factors

Kostas TI, Ioannou CV, Drygiannakis I, Georgakarakos E, Kounos C, Tsetis D, Katsamouris AN. J Vasc Surg. 2010;51:900-907. Aim: The aim of this study was to evaluate long-term characteristics of chronic venous disease (CVD) progression and its correlation with the modification of specific risk factors. Methods: In this prospective, follow-up study, the contralateral limb of 73 patients (95% women; mean age, 48±12 years) undergoing varicose vein surgery were prospectively evaluated using physical and color duplex examination and were classified using the Clinical, Etiological, Anatomical, and Pathological (CEAP) classification. After 5 years of follow-up, the development of new sites of reflux…

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Comments on recent publications

Foreword VEINews; a new heading The VEINews rubric is now incorporated in Phlebolymphology and may take various forms such as comments on a recent international publication (the most common) or on several publications on the same topic. It might also be controversial views of 2 authors on the same publication, or a state-of-the-art article on a timely topic. In this issue, Prof Michel Perrin (Lyon, France), Dr Javier LEAL MONEDERO (Madrid, Spain), and Dr Oscar Maleti (Modena, Italy) will comment on the following publications: “Chronic venous disease progression and modification of predisposing factors” authored by Kostas TI, Ioannou CV, Drygiannakis…

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A quality of life tool kit in chronic venous disorders

A quality of life tool kit in chronic venous disorders Robert Launois REES France, 48, rue d’Assas, 75006, Paris, France Abstract Individual preferences are now at the center of the medical decision-making process. Different experimental methods are used to determine preferences. Psychometricians use direct observation of a subject’s reaction in a particular pathological situation: patients are asked to arrange the intensity of the impacts on numerical ordinal scales, but an actual metrical measure is not yet available. Traditionally, economists believe that in a market, only the consumer’s choices enable us to estimate his or her level of satisfaction. In the…

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Deep vein thrombosis and air travel: risk management in 2015

Deep vein thrombosis and air travel: risk management in 2015 Michèle CAZAUBON Vascular Unit, Vein Clinic, American Hospital of Paris, France. Abstract Long-haul flights increase the risk of venous thromboembolism (VTE) for several weeks after the flight by 3-fold among passengers compared with the general population. The risk increases with flight duration and persists for several weeks (until week 8) after landing. This risk is not the same for all passengers and should be determined before any long flight, especially among frequent travellers. The calculation of risk is based on simple clinical data, easily obtained by the treating physician. If…

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Great saphenous vein transitory reflux in patients with symptoms related to chronic venous disorders, but without visible signs (C0s), and its correction with MPFF treatment

Great saphenous vein transitory reflux in patients with symptoms related to chronic venous disorders, but without visible signs (C0s), and its correction with MPFF treatment Yu. T. Tsoukanov, A. Yu. Tsoukanov, A. Nikolaychuk Department of Surgical Diseases, Omsk State Medical Academy, Omsk, Russia Abstract Aim: the study was aimed at investigating the frequently encountered clinical group of patients presenting with subjective leg symptoms without visible signs of chronic venous disorders. The great saphenous vein (GSV) of such patients was investigated using duplex scanning (DS) to verify whether a reflux could occur in certain circumstances, ie, at the end of the…

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Postinterventional compression in phlebology: evidence and empirical observations

Postinterventional compression in phlebology: evidence and empirical observations Giovanni MOSTI Angiology Department, MD Barbantini Clinic, Italy Abstract There is almost a general agreement on the effectiveness of compression therapy in preventing unwanted side effects after procedures to remove superficial venous reflux. However, there is still a great debate on which material and compression pressure to use. In order to exert its effects, compression must occlude the vein segments ruptured by surgical or endovenous procedures. At the thigh, the critical segment in every venous intervention, the intravenous pressure is about 40 mm Hg and a higher compression pressure is necessary in…

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Presence of varices after operative treatment: a review

Part 2: This is the second part of the review article “PREsence of Varices After operatIve Treatment (PREVAIT).” The first part was published in Phlebolymphology,  2014;21(3):158-168. Michel Perrin, MD Vascular Surgery, 26 Chemin de Decines, F-69680 Chassieu, France Abstract Background: PREsence of VArices after operatIve Treatment (PREVAIT) occurs in 13% to 65% of patients and remains a debilitating and costly problem. The second part of this review aims to provide an overview of its optimal management according to published data. Methods: A PubMed search was conducted in English and French for the years 2000-2013 by using keywords (ie, duplex scanning,…

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Phlebolymphology N°85 (Vol 22 – N°1 – 2015)

EDITORIAL Editorial By Marianne DE MAESENEER (Rotterdam, The Netherlands) – Phlebolymphology – 2015 ; 22 (1): 4 PHLEBOLOGY Presence of varices after operative treatment: a review (Part 2) Michel Perrin (Chassieu, France) – Phlebolymphology – 2015 ; 22 (1): 51 Postinterventional compression in phlebology: evidence and empirical observations Giovanni MOSTI (Lucca, Italy) – Phlebolymphology – 2015 ; 22 (1): 12 Great saphenous vein transitory reflux in patients with symptoms related to chronic venous disorders, but without visible signs (C0s), and its correction with MPFF treatment Tsoukanov Yu. T., Tsoukanov A. Yu., Nikolaychuk A. (Omsk, Russia) – Phlebolymphology – 2015 ;…

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