Phlebolymphology N°88

Phlebolymphology N°88 (Vol 23 – N°1 – 2016)

EDITORIAL Editorial By Lourdes REINA GUTTIEREZ (Madrid, Spain) Phlebolymphology – 2016 ; 23 (1): 2 PHLEBOLOGY An update on operative treatments of primary superficial vein incompetence: part I. Michel Perrin (Chassieu, France) Phlebolymphology – 2016 ; 23 (1): 3 The history of catheter-directed thrombolysis of deep venous thrombosis Niels Bækgaard, Rikke BROHOLM (Copenhagen, Denmark) Phlebolymphology – 2016 ; 23 (1): 12 MPFF and the protection of venous valves Luigi PASCARELLA (Iowa City, USA) Phlebolymphology – 2016 ; 23 (1): 20 Combined hormonal contraceptives and the subsequent risk of a venous thromboembolism Christian Jamin (Paris, France) Phlebolymphology – 2016 ; 23…

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Patients seeking treatment for chronic venous disorders: Russian results from the VEIN Act program

Patients seeking treatment for chronic venous disorders: Russian results from the VEIN Act program Dmitry E. LISHOV,1 Alexander I. KIRIENKO,2 Anatoly A. LARIONOV,1 Alexander I. CHERNOOKOV3 1 Center of Phlebology 2 N.I. Pirogov ’s Russian National Research Medical University 3 I.M. Sechenov First Moscow State Medical University Moscow, Russian Federation Abstract Objective: The Russian VEIN Act program (chronic VEnous dIsorders maNagement and EvaluAtion of Chronic venous disease treatment effecTiveness) was an observational, prospective survey, carried out under the auspices of the European Venous Forum that was designed to assess compliance with nonsurgical treatments (lifestyle advice, venoactive drugs, and compression therapy)…

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Controversies surrounding symptoms and signs of chronic venous disorders

Controversies surrounding symptoms and signs of chronic venous disorders Marian Simka College of Applied Sciences, Department of Nursing, Ruda Śląska, Poland Abstract Association of so-called venous symptoms (aching, itching, tingling, burning sensation, swelling, easily fatigued legs, leg heaviness, and leg restlessness) with chronic venous disease (CVD) still remains a controversial issue. Although these symptoms and a decreased quality of life are common in patients with venous incompetence, and are even more frequent in those with a history of venous thrombosis and/or recurrent and bilateral varicose veins, research has actually revealed that these complaints are poorly correlated with objective signs of…

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Combined hormonal contraceptives and the subsequent risk of a venous thromboembolism

Combined hormonal contraceptives and the subsequent risk of a venous thromboembolism Christian Jamin Gynecologist Paris, France Abstract Recent public alarm in European countries has renewed concerns about the safety of oral contraceptive pills (OCPs) after women sued manufacturers for potentially fatal venous thromboembolisms resulting from using OCPs (particularly those combining estrogen and the new generations of progestin). Earlier studies, reporting an increased risk of venous thromboembolisms, produced conflicting results and had methodological limitations, calling into question the validity of the findings and conclusions about the magnitude of the additional risk associated with using the new progestin-containing contraceptives. Finally, the World…

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The history of catheter-directed thrombolysis of deep venous thrombosis

The history of catheter-directed thrombolysis of deep venous thrombosis Niels Bækgaard, MDa Rikke Broholm , MD, PhDb aVascular Clinic, Gentofte Hospital and Rigshospitalet, University of Copenhagen, Denmark bDepartment of Clinical Physiology and Nuclear Medicine, Herlev Hospital, University of Copenhagen, Denmark Abstract Catheter-directed thrombolysis (CDT) is a relatively new treatment modality that actively removes a venous thrombosis. CDT has been chiefly practiced for acute iliofemoral deep venous thrombosis because this vein segment has a poor rate of spontaneous recanalization compared with more distal vein segments. This can be explained by the frequent occurrence of the May-Thurner syndrome (also known as Cockett’s…

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MPFF and the protection of venous valves

MPFF and the protection of venous valves Luigi Pascarella Iowa City, USA Abstract Increased venous pressure underlies all the clinical manifestations of chronic venous disorders. Venous hypertension is the result of incompetent venous valves in the superficial veins for most patients. A strong link between venous hypertension, valve failure and venous inflammation has been evoked through pharmacological studies and confirmed in a variety of animal models. A cascade of inflammatory reactions results in adverse changes in the venous valve and venous wall that eventually produce venous hypertension. Symptoms, telangiectasias, varicose veins, and eventually venous leg ulcers appear to be a…

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An update on operative treatments of primary superficial vein incompetence: part I.

An update on operative treatments of primary superficial vein incompetence: part I. This is the first of two chapters that will comprise the “Update on operative treatments of primary superficial vein incompetence.” These two chapters will be published consecutively. Michel Perrin, MD Vascular Surgery, Unité de Pathologie Vasculaire Jean Kunlin Chassieu, France Abstract For more than a century, open surgery and liquid sclerotherapy were the only options used for operatively treating primary varices. In the last 20 years, management of primary varices has dramatically changed due to ultrasound investigations and innovative techniques. Development of endovenous treatments, including thermal ablation and/or…

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Phlebolymphology N° 88 – Editorial

Dear Readers, In this new issue, Michel Perrin presents the first of two chapters on the updates in operative treatments for primary superficial vein incompetence. In this chapter, the various procedures for varicose vein ablation (endovenous thermal ablation, surgery, chemical ablation, mechanochemical ablation) and their possible complications are described. Endovenous treatment provides an office-based procedure that improves both the postoperative course and convalescence duration. For prevention of the postthrombotic syndrome, catheter-directed thrombolysis can be used in acute iliofemoral venous thrombosis with promising long-term results. According to the review by Niels Baekgaard and Rikke Broholm, stenting of all residual obstructive lesions…

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