Phlebolymphology N°101

What is the best method of imaging in iliofemoral venous obstruction?

Gerard J. O’SULLIVAN MB, BCh, BAO, FRCR National University of Ireland, Galway, Ireland Abstract Iliofemoral venous obstruction is increasingly recognized as a major cause of post-thrombotic syndrome. Patients can be left with significant symptoms after just one episode of iliofemoral deep-vein thrombosis; ranging from milder problems, such as varicose veins, to itching, leg swelling, and even venous ulceration. With the advent of endovascular techniques to reconstruct the iliofemoral segment has come an understanding that accurate recognition and diagnosis form a central part of the puzzle. Clinical evaluation is limited, and imaging has assumed a central role. This article looks at…

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Effectiveness of micronized purified flavonoid fraction–based conservative treatment in chronic venous edema

Vadim Yu BOGACHEV, MD, PhD On behalf of the VAP-PRO-C3 study investigators group. Department of Faculty Surgery No. 2, Pirogov Russian National Research Medical University (RNRMU), Moscow, Russia Abstract Aim: This study assessed the effectiveness of micronized purified flavonoid fraction (MPFF)-based conservative treatment in patients with chronic venous edema (CVE) as part of an observational program that evaluated the management of patients with CVE caused by the primary forms of chronic venous disease (CVD) in real clinical practice. Materials and methods. The VAP-C3 (Vein Act Prolonged-C3; NCT03722836) prospective, single-arm, observational study was conducted in Russia in adult outpatients with CVD…

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2020 Update to classification of chronic venous disorders

Fedor LURIE, MD, PhD Jobst Vascular Institute and the Division of Vascular Surgery at the University of Michigan, Ann Arbor, Michigan, USA. Abstract In 2017, the American Venous Forum (AVF) created a task force to determine if the CEAP classification needed a revision. An extensive literature review led the task force to conclude that there was sufficient evidence to update it to align with the newest knowledge of chronic venous disorder (CVD) and to clarify terminology. Using the modified Delphi methodology, the AVF task force concluded its 2-year project by publishing the CEAP 2020 update, which also became a reporting…

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Use of air plethysmography and ambulatory venous pressure measurement in chronic venous disease

Seshadri RAJU, MD, FACS The RANE Center, St Dominic’s Memorial Hospital, Jackson, Mississippi, USA. Abstract Air plethysmography (APG) and ambulatory venous pressure (AMVP) measurement are functional tests used in chronic venous disease (CVD). We review our experience with these tests in 8456 CVD limbs seen over a 20-year period. The venous filling index (VFI90) parameter in the APG test shows progressive significant worsening as reflux and disease severity increase. Venous volume (VV) also increases—a sign of venous pooling—with reflux and disease progression. This is compensated to a large extent by a parallel increase in ejection volume to as much as…

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Phlebolymphology N°101 – Editorial

Dear Readers, In this new issue of Phlebolymphology you will find the articles as below: The introduction and wide use of the CEAP classification for chronic venous disorders has made it possible to conduct large epidemiological studies and develop a set of clinical practice guidelines. Global use of this uniform classification has led to multiple comparable studies that have provided new evidence and improved understanding of chronic venous disease. Fedor LURIE (USA) reports the highlights from the 2020 update of the CEAP classification, which was realized by a task force of the American Venous Forum. Air plethysmography (APG) and ambulatory…

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Phlebolymphology N°101 (Vol 27 – N°2 – 2020)

EDITORIAL Editorial PHLEBOLOGY 2020 Update to classification of chronic venous disorders Mohamed K. KAMEL, John BLEBEA (USA) Phlebolymphology – 2020 ; 27 (2): 47 Use of air plethysmography and ambulatory venous pressure measurement in chronic venous disease Seshadri RAJU (USA) Phlebolymphology – 2020 ; 27 (2): 52 What is the best method of imaging in iliofemoral venous obstruction? Gerard J. O’SULLIVAN (Ireland) Phlebolymphology – 2020 ; 27 (2): 61 Effectiveness of micronized purified flavonoid fraction–based conservative treatment in chronic venous edema Vadim Yu BOGACHEV (Russia) Phlebolymphology – 2020 ; 27 (2): 70

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