Phlebolymphology N°103

Phlebolymphology N°103 (Vol 28 – N°1 – 2021)

Editorial PHLEBOLOGY Phlebolymphedema: is it a new concept? Byung-Boong LEE (USA) Phlebolymphology – 2021 ; 28 (1): 3 Risks and contraindications for medical compression treatment Eberhard RABE, Felizitas PANNIER (Germany) Phlebolymphology – 2021 ; 28 (1): 14 Duplex ultrasound as first-line imaging for morphology and hemodynamics in the upper limb venous system Niels BAEKGAARD, Charlotte STRANDBERG (Denmark) Phlebolymphology – 2021 ; 28 (1): 19 Course duration for venoactive-drug treatment in chronic venous disease Igor SUCHKOV, Roman KALININ, Aleksey KAMAEV, Nina MZHAVANADZE (Russia) Phlebolymphology – 2021 ; 28 (1): 26

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Duplex ultrasound as first-line imaging for morphology and hemodynamics in the upper limb venous system

Niels BÆKGAARD,1 MD; Charlotte STRANDBERG,2 MD 1Vascular Department, Gentofte Hospital and Rigshospitalet, University of Copenhagen, Denmark; 2Department of Radiology, Gentofte and Herlev Hospital, Copenhagen, Denmark Abstract This review describes venous anatomy and hemodynamic characteristics for venous return in the upper limb, including main differences in comparison with venous drainage in the lower limb. Duplex ultrasound (DUS) is the first-line imaging modality even it seems less standardized than other investigation approaches for veins in the lower limb. This article presents useful instructions to assess veins from the peripheral to the thoracic outlet via the costoscalene hiatus. Without basic understanding, it is…

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Course duration for venoactive-drug treatment in chronic venous disease

Roman KALININ, MD, PhD, DMedSc; Igor SUCHKOV, MD, PhD, DMedSc; Aleksey KAMAEV, MD, PhD; Nina MZHAVANADZE, MD, PhD. MD Department of Cardiovascular, Endovascular, Operative Surgery and Topographic Anatomy, Ryazan State Medical University, Ryazan, Russia Abstract Chronic venous disease (CVD) is currently the most common vascular disorder of the lower extremities. The gradual progression of CVD has a negative impact on patients and also leads to high economic costs of medical care, especially for the advanced forms of chronic venous insufficiency (CVI). Conservative management of CVD includes the use of compression stockings and pharmacological therapy. Despite the efficacy of compression therapy,…

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Risks and contraindications of medical compression treatment

Eberhard RABE, MD1; Felizitas PANNIER, MD2 1Private practice, Helmholtzstr. 4, Bonn, Germany 2Private practice, Helmholtzstr. 4, Bonn, Germany and Department of Dermatology, University of Cologne, Germany Background Medical compression treatment with medical compression stockings (MCS), compression bandages (CB), or intermittent pneumatic compression (IPC) belongs to the basic treatment options in acute and chronic venous diseases and in lymphedema. In a recent international consensus paper, well-known experts in the field reviewed the recent literature on reported risks and recommended contraindications for elastic compression treatment. Results: Reported nonsevere adverse events (AEs) included skin irritation, allergic skin reaction, discomfort and pain, forefoot edema…

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Phlebolymphedema: is it a new concept?

Byung-Boong LEE, MD, PhD, FACS Professor of Surgery and Director, Center for the Lymphedema and Vascular Malformations, George Washington University, Washington DC, USA Abstract Venous and lymphatic systems are inseparable “dual” outflow systems with mutually complimentary function so that such mutual interdependence between these two systems causes a new condition to affect both systems simultaneously when one of the two systems should fail to provide sufficient compensation to the other system, known as “phlebolymphedema” (PLE): combined condition of chronic venous insufficiency (CVI)/chronic venous hypertension and chronic lymphatic insufficiency (CLI)/chronic lymphedema. PLE is, therefore, an unavoidable outcome of the joint failure…

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Phlebolymphology N°103 – Editorial

Dear Readers, In this new issue of Phlebolymphology you will find the articles as below: As venous and lymphatic systems are inseparable “dual” outflow systems with mutually complimentary function, failure of one system to compensate for underperformance in the other results in phlebolymphedema. B. Lee (USA) provides an overview on phlebolymphedema, explaining the pathophysiology behind it, its classification, how it’s diagnosed, and how it can be managed. In acute and chronic venous diseases and in lymphedema, basic treatment options include compression treatment with medical compression stockings (MCS), compression bandages (CB), or intermittent pneumatic compression (IPC). E. Rabe et al. (Germany)…

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