Phlebolymphology N°107

Progress in the management of venous disease during our five decades as surgeons

Peter NEGLÉN, MD, PhD1, Bo EKLÖF, MD, PhD2 1Trimiklini, Cyprus; 2Råå, Sweden Abstract The authors’ experience spans 5 decades of development in the management of venous disease. They describe their journey through the open surgery era; the transforming introduction of duplex ultrasound scanning; the establishment of consensus-driven classification, terminology, and investigatory planning, hugely important for research and patient care; and the emergence of minimally invasive endovascular procedures during the 21st century with greater acceptability by patients, minimal morbidity/ mortality, and wider application than open surgery. The management of patients with venous disease has progressed immensely since the 1960s. Introduction At…

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Update on calf vein thrombosis

Pier Luigi ANTIGNANI, MD, PhD, FIUA, MRSM, DFAVF, FESVM, EFACP; President of the International Union of Angiology; Director, Vascular Center, Nuova Villa Claudia, Rome, Italy Abstract Calf deep vein thrombosis, defined as thrombosis confined to the calf veins of the lower limbs, is a frequent finding in symptomatic outpatients and inpatients when the ultrasound examination is extended to the deep veins of the whole leg. The prevalence of the disease is between 5% and 33% of all deep vein thrombosis (DVT) cases detected by ultrasound, low in symptomatic patients and higher in asymptomatic patients at high risk of DVT. Thrombi…

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Role of anticoagulation treatment in the prevention of post-thrombotic syndrome

Christos KARATHANOS, MD, PhD1; Athanasios GIANNOUKAS,MD, PhD2; 1Consultant Vascular Surgeon; 2Professor of Vascular Surgery and Head of the Department; Department of Vascular Surgery, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece Abstract Post-thrombotic syndrome (PTS) develops after deep vein thrombosis (DVT) of the lower limbs and may affect up to 50% of patients after proximal DVT. Prevention is of paramount importance as there is no gold standard for treatment of established PTS. Pharmacological or mechanical thromboprophylaxis is recommended to prevent PTS. Effective DVT treatment with vitamin K antagonists (VKAs), direct oral anticoagulants…

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Venous malformations of the hand: surgical treatment

Raul Ettore MATTASSI, MD1; Piero Di GIUSEPPE, MD2; 1Director, Specialist in Vascular Surgery; 2Hand surgeon, Specialist in Plastic Surgery; Center for Vascular Malformations “Stefan Belov”, Humanitas “Mater Domini” Hospital, Castellanza (Varese), Italy Abstract Congenital vascular malformations (CVM) of the hand are extremely variable and difficult to treat. The correct approach first requires a complete, stepwise diagnostic procedure from clinical examination to echo Doppler (ECD) examination followed by magnetic resonance (MR) imaging, which can be performed without contrast if ECD demonstrated a slow-flow malformation. Treatment can be performed via sclerosis or surgery. Sclerosis has the advantage of being less invasive but…

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Phlebolymphology N°107 – Editorial

Dear Readers, In this new issue of Phlebolymphology, you will find the articles as below: Congenital vascular malformations of the hand are variable and difficult to treat. R. E. MATTASSI and P. DI GIUSEPPE (Italy) present a diagnostic approach for better management and report results from a group of patients with venous malformation who were treated by surgery. C. KARATHANOS and A. GIANNOUKAS (Greece) provide an overview of the role of anticoagulant treatment in the prevention of post-thrombotic syndrome, which develops after deep vein thrombosis of the lower limbs and may affect up to 50% of patients after proximal deep…

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Phlebolymphology N°107 (Vol 29 – N°2 – 2022)

Editorial PHLEBOLOGY Venous malformations of the hand: surgical treatment Raul Ettore MATTASSI, Piero Di GIUSEPPE, (Italy) Phlebolymphology – 2022 ; 29 (2): 51 Role of anticoagulation treatment in the prevention of post-thrombotic syndrome Christos KARATHANOS, Athanasios GIANNOUKAS (Greece) Phlebolymphology – 2022 ; 29 (2): 60 Update on calf vein thrombosis Pier Luigi ANTIGNANI (Italy) Phlebolymphology – 2022 ; 29 (2): 66 Progress in the management of venous disease during our five decades as surgeons Peter NEGLÉN (Cyprus), Bo EKLÖF (Sweden) Phlebolymphology – 2022 ; 29 (2): 72

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