Phlebolymphology N°108

Investigations for identifying and treating iliac venous stenosis

Seshadri RAJU, MD, FACS; The RANE Center for Venous & Lymphatic Diseases, Jackson, Mississippi, USA Abstract Iliac vein stenosis is a commonly present lesion in the general population that remains silent in the majority of individuals. It is, however, a permissive lesion that becomes symptomatic if homeostasis is upset by secondary insults such as trauma, infection, thrombosis, or onset of additional pathology. Duplex ultrasound is useful to rule out acute deep venous thrombosis (DVT), identify associated reflux, and exclude other relatively rare nonstenotic venous pathology such as tumor compression, arteriovenous (A-V) fistula, etc. Iliac vein stenosis is best graded on…

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Endovenous laser ablation or radiofrequency ablation for varicose veins: a review

Sushil DAHAL, MBBS; Robin Man KARMACHARYA, MS; Satish VAIDYA, MS; Prasesh DHAKAL, MBBS; Niroj BHANDARI, MBBS; Sahil BADE, MBBS; Sohail BADE, MBBS; Selene POKHAREL, MBBS; Shreeja SHIKHRAKAR, MBBS; Prabha SHRESTHA, MSN; Department of Surgery, Dhulikhel Hospital, Kathmandu University Hospital, Kavre, Nepal Abstract Varicose veins are a part of chronic venous insufficiency syndrome, presenting with dilated veins, skin changes, and even ulceration in the lower limbs. Untreated, it can result in many complications and has an impact upon one’s quality of life. Management depends upon the stage and etiology of varicose veins. Conventional vein stripping surgery is now being replaced by…

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May-Thurner diagnosis and management

Romulo ARMENTA-FLORES, MD; Cardiothoracic and Vascular Surgery of Central Mexico Abstract May-Thurner syndrome, known for decades as a unique pathology, has been included recently with other pelvic compression maladies in the S-V-P CEAP (symptoms-varicespathophysiology, clinical-etiology-anatomy-pathophysiology) classification sponsored by the American Venous and Lymphatic Society as part of several anatomic lesions in the abdominopelvic region that have variable clinical presentations. This classification will fully characterize and accurately describe a particular lesion; also, it will facilitate clinical interaction and precise treatment and in the long term the development of patient-reported outcome measures and clinical trials. In the interim, epidemiologic data reported so…

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Update on treatment methods for telangiectasia

Mesut ENGIN, MD, Assoc Prof; University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Department of Cardiovascular Surgery, Turkey Abstract Telangiectasias make up a heterogeneous group of diseases that can affect various parts of the body in humans. Although generally limited to the face, telangiectasia can cover different parts of the body in various collagen tissue diseases. The appropriate treatment options for telangiectasias are sclerotherapy, laser therapy, thermocoagulation, and microphlebectomy. The purpose of sclerotherapy is to cause endothelial damage by injecting a sclerosing agent into the vascular bed. Agents such as polidocanol, sodium tetradecyl sulfate, hypertonic saline, and…

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Is it essential to treat the AASV during thermal ablation of the GSV?

Anne-Sophie LENSEL, MD; Jean-Luc GERARD, MD; Clinique du Mont-Louis, Paris Clinique Geoffroy Saint-Hilaire, Paris Abstract Recent decades have experienced the substantial development of endovenous techniques to treat varicose veins. Such techniques are guided by ultrasound through use of increasingly efficient equipment, and operators have become better trained. This, in parallel with the study of cadaver dissections, has led to a marked improvement in the knowledge of vein anatomy in the lower limbs. The treatment of varicose veins has always been known for its risk of recurrence, which can have several origins. The most widely accepted cause right now is recurrence…

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Factors impeding venous return and their impact on the management of chronic venous disease

RAshna RAIKER, BS; Nicos LABROPOULOS, PhD2; 1Department of Surgery, Stony Brook University Medical Center, New York, USA Abstract Chronic venous disease is multifactorial. Although the main pathology of chronic venous disease is reflux and obstruction, several other factors play a role as well. These include the duration, distribution, and extent of disease, but also additional factors such as obesity, and musculoskeletal and heart failure. This is especially important for those with advanced disease, as these factors that impede venous return may be more common. In fact, there are reports where people do not have evidence of venous disease but still…

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Phlebolymphology N°108 – Editorial

Dear Readers, In this new issue of Phlebolymphology, you will find the articles as below: Chronic venous disease is multifactorial. A. RAIKER and N. LABROPOULOS (USA) examine in depth some of the most important factors that impede venous return and explain their dynamics and association within the spectrum of chronic venous disease. In treatment of varicose veins, risk of recurrence has always been known and can have several origins. Currently, the most widely accepted cause is recurrence attributed to the anterior accessory saphenous vein. However, the anatomy of this vein varies greatly. A. S. LENSEL and J. L. GERARD (FRANCE)…

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Phlebolymphology N°108 (Vol 29 – N°3 – 2022)

Editorial PHLEBOLOGY Factors impeding venous return and their impact on the management of chronic venous disease Ashna RAIKER, Nicos LABROPOULOS (USA) Phlebolymphology – 2022 ; 29 (3): 83 Is it essential to treat the AASV during thermal ablation of the GSV? Anne-Sophie LENSEL, Jean-Luc GERARD (France) Phlebolymphology – 2022 ; 29 (3): 89 Update on treatment methods for telangiectasia Mesut ENGIN (Turkey) Phlebolymphology – 2022 ; 29 (3): 96 May-Thurner diagnosis and management Romulo ARMENTA-FLORES, (Mexico) Phlebolymphology – 2022 ; 29 (3): 102 Endovenous laser ablation or radiofrequency ablation for varicose veins: a review Sushil DAHAL, Robin Man KARMACHARYA, Satish…

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