Phlebolymphology N°112

Phlebolymphology N°112 (Vol 31 – N°1 – 2024)

Editorial PHLEBOLOGY The vein of Giacomini: an in-depth review of its anatomy, hemodynamics, and treatment alternatives Agnieszka NOWAK-TARNAWSKA, Lourdes REINA-GUTIERREZ (Spain) Phlebolymphology – 2024 ; 31 (1): 4 Microcirculatory alterations in chronic venous disease: observation from C0s to C5 patients (CEAP classification) Carlos Eduardo VIRGINI-MAGALHÃES, Eliete BOUSKELA (Brazil) Phlebolymphology – 2024 ; 31 (1): 13 Lipedema, lymphedema, lipohypertrophy, and obesity: how do we differentiate? Erika MENDOZA (Germany) Phlebolymphology – 2024 ; 31 (1): 20 Optimal management of combined iliac vein stenosis and ovarian vein reflux in patients with pelvic venous disease (PeVD): which patients should be treated for both and…

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Phlebolymphology N°112 – Editorial

Dear Readers, In this new issue of Phlebolymphology, you will find the articles as below: A. NOWAK-TARNAWSKA and L. REINA-GUTIERREZ (Spain) review the anatomy of the Giacomini vein, its hemodynamics and reflux variations depending on its valve arrangement that leads to 2 different types of reflux, and the minimally invasive treatment modalities for Giacomini-vein-related venous insufficiency that must be focused on the point of reflux. The progression of chronic venous disease is associated with the perpetuation of an inflammatory process that translates early into microscopic changes at the level of the venous wall and valve structures, and the extensive cutaneous…

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The vein of Giacomini: an in-depth review of its anatomy, hemodynamics, and treatment alternatives

Agnieszka Nowak-Tarnawska, MD Department of Angiology and Vascular Surgery, University Hospital Central de la Cruz Roja, Madrid, Spain; Associate Professor, Faculty of Medicine, University Alfonso X el Sabio, Madrid, Spain Lourdes Reina-Gutierrez, MD Head of the Department of Angiology and Vascular Surgery, University Hospital Central de la Cruz Roja, Madrid, Spain; Associate Professor, Faculty of Medicine, University Alfonso X el Sabio, Madrid, Spain ABSTRACT The vein known as the “vein of Giacomini” or “Giacomini vein” is part of the venous network of the lower limb and is involved in the drainage of the posterior part of the thigh. This vein…

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Microcirculatory alterations in chronic venous disease: observation from C0s to C5 patients (CEAP classification)

Carlos Eduardo Virgini-Magalhães MD, PhD Vascular and Endovascular Department, State University of Rio de Janeiro, Brazil Eliete Bouskela, MD, PhD Laboratory for Clinical and Experimental Research on Vascular Biology – BioVasc, State University of Rio de Janeiro, Brazil ABSTRACT Over the last few decades, knowledge of microcirculation has expanded in its pathophysiological and molecular bases and its correlations with clinical practice. By observing images of the cutaneous circulation, it is possible to identify the degree of microangiopathy and associate its findings with the evolution of chronic venous disease (CVD). With the progression of venous disease, the cutaneous capillaries lose their…

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Optimal management of combined iliac vein stenosis and ovarian vein reflux in patients with pelvic venous disease (PeVD): which patients should be treated for both and what comes first?

Karem Harth, MD, MHS, RPVI Director, Center for Comprehensive Venous Care University Hospital Harrington Heart & Vascular Institute, Associate Professor of Surgery, Division of Vascular Surgery and Endovascular Therapy, Case Western Reserve University School of Medicine, Cleveland, Ohio, United States Gloria Salazar, MD Associate Clinical Professor Radiology, Division of Vascular Interventional Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States Introduction The increased recognition of iliac vein stenosis in the causative effect of venous origin–chronic pelvic pain has led to an ongoing debate of the evaluation, diagnosis, and treatment of patients with pelvic venous disease…

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Lipedema, lymphedema, lipohypertrophy, and obesity: how do we differentiate?

Erika Mendoza, PhD Vein Office, Wunstorf, Germany ABSTRACT Lymphological and fatty tissue disorders of the legs are increasingly tying up capacities in the health care system. This is related to the increase in obesity disease to almost endemic proportions in our society. Although the term lipedema was coined in the 1950s, it has only now become really well known. Women with lipedema suffer from symmetrical and disproportional fat deposition on both legs, accompanied by tenderness or strong pain especially on touch. Over 50 years, this condition has been underdiagnosed. Women with lipohypertrophy (same fat disproportion without pain) fear they suffer…

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Mechanochemical ablation (MOCA), a nonthermal nontumescent ablation (NTNT) technique for the treatment of chronic venous disease (CVD): our experience and its benefits in Latin America

Paola Ortiz, MD E.C.S.A Uruguay Vein Center, CoDirector; Hospital Pasteur Vascular Surgery/Phlebology Department, Montevideo, Uruguay; Member of the Hackett Hemwall Patterson Foundation Board of Directors, Wisconsin, USA; Member of the Naples Cardiac and Endovascular Center faculty staff on the Hands-on courses, Naples, Florida, USA ABSTRACT The treatment of chronic venous disease (CVD) has evolved since its inception in 1891, when Trendelenburg introduced the saphenofemoral junction ligation. In 1905, Keller performed the first saphenectomy and, for over a century, arch ligation flush ligation of the junction and saphenectomy have been the methods of treatment. In 1999, the United States Food and…

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