Phlebolymphology N°113

Overview on foam sclerotherapy in the treatment of varicose veins

Tomasz Urbanek,MD Department of General Surgery, Vascular Surgery, Angiology and Phlebology; Medical University of Silesia, Katowice, Poland; European Center of Phlebology, Katowice, Poland ABSTRACT Foam sclerotherapy has become an important part of the treatment for patients with chronic venous diseases (CVD), including both medical and esthetical indications. The wide implementation of foam sclerotherapy in C1 to C6 patients, together with growing clinical experience and number of performed studies, positions foam sclerotherapy as a valuable treatment method in the current CVD management guidelines as well as several consensus documents. The technological progress and improvement in good-quality foam preparation, as well as…

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Pathogenesis, diagnosis, and treatment of endothermal heat-induced thrombosis (EHIT)

Sandeep Raj Pandey, MS, FVES, FIDF, FIUA Annapurna Hospital, Kathmandu, Nepa ABSTRACT Propagation of a thrombus from a superficial vein into a deeper vein post endovenous thermal ablation is called endothermal heat-induced thrombosis (EHIT). It is generally considered clinically insignificant if the thrombus does not propagate to the deep venous system. Diagnosis of EHIT is based mainly on 4 classification categories for both saphenofemoral junction and saphenopopliteal junction. The condition can be treated with antiplatelet or anticoagulation therapy, although monitoring may be sufficient, especially in less-severe cases. Rivaroxaban may be a promising alternative for treatment of severe EHIT because the…

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Outcomes of different approaches for the treatment of large-diameter incompetent great saphenous veins

Christos S. Karathanos, MD, PhD Department of Vascular Surgery, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece Athanasios D. Giannoukas,, MD, PhD Department of Vascular Surgery, University Hospital of Larissa, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece ABSTRACT Chronic venous disease is a common disorder reported to affect up to 60% of the general population. Treatment options include conservative treatment, conventional surgery, and endovenous techniques. Great saphenous vein (GSV) diameter remains a controversial issue when considering optimal treatment, as a limited number of studies included patients with…

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Overview of the advances in thermal ablation techniques. Where do we stand?

Dimitrios Kontothanassis, MD, Prof, MS Department of Phlebology, Istituto Flebologico Italiano, Padova, Italy General and Vascular Surgeon, CEO Istituto Flebologico Italiano, Padova, Italy ABSTRACT Varicose veins are a very common condition and have been the subject of a recent proliferation of treatment modalities. The last 2 decades have seen extraordinary expansion in superficial venous surgery. Traditional surgical procedures (crossectomy and stripping) are now being replaced to a greater or lesser extent by new, less invasive endovenous methods, but the advent of the endovenous treatment era has led to a confusing array of different modalities of treatment. This paper provides an…

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Phlebolymphology N°113 – Editorial

Dear Readers, In this new issue of Phlebolymphology, which is dedicated to the treatment of superficial venous insufficiency with the techniques used in current daily practice, you will find the articles as below: “Overview of the advances in thermal ablation techniques. Where do we stand?” Current guidelines have recognized thermal ablation with laser or radiofrequency as the treatment of choice for lower-limb varicose veins. D. KONTOTHANASSIS (Italy) discusses the evolution of all thermal ablation techniques currently used, along with their indications, mechanisms of action, and outcomes. “Outcomes of different approaches for the treatment of large-diameter incompetent great saphenous veins.” C….

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Phlebolymphology N°113 (Vol 31 – N°2- 2024)

Editorial PHLEBOLOGY Overview of the advances in thermal ablation techniques. Where do we stand? Dimitrios KONTOTHANASSIS (Italy) Phlebolymphology – 2024 ; 31 (2): 52 Outcomes of different approaches for the treatment of large-diameter incompetent great saphenous veins Christos S. KARATHANOS and Athanasios D. GIANNOUKAS (Greece) Phlebolymphology – 2024 ; 31 (2): 60 Pathogenesis, diagnosis, and treatment of endothermal heat-induced thrombosis (EHIT) Sandeep R. PANDEY (Nepal) Phlebolymphology – 2024 ; 31 (2): 66 Overview on foam sclerotherapy in the treatment of varicose veins Tomasz URBANEK (Poland) Phlebolymphology – 2024 ; 31 (2): 74

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