Phlebolymphology N°115

Novel AlphaVac F18 aspiration catheter for mechanical thrombectomy of an intermediate-high risk acute pulmonary embolism

14 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Vasileios Bouris, Efthymios Avgerinos Affiliations: Department of Vascular and Endovascular Surgery, Athens Medical Center, Greece BACKGROUND Novel large-bore aspiration thrombectomy (LBAT) systems are on the rise, with promising results, for use in patients with moderate high-risk or even in high-risk pulmonary embolism patients. AlphaVac F1885 (AngioDynamics Inc, Latham, New York) is a novel 18Fr 85o angled aspiration catheter based on the AngioVac platform but without the need for extracorporeal circuit. It has recently received a CE mark and we herein present our first case to describe its use…

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Endovascular thrombectomy of port-induced superior vena cava syndrome using the INARI FlowTriever device

15 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Natasha Hasemaki, Efthymios Avgerinos, Erasmia El-Kanty, Michail Tsotsios, Antonia Skotsimara, Athanasios Katsargyris, Chris Klonaris Affiliations: 2nd Department of Vascular Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece BACKGROUND/AIM Superior vena cava (SVC) syndrome is a result of obstruction of blood flow through the SVC, secondary to a thrombus, malignancy, or chest infection. The two predominating causes of SVC syndrome include malignant tumors (around 60% of cases) and thrombosis due to central lines, indwelling catheters, and pacemakers (30%-40% of cases). The cases due to thrombosis…

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Iliocaval reconstruction in a patient with chronic deep vein thrombosis caused by retroperitoneal fibrosis

16 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Selim Aydin1, Bahar Temur1, Yakup Tire2, Cem Burak Kalaycı3, Emre Ozker4, Ersin Erek1 Affiliations: 1. Department of Cardiovascular Surgery, Faculty of Medicine, Acibadem University, Istanbul, Turkey. 2. Department of Cardiovascular Surgery, Acibadem University Atakent Hospital, Istanbul, Turkey. 3. Department of Radiology, Acibadem University Atakent Hospital, Istanbul, Turkey. 4. Department of Cardiovascular Surgery, Acibadem Altunizade Hospital, Istanbul, Turkey BACKGROUND Retroperitoneal fibrosis (RPF) is a rare condition characterized by excessive fibrotic tissue growth in the retroperitoneum, often leading to vascular and ureteral compression. Chronic deep vein thrombosis (DVT) resulting from…

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Superior vena cava syndrome, acute thrombosis on top of chronic lesion

17 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Amr Abdelghaffar Hanfy Mahmoud Affiliations: MD Vascular Surgery, Consultant and lecturer of Vascular Surgery, Ain Shams University, Cairo, Egypt BACKGROUND Superior vena cava (SVC) syndrome is a collection of clinical signs and symptoms resulting from either partial or complete obstruction of blood flow through the SVC. This obstruction is most commonly a result of thrombus formation or tumor infiltration of the vessel wall. The most common signs and symptoms include face or neck swelling, upper-extremity swelling, dyspnea, cough, and dilated chest vein collaterals. METHODS A case report. CASE…

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Successful management of a venous ulcer with foam sclerotherapy of the great saphenous trunk and ligation of a large incompetent perforating vein in the thigh

18 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Efstratios Georgakarakos1, Damianos Doukas1, Konstantinos Dimitriadis1, Savvas Defteraios2, Christos Argyriou1, George S. Georgadis1 Affiliations: 1. Department of Vascular Surgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece. 2. Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece. BACKGROUND In cases of chronic venous ulcers, elimination of the great saphenous vein reflux is recommended to accelerate venous healing and reduce the risk of recurrence. Yet, there is only scarce evidence supporting the need for simultaneous management of incompetent perforators. METHODS We describe the…

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VENOUS SYMPOSIUM EUROPE 2024 – Abstracts

Abstracts OCTOBER 17-19, 2024 Athens, Greece 01 – Direct oral anticoagulants for treatment of heparin-induced thrombocytopenia (HIT) and associated thromboembolism (HITT) – a systematic review and meta-analysis 02 – Association of postthrombotic changes with disease severity in patients presenting with symptomatic calf vein thrombosis 03 – Oral sirolimus in capillary-lymphatic venous malformations and associated syndromes: a case series of 3 patients 04 – Influence of body position on venous reflux assessment: a duplex ultrasound study 05 – Recanalization of occluded IVC filter and iliocaval obstruction, postphlebitic 06 – Comparison of glue vs open surgery in elderly patients 07 – Looks…

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Aethoxysklerol foam sclerotherapy for persisting seroma after EVLA

13 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Ioannis Tsagkos, Patelis Nikolaos Affiliations: Metropolitan General 3rd Vascular Clinic, Athens, Greece BACKGROUND/AIM Seromas are rare complications after varicose vein surgery; they manifest clinically as palpable masses or swelling at the site of the wound. Aethoxysclerol is an approved sclerosing agent for varicose veins in several countries in Europe. The aim of our case was to show the therapeutic effect and the safety of use of ultrasound-guided aethoxysclerol foam sclerotherapy in a small postoperative seroma after endovenous laser ablation (EVLA) with phlebotomies. MATERIALS/METHODS 87-year-old female, CEAP 4 (by…

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Treatment of varicose veins with steam: PROMs analysis

12 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Marta Machado1, Miguel Machado2, Arlindo Matos1, Rui Machado1 Affiliations: 1. Vascular Surgery, Hospital Narciso Ferreira, Riba de Ave, Portugal. 2. General Surgery, Hospital Narciso Ferreira, Riba de Ave, Portugal BACKGROUND/AIM The aim of the present study was to assess the efficacy and safety of steam thermal ablation in lower-extremity varicose vein treatment. MATERIAL/METHODS Adults with varicose veins of clinical grade C2 to C6 according to the clinical-etiological-anatomical-pathophysiological (CEAP) classification, treated with steam between 2020 and 2022, were enrolled in the study. Primary outcomes were treatment success: vein obliteration…

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Novel mechanical thrombectomy techniques for upper-extremity DVT

11 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Alexandra Tsirigoti, Vasileios Bouris, George Tzavellas, Efthymios Avgerinos Affiliations: Clinic of Vascular and Endovascular Surgery, Athens Medical Center, Greece BACKGROUND/AIM Upper extremity deep vein thrombosis (UEDVT) has been traditionally managed with anticoagulation and in selected active symptomatic patients with catheter-directed thrombolysis (CDT) targeting prompt venous recanalization towards a subsequent rib resection when venous compression is identified. CDT requires prolonged dripping, intensive care unit (ICU) stay, and carries a risk of bleeding while more chronic material may not be lysed. Novel mechanical thrombectomy devices can potentially simplify the safety,…

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Role of tumescent fluid infiltration during saphenous stripping and ligation operation of varicose veins to reduce postoperative complications

10 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Amr Abdelghaffar Hanfy Mahmoud1, Mohamed Abdel Samie Khalek Elbahat2 Affiliations: 1. Vascular Surgery Department, Faculty of Medicine, Ain Shams University Hospitals, Cairo, Egypt. 2. Shebin Elkoom Teaching Hospital, Egypt BACKGROUND/AIM Saphenous stripping and high ligation is the traditional operation for varicose veins globally. Postoperative complications like pain, subcutaneous ecchymosis, hematoma, and wound dehiscence are possible. The study assesses the role of ultrasound-guided tumescent fluid infiltration through saphenous fascia to reduce these complications. METHODS Single arm prospective cohort study conducted on 300 cases between February 2020 and February 2022…

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