Phlebolymphology N°115

Patterns of recurrent varicose veins after surgery (REVAS): a systematic review and network meta-analysis of randomized trials

09 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Konstantinos Kavallieros1,2, Adam M. Gwozdz1, Benedict Turner1, Giannis Konstantinou2, Emmanuel Giannas2, Iris Soteriou2, Julianne Stoughton3, Alun H. Davies1 Affiliations: 1. Academic Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, United Kingdom. 2. Faculty of Medicine, Imperial College London, London, United Kingdom. 3. Department of Vascular Surgery, Massachusetts General Hospital, Stoneham, Massachusetts, USA BACKGROUND/AIM Recurrence of superficial venous incompetence is common following interventional treatment, and a classification system (Recurrent Varices After Surgery, REVAS) has been developed. However, it is not known whether specific, predictable…

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Major vascular complications after varicose veins conventional surgery

08 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Marta Machado, Pedro Brandão, Alexandra Canedo Affiliations: Vascular Surgery, Unidade Local de Saúde de Gaia e Espinho (ULSGE), Portugal BACKGROUND Iatrogenic vascular injuries during varicose vein surgery (VVS) are rare (0.0017%-0.3%). CASE DETAILS Clinical case 1. 45-year-old women, submitted to VVS of lower limb (LL) 2 weeks earlier presented with foot pain and paresthesias. She had thigh hematoma, paler foot, and no pulses. On Doppler ultrasound, there was visualized femoral-bifurcation hematoma and superficial femoral artery (SFA) thrombosis. Computed tomography angiography (CTA): SFA partial avulsion. Thrombectomy and great saphenous…

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Looks like a DVT, walks like a DVT… and it’s not a DVT –venous adventitial cystic disease – case report

07 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): João Peixoto1,2, Pedro Brandão1, Ricardo Castro-Ferreira1,2, Luís Fernandes1,2, Marta Machado1,2, Francisco Basílio1,2, Alexandra Canedo1,2 Affiliations: 1. Department of Angiology and Vascular Surgery; Unidade Local De Saúde Gaia/Espinho, Portugal. 2. Department of Surgery and Physiology; Faculty of Medicine of the University of Porto, Portugal BACKGROUND/AIM Deep vein thrombosis (DVT) is a common diagnosis in the emergency department (ED). It’s fundamental to be aware of its differential diagnosis, as different pathologies present with similar symptoms. The current study reports on a rare case of adventitial cystic disease (ACD) involving the…

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Comparison of glue vs open surgery in elderly patients

06 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Marta Machado1, Miguel Machado2, Arlindo Matos1, Rui Machado1 Affiliations: 1. Vascular Surgery, CUF Viseu, Viseu, Portugal. 2. General Surgery, CUF Viseu, Viseu, Portugal BACKGROUND/AIM Regarding elderly patients with chronic venous disease, there aren´t specific treatment guidelines. The aim of this study was to assess the efficacy and safety of interventional treatment of elderly patients and to compare glue occlusion with open surgery. MATERIAL/METHODS Enrolled patients were ≥70 years old with symptomatic varicose veins C3-C6 treated between 2020-2022. They were subdivided in 2 groups: one treated with glue occlusion…

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Recanalization of occluded IVC filter and iliocaval obstruction, postphlebitic

05 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): : Amr Abdelghaffar Hanfy Mahmoud Affiliations: Vascular Surgery, Consultant and Lecturer of Vascular Surgery, Ain Shams University, Cairo, Egypt BACKGROUND/AIM Endovascular intervention is now considered the first-line therapy for stenotic or occluded iliofemoral veins with low morbidity and high clinical success. METHODS A case report / challenging case: Case details: A 46-year-old male patient with a history of recurrent deep venous thrombosis (DVT) and inferior vena cava (IVC) filter insertion 8 years prior presented with significant lower-limb edema in the thigh and leg, pronounced venous claudication, and severe…

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Influence of body position on venous reflux assessment: a duplex ultrasound study

04 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): : Hyangkyoung Kimsup>1, WooShik Kim2 Affiliations: 1. Department of Surgery, Ewha Womans University Medical Center, Ewha Womans University College of Medicine, Seoul, Korea. 2. Thoracic and Cardiovascular Surgery, National Medical Center, Seoul, Korea BACKGROUND/AIM Venous reflux is commonly assessed using duplex ultrasound in the standing position. However, there is a lack of strong evidence to support this practice. This study aimed to evaluate the impact of body position on the detection of venous reflux. METHODS Duplex ultrasound evaluations were conducted on 67 limbs from 36 patients (20 women,…

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Direct oral anticoagulants for treatment of heparin-induced thrombocytopenia (HIT) and associated thromboembolism (HITT) – a systematic review and meta-analysis

01 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): George Galyfos, Alexandros Chamzin, Frangiska Sigala, Konstantinos Filis Affiliations: Vascular Surgery Unit, First Department of Propaedeutic Surgery, National and Kapodistrian University of Athens (NKUA), Hippocration Hospital, Greece   BACKGROUND/AIM Heparin-induced thrombocytopenia (HIT) is a medical condition associated with a high risk for thrombotic complications. The role of direct oral anticoagulants (DOACs) is still emerging, and data are limited considering efficacy and safety among patients with HIT. The aim of this review is to evaluate current data on DOACs as primary or secondary treatment among patients with HIT. METHODS…

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Association of postthrombotic changes with disease severity in patients presenting with symptomatic calf vein thrombosis

02 – Abstract Venous Symposium Europe 2024 [back to abstract list] AUTHOR(S): Spiro Koustas, Nicos Labropoulos Affiliations: Division of Vascular and Endovascular Surgery, Stony Brook University Hospital, New York, USA BACKGROUND/AIM This prospective study was designed to evaluate the natural history of isolated calf deep vein thrombosis (DVT) in relation to their patterns and distribution. METHODS One hundred seventeen limbs in 104 patients, with isolated symptomatic calf vein thrombosis were included in the study. These were objectively diagnosed with ultrasound. The distribution and extent of the initial DVT was recorded in detail. Patients with a documented episode of prior DVT…

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Improving clinical outcomes in patients with chronic venous obstruction

Roshanak Roustazadeh, MD Department of Vascular Surgery, European Venous Center, University Hospital RWTH Aachen, Aachen, Germany Mohammed E. Barbati, MD, FEBVS Department of Vascular Surgery, European Venous Center, University Hospital RWTH Aachen, Aachen, Germany Morteza Shahbandari Ghouchani, MD Department of Vascular and Endovascular Surgery, Isfahan University of Medical Sciences, Isfahan, Iran Efthymios D. Avgerinos, MD, FACS, FEBVS 2nd Department of Vascular Surgery, Laiko General Hospital, University of Athens, Greece Houman Jalaie, MD, PhD Department of Vascular Surgery, European Venous Center, University Hospital RWTH Aachen, Aachen, Germany ABSTRACT Chronic venous obstruction (CVO) is a debilitating condition affecting millions of individuals, leading…

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Residual edema following venous interventions: prevention and management

Nathaniel Cleri, MD Department of Surgery, Northwell Health, New Hyde Park, New York, USA Mohsen Bannazadeh, MD Department of Surgery, Northwell Health, New Hyde Park, New York, USA Department of Vascular Surgery, Northwell Health, New Hyde Park, New York, USA Antonios Gasparis, MD Department of Surgery, Northwell Health, New Hyde Park, New York, USA Department of Vascular Surgery, Northwell Health, New Hyde Park, New York, USA ABSTRACT Chronic venous disease (CVD) signs and symptoms include heaviness, aching, swelling, throbbing, and itching (HASTI). Advanced stages of CVD include swelling, hyperpigmentation, and venous ulcer. Treatment improves most of the signs and symptoms…

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