The report from the Union Internationale de Phlébologie chapter meeting was prepared by the following members of the Medical Reporters’ Academy: José Daniel Brandao (Portugal), Daciana Branisteanu (Romania), José Benhur Parente (Brazil), Roman Bredikhin (Russia), Daniela Mastroiacovo (Italy), Mustafa Sirlak (Turkey), Stanislava Tzaneva (Austria), Robert Vlachovsky (Czech Republic). and chaired by:
Foreword Read article Medical Reporters’ Academy Read article I. Arterial diseases IUA-SFMV Lyon, October 5-8, 2016 Awareness, Investigation, Management, and Prevention Keynote: renal revascularization What do we need for a better perspective in the vascular field? Ultrasound-guided vascular procedures Guideline Sessions Guidelines of the European Society for Vascular Medicine Guidelines of the American College of Rheumatology Carotid Stenosis Multifocal atherosclerosis and cardiovascular outcomes Critical Limb Ischemia Extreme revascularizations Peripheral Arterial Diseases Peripheral arterial diseases Best papers of the ESVM 2016 meeting Vascular diseases: particularities for women Vascular diseases in the Middle East II. Venous diseases IUA-SFMV Lyon, October 5-8, 2016…
Multidisciplinary vascular centers The concept and its implementation Fabrizio Benedetti-Valentini (Italy) and The vascular medicine perspective Adriana Visona (Italy) Both speakers discussed two parts of the same subject. They introduced the problem of using a multidisciplinary treatment approach for vascular patients. According to the definition, a vascular center is a “dedicated center where patients with vascular disease can receive high-quality medical, endovascular, and open surgical treatment by appropriate experts working as a coordinated team.” A key component of a vascular center is the collaboration between vascular medicine, endovascular treatment, and vascular surgery; however, the center also provides training in vascular…
Digital revolution and e-vascular health Introduction François Becker (France) New information technologies and nanotechnologies are expected to change the medical world deeply. Soon, telemedicine will be organized for vascular physicians, and image transfer will become common. These changes will affect the consultation regimens (acrosyndromes, ulcers, trophic disorders, limb edema, superficial venous thrombosis, etc), the management of vascular risk factors, the prevention of primary and secondary disease, the follow-up of chronic diseases, and the monitoring of patient compliance. The diagnosis and management of claudicant patients will evolve with sports applications, which will become peripheral arterial disease applications. Not only will blood…
Endovascular treatment of venous thromboembolic disease: state of the art Endovascular treatment of acute DVT Anthony Comerota (USA) The results of anticoagulation therapy for deep vein thrombosis are still unsatisfactory. After 5 years, there is a high level of valvular dysfunction (95%), venous hypertension (95%), obstructive iliac vein lesions (70%), calf muscle dysfunction (50%), and, finally, venous claudication and ulcers (30%). Direct venous thrombectomy can significantly improve the result of deep vein thrombosis treatment. It is characterized by significantly improved patency, lower venous pressure, less leg swelling, and fewer postthrombotic symptoms compared with anticoagulation (Level I data). The level of…
Keynote lectures Clinical implications and diagnostic applications of hemodynamic measurements in chronic venous disease Andrew Nicolaides (Cyprus) Venous hemodynamic concepts are useful in understanding the pathophysiology of venous disorders, the significance of investigation results, the hemodynamic changes associated with symptoms, and the hemodynamic changes associated with treatment. Hemodynamic measurements of pressure, volume, pressure/volume relationship, velocity, flow, resistance, compliance/elasticity, function of the calf muscle pump, and changes in the microcirculation are very important. Unfortunately, only velocity and flow can be measured by duplex ultrasound. Four main phases are observed in the progression of chronic venous disease: valve damage (reflux), vein wall…
Peripheral arterial diseases Peripheral arterial disease in Europe Dan Olinic (Romania) Peripheral arterial disease begins as an asymptomatic disease, which is often associated with a high risk of cardiovascular disease. Of the 17 million people diagnosed with peripheral arterial disease in the European Union, the estimated prevalence in people ≥65 years is 17.1%. In a study that analyzed 460 patients with known peripheral arterial disease, atypical pain symptoms occurred in 60% of the patients (JAMA. 2001;206:1599-1606). These symptoms include (i) pain that is different from typical exertional claudication pain; (ii) pain not requiring cessation of physical activity; (iii) pain lasting…
Extreme revascularizations Criteria for critical ischemia in 2016 Joël Constans (France) It is fundamental to confirm critical limb ischemia using objective criteria because the typical classifications of critical limb ischemia are mostly based on absolute ankle pressure, which is associated with an important number of false negatives, thus excluding a relevant number of critical limb ischemia patients. Today, toe pressure (or the TcPo2) is a noninvasive first-choice technique to confirm critical limb ischemia objectively. As the definition of critical limb ischemia varies, caution should be used when regarding the clinical trial data. Clear and conclusive standardized definitions are needed. Interest…
Multifocal atherosclerosis and cardiovascular outcomes Preclinical atherosclerosis of carotid arteries and future cardiovascular events Pavel Poredos (Slovenia) An increase in intima-media thickness, the earliest structural marker of vascular damage, is associated with the extent and severity of atherosclerosis in different arterial beds, and it can predict cardiovascular events. The increase in intima-media thickness is related to vascular risk factors, the adequate treatment of which may prevent its progression or even induce its regression. Consequently, intima-media thickness can be very useful clinically to assess the harmful effects of vascular risk factors on the vessel wall, determine the risk for cardiovascular events,…
Guidelines of the European Society for Vascular Medicine Peripheral arterial diseases guidelines Sigrid Nikol (Germany) Nikol presented the peripheral arterial disease guidelines from the European Society for Vascular Medicine. The mission of this work was to homogenize the management of this group of patients who are at a high risk for cardiovascular events, to improve their management, and to introduce new and rational diagnostic and therapeutic options with proven efficacy. The existing guidelines were written by cardiologists, interventional radiologists, and vascular surgeons; however, the European Society for Vascular Medicine wants to create guidelines prepared by angiologists. The provision of care…
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