Phlebolymphology N°97

Compression therapy is not mandatory after lower limb varices endovenous treatment

Jean-Luc GERARD Vascular medicine, 23 boulevard Saint Martin, 75003 Paris, France Abstract Compression therapy for varicose vein was widely admit by most vascular practitioners. Suddenly, in 2014, like a bolt from the blue, the Sox trial by Kahn et al1 affirmed that elastic compression stockings did not prevent postthrombotic syndrome after a first proximal deep vein thrombosis, hence their findings do not support routine wearing of elastic compression stockings after deep vein thrombosis. Several reviewers tried to find bias in this study without evident success. Therefore, if in severe chronic venous insufficiency, compression is questioned, the interest of compression therapy…

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Intravascular ultrasound: technique, provided information, and indications

Marzia LUGLI Department of Cardiovascular Surgery, National Reference Training Center in Phlebology, Hesperia Hospital, Via Arquà 80, 41125 Modena Italy Abstract The aim of this article is to convince phlebologists that intravascular ultrasound (IVUS) eases and improves the making of venoplasty and stenting of iliac and caval vein obliterations. First, the article will describe the IVUS system, ie, it is a system containing a probe catheter, a control, and a tower and it records data. Then, the article will discuss the procedure technique in depth from probe insertion and positioning up to the segment to be examined and the slow…

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Clinical characteristics, symptoms, and quality of life evolution in outpatients with chronic venous disease treated medically or with endovascular procedures: results from the ALIADO and ALIVIO programs

Gabriel BAYONA1; Miguel RAMÍREZ2; Jorge H. ULLOA3; Ruben VILLARREAL4; John Fernando GARCIA5; Rafael GARRIDO6; Luis G CADAVID7; Jorge ULLOA-DOMINGUEZ8 1Vascular Surgeon, Hospital Militar Central de Bogotá, Past President Colombian Association of Vascular Surgery and Angiology 2Vascular Surgeon, Bogotá, Colombia 3Professor of Vascular Surgery, Universidad de los Andes, Hospital Universitario Santa Fe de Bogota, Colombia 4Chief of Vascular Surgery, Clinica del Caribe, Barranquilla, Colombia 5Vascular Surgeon, Via Vascular, Medellin, Colombia 6Vascular Surgeon, Clinica Porto Azul, Barranquilla, Colombia 7Vascular Surgeon. Clinica El Rosario, Medellin, Colombia 8Vascular Surgeon, Fundación Vascular, Bogota, Colombia Abstract The following report will discuss the results of two observational…

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Which venous patients need to be investigated with air plethysmography and why?

Christopher R. LATTIMER1-3; Erika MENDOZA4,5 1Josef Pflug Vascular Laboratory, Ealing Hospital, Middlesex, UK 2Department of Surgery and Cancer, Imperial College, London, UK 3West London Vascular and Interventional Centre, Northwick Park Hospital, Harrow, UK 4Venenpraxis – Wunstorf, Speckenstrasse 10, 31515 Wunstorf, Germany 5General Secretary of the German Society of Phlebology Abstract Air plethysmography (APG) is a small, lightweight device that measures change in calf volume in response to various maneuvers. Of these, elevation and dependency are the most important because they are gravitational maneuvers and, without gravity, venous insufficiency would be rare. The hypothesis underpinning the value of APG is that…

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Specific criteria of the transcutaneous Doppler ultrasound in unusual causes of lower limb varicose veins

Philippe LEMASLE1; Milka GREINER2 115 rue Pottier, 78150 Le Chesnay, France 2American Hospital of Paris, OPD 10, 63 Bd Victor Hugo, 92200 Neuilly/Seine, France Abstract Transcutaneous Doppler ultrasound is the technique of choice to diagnose lower limb varicose veins; it is often the only technique needed. The relative contributions of the great saphenous vein, small saphenous vein, and incompetent perforating veins in the development of superficial venous insufficiency of the lower limbs are well recognized; however, information on unusual causes are lacking. Yet, there are Doppler ultrasound pathognomonic signs that can help diagnosis some of the unusual cases. The aim…

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Phlebolymphology N°97 – Editorial

Dear Readers, In this new issue, Philippe Lemasle and Milka Greiner focus on the use of transcutaneous Doppler ultrasound for the diagnosis of some unusual causes of lower limb varicose veins, such as incompetent intraosseous perforating veins, sciatic nerve varicose veins, and inguinal leak points. Air plethysmography is a small, lightweight device that measures change in calf volume in response to various maneuvers. Christopher R. Lattimer and Erika Mendoza evaluate the different types of patients with venous disease who need to be investigated with air plethysmography, highlighting the points for best practice. Gabriel Bayona, Miguel Ramírez, Jorge H. Ulloa, Ruben…

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Phlebolymphology N°97 (Vol 26 – N°1 – 2019)

EDITORIAL Editorial PHLEBOLOGY Specific criteria of the transcutaneous Doppler ultrasound in unusual causes of lower limb varicose veins Philippe LEMASLE (France), Milka GREINER (France) Phlebolymphology – 2019 ; 26 (1): 3 Which venous patients need to be investigated with air plethysmography and why? Christopher R. LATTIMER (UK), Erika MENDOZA (Germany) Phlebolymphology – 2019 ; 26 (1): 16 Clinical characteristics, symptoms, and quality of life evolution in outpatients with chronic venous disease treated medically or with endovascular procedures: results from the ALIADO and ALIVIO programs Gabriel BAYONA (Colombia), Miguel RAMIREZ (Colombia) Phlebolymphology – 2019 ; 26 (1): 26 Intravascular ultrasound: technique,…

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