Phlebolymphology N°98

DEBATE: Is compression after sclerotherapy mandatory?

Fedor LURIE MD, PhD Jobst Vascular Institute of Promedica, Toledo, Ohio, USA; University of Michigan, Ann Arbor, Michigan, USA Compression after sclerotherapy is mandatory! The same terms frequently mean different things to different people and the term “evidence-based medicine” is no exception. It is alarming, though, when it is used to limit the clinical decision-making process to a narrow scope of specific evidence from clinical trials and systematic reviews. In fact, the clinical decision making process has always been (and should be) based on the integration of all knowledge modalities, including knowledge of relevant basic science, awareness of the social…

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What is the future of treatment of varices by endovenous procedures?

Rene MILLERET MD, PhD 32 rue Alphonse Daudet, Bellerive sur Allier, France, 03700 Introduction Endovenous techniques for varicose vein ablation were introduced clinically 20 years ago. They are now recommended as a first-choice option by the international guidelines.1,2 While the technical evolution seems to have stabilized for thermal techniques, nonthermal techniques are the new trend. What will the new gold-standard treatment be in the years to come? Classification of endovenous ablation techniques Garcia et al3 proposed a classification based both on the mode of action (ie, physical or chemical) and on whether there is a necessity for adding tumescent anesthesia….

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What a phlebologist should know about the anterior accessory saphenous vein?

Marianne DE MAESENEER MD, PhD Department of Dermatology, Erasmus MC, Erasmus University Rotterdam, Rotterdam, The Netherlands Abstract The anterior accessory saphenous vein (AASV) is not only a tributary of the saphenofemoral junction, but it is one of the saphenous trunks, situated in its own saphenous compartment in the thigh, lateral to the great saphenous vein (GSV). Incompetence of the AASV, often without GSV incompetence, is found in about 10% of limbs with varicose veins. As to the clinical appearance of isolated AASV incompetence, this typically presents as varicose veins, coursing from the anterior thigh to the lateral knee and calf….

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The venous puzzle: from hemodynamics to chronic disease to DVT

Fedor LURIE MD, PhD Jobst Vascular Institute of Promedica, Toledo, Ohio, USA; University of Michigan, Ann Arbor, Michigan, USA Abstract The majority of acquired venous disorders are usually classified into two main categories – acute and chronic. Deep vein thrombosis (DVT) exemplifies an acute disease, while morphological and functional abnormalities of the venous system of long duration defines the chronic venous disease (CVD). These definitions, however, resulted from a simplified view on the underlying pathology of these two conditions. Current evidence suggests that the majority of venous thromboses occur in patients already affected by chronic venous disease (CVD). Primary CVD…

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Benefits of MPFF in combination with sclerotherapy

Vadim Yu. BOGACHEV MD, PhD Pirogov Russian National Research Medical University (RNRMU), Moscow Abstract This article presents the results of using micronized purified flavonoid fraction for preventing adverse events after sclerotherapy of reticular veins and telangiectases. Based on experimental and clinical studies, the author concludes that administration of micronized purified flavonoid fraction in a daily dose of 1000 mg for the period of the sclerosing treatment significantly reduces the severity of local vein-specific inflammation and the rates of associated typical adverse events after sclerotherapy. Introduction Sclerotherapy, despite its long history, remains one of the most commonly used procedures for eliminating…

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Announcement from the editor in chief

Dear Readers, As the Editor in Chief of Phlebolymphology, I have the pleasure to inform you that you may now consult The Vein Glossary in Vein Academy portal (vein-academy.servier.com). The Vein Glossary was edited several months ago by Servier. In its foreword, Robert L. Kistner, the father of deep venous reconstructive surgery for reflux, clearly highlighted the aim of glossary: to improve the communication in phlebology and venous surgery for physicians and researchers around the world. To summarize, the glossary provides definitions for 910 terms used in phlebology, including anatomy, physiology, pathophysiology, pathology, clinical signs and symptoms and their treatment…

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Phlebolymphology N°98 – Editorial

Dear Readers, In this new issue of Phlebolymphology, René MILLERET (France) presents the future perspectives concerning the treatment of varices by endovenous procedures focusing on the new gold standard treatments in the years to come. Sclerotherapy remains one of the most commonly used procedures for eliminating dilated intradermal and varicose veins. Vadim BOGACHEV (Russia) reports the beneficial results of using micronized purified flavonoid fraction for preventing adverse events after sclerotherapy of reticular veins and telangiectases in routine clinical practice settings. Fedor LURIE (USA) provides an overview regarding the different pieces of the venous disease puzzle and discusses how to connect,…

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Phlebolymphology N°98 (Vol 26 – N°2 – 2019)

EDITORIAL Editorial PHLEBOLOGY What is the future of treatment of varices by endovenous procedures? René MILLERET (France) Phlebolymphology – 2019 ; 26 (2): 48 Benefits of MPFF in combination with sclerotherapy Vadim Yu. BOGACHEV (Russia) Phlebolymphology – 2019 ; 26 (2): 54 The venous puzzle: from hemodynamics to chronic disease to DVT Fedor LURIE (USA) Phlebolymphology – 2019 ; 26 (2): 60 What a phlebologist should know about the anterior accessory saphenous vein Marianne DE MAESENEER (The Netherlands) Phlebolymphology – 2019 ; 26 (2): 66 DEBATE: Is compression after sclerotherapy mandatory Phlebolymphology – 2019 ; 26 (2): 73

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