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Venous insufficiency

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https://www.readbyqxmd.com/read/29037353/shortened-protocol-for-radiofrequency-ablation-of-perforator%C3%A2-veins
#1
Afsha Aurshina, Anil Hingorani, Sheila Blumberg, Ahmad Alsheekh, Natalie Marks, Amrit Hingorani, Eleanor Iadagarova, Enrico Ascher
BACKGROUND: Routine radiofrequency ablation (RFA) of an incompetent perforator vein (IPV) using the standard treatment protocol at 85°C has a treatment time of 6 minutes. To make treatment time more efficient, we sought to determine the effect of a shortened protocol for radiofrequency stylet (RFS) ablation by comparing the early success using three different temperatures: 85°C, 90°C, and 95°C. METHODS: A retrospective study examined 642 procedures of IPV closures in 255 patients with varying degrees of venous insufficiency treated with RFA from 2009 to 2015...
November 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29037350/prospective-study-of-safety-and-effectiveness-in-the-use-of-radiofrequency-ablation-for-incompetent-great-saphenous-vein-%C3%A2-12%C3%A2-mm
#2
Maday Cabrero Fernandez, Isaac Martinez Lopez, Manuela Maria Hernandez Mateo, Pablo Marques de Marino, Iñaki Cernuda Artero, Francisco Javier Serrano Hernando
OBJECTIVE: The objective of this study was to assess the outcomes of radiofrequency ablation (RFA) in incompetent great saphenous vein (GSV) according to its diameter. METHODS: This was a prospective single-center study including all patients treated with RFA from September 2014 to December 2015. The sample was divided according to the maximum GSV diameter measured on duplex ultrasound scan (A, <12 mm; B, ≥12 mm). Second-generation catheters (ClosureFast; Covidien, Mansfield, Mass) and tumescent anesthesia were used...
November 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29037345/factors-influencing-the-hemodynamic-response-to-balloon-angioplasty-in-the-treatment-of-outflow-anomalies-of-internal-jugular-veins
#3
Alessia Giaquinta, Clive B Beggs, Massimiliano Veroux, Ester De Marco, Adalberto Sanzone, Carla Virgilio, Pierfrancesco Veroux
OBJECTIVE: Percutaneous transluminal angioplasty (PTA) of the internal jugular veins (IJVs) has been proposed in recent years to treat chronic cerebrovascular venous insufficiency, with discordant results. Moreover, very little is known about the efficacy of PTA in restoring a normal cerebral venous outflow. The aim of this study was to investigate the anatomic factors and patient characteristics that might influence the efficacy of PTA of the IJV. METHODS: There were 797 consecutive patients with venous outflow anomalies who underwent standardized, operator-independent catheter venography and PTA of the IJVs...
November 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29031868/prevalence-and-risk-factors-for-chronic-venous-disease-in-the-general-russian-population
#4
Igor A Zolotukhin, Evgeny I Seliverstov, Yuri N Shevtsov, Ilona P Avakiants, Aleksey S Nikishkov, Andrey M Tatarintsev, Alexander I Kirienko
OBJECTIVE/BACKGROUND: The aim was to establish the prevalence of chronic venous disease (CVD) and its risk factors in the general population. METHODS: This was a population based, cross sectional study. In total, 703 residents aged > 18 years from the rural community of Kryukovo (Central Russia) were enrolled. Medical history was taken and clinical examination performed, documenting venous signs/symptoms. The CEAP classification of the most affected limb was used...
October 11, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29019582/ultrasound-guided-foam-sclerotherapy-for-severe-chronic-venous-insufficiency
#5
Guilherme Camargo Gonçalves de-Abreu, Otacílio de Camargo, Márcia Fayad Marcondes de-Abreu, José Luís Braga de-Aquino
Chronic venous insufficiency is characterized by cutaneous alterations caused by venous hypertension; in severe forms, it progresses to lower limb ulcers. Lower limb varicose veins are the main cause of chronic venous insufficiency, and the classic treatment includes surgery and compressive therapy. Minimally invasive alternative treatments for varicose veins include new techniques such as venous thermal ablation using laser or radiofrequency. The use of different methods depends on clinical and anatomical factors...
September 2017: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/29017005/early-planned-removal-of-umbilical-venous-catheters-to-prevent-infection-in-newborn-infants
#6
REVIEW
Adrienne Gordon, Mark Greenhalgh, William McGuire
BACKGROUND: Lengthy duration of use may be a risk factor for umbilical venous catheter-associated bloodstream infection in newborn infants. Early planned removal of umbilical venous catheters (UVCs) is recommended to reduce the incidence of infection and associated morbidity and mortality. OBJECTIVES: To compare the effectiveness of early planned removal of UVCs (up to two weeks after insertion) versus an expectant approach or a longer fixed duration in preventing bloodstream infection and other complications in newborn infants...
October 10, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28992883/comparative-study-of-the-effects-of-terlipressin-versus-splenectomy-on-liver-regeneration-after-partial-hepatectomy-in-rats
#7
Tom Florian Ulmer, Anne Weiland, Georg Lurje, Christian Klink, Anne Andert, Hamid Alizai, Christoph Heidenhain, Ulf Neumann
BACKGROUND: Post-hepatectomy liver failure as a result of insufficient liver remnant is a feared complication in liver surgery. Efforts have been made to find new strategies to support liver regeneration. The aim of this study was to investigate the effects of terlipressin versus splenectomy on postoperative liver function and liver regeneration in rats undergoing 70% partial hepatectomy. METHODS: Seventy-two male Wistar rats were randomly assigned into three groups (n=24 in each group): 70% partial hepatectomy as control (PHC), 70% partial hepatectomy with splenectomy (PHS) or 70% partial hepatectomy with a micropump for terlipressin administration (PHT)...
October 15, 2017: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/28991291/s%C3%A3-ndrome-antifosfol%C3%A3-pidos-catastr%C3%A3-fico-reporte-de-caso-y-revisi%C3%A3-n-bibliogr%C3%A3-fica
#8
Luis Del Carpio Orantes, Chantall Citlally Anaya Martínez, Elías Bonilla Casas
other: Se reporta un caso de una condición clínica sumamente rara, la cual cursa con falla multiorgánica aguda posterior a una tormenta trombótica relacionada con anticuerpos antifosfolípidos, el denominado síndrome antifosfolípidos (SAF) catastrófico, el cual comenzó como un cuadro recurrente de trombosis mesentérica, con antecedentes de insuficiencia venosa y úlceras distales probablemente asociadas a un SAF no identificado, ameritando manejo en terapia intensiva y la consulta por el experto mundial Dr...
2017: Revista de Investigación Clínica; Organo del Hospital de Enfermedades de la Nutrición
https://www.readbyqxmd.com/read/28982329/high-resolution-m-mode-evaluation-of-jugular-vein-valves-in-patients-with-neurological-and-neurosensory-disorders
#9
E Menegatti, M Tessari, M E Vannini, S Gianesini, A M Malagoni, A Ciorba, M Mazzoli, F Sisini, F Salvi, S Pelucchi, P Zamboni
BACKGROUND: High prevalence of valve absence was found in the internal jugular vein (IJV) of healthy volunteers by means of M-mode high-resolution echo colour Doppler (ECD). However, the prevalence of valve in neurovascular disorders linked to chronic cerebrospinal venous insufficiency (CCSVI) is still unknown. METHODS: A cohort of 83 healthy controls (HC), 71 multiple sclerosis (MS), 99 Inner Ear Disorders (IED) underwent ECD investigation of the IJV valve, including M-mode evaluation and related haemodynamics...
October 5, 2017: Current Neurovascular Research
https://www.readbyqxmd.com/read/28976826/hydrosurgery-as-a-safe-and-efficient-debridement-method-in-a-clinical-wound-unit
#10
M Ferrer-Sola, H Sureda-Vidal, J Altimiras-Roset, E Fontsere-Candell, V Gonzalez-Martinez, J Espaulella-Panicot, V Falanga, M Otero-Viñas
OBJECTIVE: Hydrosurgical debridement allows removal of non-viable tissue, preserving healthy tissues. This study was designed to analyse whether hydrosurgery, used in a clinical wounds unit, is an effective and safe method that may reduce debridement time. METHODS: Patients' wounds had the following characteristics: wounds with devitalised tissue needing rapid debridement, wounds with cavities, or non-healing wounds. Hydrosurgical debridement uses a pressurised stream of saline (0...
October 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28976394/-approach-to-venous-diseases-in-the-elderly
#11
Ahmet Kürşat Bozkurt, Ozan Onur Balkanay
Incidence and severity of both deep vein thrombosis and chronic venous insufficiency are increased with age. Today, however, the significance of these diseases in the elderly patient population are still poorly comprehended. Although most patients have a history of previous treatment, chronic venous insufficiency is usually encountered in the advanced clinical stage. As a result, there is an increase in mobility restrictions, the need for assistance in daily activities and the risk of falls in elderly patients...
September 2017: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://www.readbyqxmd.com/read/28967121/plasma-level-of-club-cell-cc-16-predicts-outcome-in-amyotrophic-lateral-sclerosis
#12
A C Pronto-Laborinho, M Gromicho, M Pereira, S Pinto, M do A Barros, M Swash, M de Carvalho
OBJECTIVES: The club cell protein (CC-16) is a biomarker associated with respiratory distress and pulmonary inflammation. We evaluated CC-16 as a candidate biomarker for respiratory failure in amyotrophic lateral sclerosis (ALS). MATERIALS AND METHODS: We studied 81 ALS patients and 30 matched controls. We used an ALS-related measure of functional capacity, and tested forced vital capacity (FVC) and the amplitude of the diaphragmatic response by phrenic nerve stimulation (PhrenAmpl)...
October 1, 2017: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/28961047/approaches-to-the-application-and-removal-of-compression-therapy-a-literature-review
#13
Lauren Balcombe, Charne Miller, William McGuiness
Compression therapy is used in the treatment of venous disorders, lymphoedema and burns. Adherence to compression therapy is reported to be poor, due to a number of factors, including difficulty in applying and removing the compression garments. A literature review was conducted to identify aids, equipment and other approaches to ease the application and removal of compression therapy garments. Some 12 studies were identified. Most studies focused on chronic venous insufficiency and venous ulcers. Four methods of easing compression garment application and removal were identified: (1) devices to assist in application and removal; (2) altered compression stocking design; (3) adjustable compression wrap devices; and (4) education...
October 1, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28959442/the-calendar-of-cytokines-seasonal-variation-of-circulating-cytokines-in-chronic-venous-insufficiency
#14
Paolo Spath, Veronica Tisato, Sergio Gianesini, Mirko Tessari, Erica Menegatti, Roberto Manfredini, Savino Occhionorelli, Paola Secchiero, Paolo Zamboni
OBJECTIVES: To assess if in chronic venous insufficiency, there is a seasonal variation of cytokines levels which could explain the typical worsening of symptoms during Spring and Summer. PARTICIPANTS: From 193 chronic venous insufficiency patients, we selected 32 patients in clinical stage C2-C3 of the Clinical-Etiology-Anatomy-Pathophysiology classification. DESIGN: A prospective, comparative and blinded cytokines assessment in two different seasons...
January 2017: JRSM Cardiovascular Disease
https://www.readbyqxmd.com/read/28958579/-needs-assessment-to-improve-the-applicability-and-methodological-quality-of-a-german-s3-guideline
#15
Marion Burckhardt, Cristina Hoffmann, Brigitte Nink-Grebe, Sylvia Sänger
BACKGROUND: Clinical practice guidelines can change the practice in healthcare only if their recommendations are implemented in a comprehensive way. The German S3 guideline "Local Therapy of Chronic Wounds in Patients with Peripheral Vascular Disease, Chronic Venous Insufficiency, and Diabetes" will be updated in 2017. The emphasis here is on the guideline's validity, user-friendliness and implementation into practice. Therefore, the aim was to identify the improvements required in regard to the guideline's methods and content presentation...
September 25, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28956508/treatment-of-incompetent-perforators-in-recurrent-venous-insufficiency-with-adhesive-embolization-and-sclerotherapy
#16
Krishna Prasad Bp, Binu Joy, Ajith Toms, Teena Sleeba
Recurrent lower limb venous insufficiency is often a challenge in clinical practice and is most commonly due to incompetent perforators. Many of these patients do not have adequate symptom relief with compression and require some form of treatment for incompetent perforator interruption. Various treatment methods have been tried with different efficiencies. Objective To evaluate the feasibility, efficiency and safety of an outpatient combined cyanoacrylate adhesion-sodium tetradecyl sulphate sclerotherapy for treatment of patients with symptoms of persistent or recurrent lower limb venous insufficiency secondary to incompetent perforators...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28954585/cultural-adaptation-and-validation-of-the-swedish-veines-qol-sym-in-patients-with-venous-insufficiency
#17
Helen Sinabulya, Gunnar Bergström, Jan Hagberg, Gunnar Johansson, Lena Blomgren
Objectives To translate and evaluate the psychometric properties of the Venous Insufficiency Epidemiological and Economic Studies (VEINES) questionnaire, divided into two subscales; symptoms (VEINES-Sym) and quality of life (VEINES-QOL), in a Swedish cohort of patients with venous disease. Methods The original questionnaire was translated into Swedish with forward-backward translation and administered to 112 patients who were consecutively recruited and had varying degrees of chronic venous disease. Mean age was 54...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28954574/effects-of-isokinetic-calf-muscle-exercise-program-on-muscle-strength-and-venous-function-in-patients-with-chronic-venous-insufficiency
#18
Sabriye Ercan, Cem Çetin, Turhan Yavuz, Hilmi M Demir, Yurdagül B Atalay
Objective The aim of this study was to observe the change of the ankle joint range of motion, the muscle strength values measured with an isokinetic dynamometer, pain scores, quality of life scale, and venous return time in chronic venous insufficiency diagnosed patients by prospective follow-up after 12-week exercise program including isokinetic exercises. Methods The patient group of this study comprised 27 patients (23 female, 4 male) who were diagnosed with chronic venous insufficiency. An exercise program including isokinetic exercise for the calf muscle was given to patients three days per week for 12 weeks...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28948595/-improve-the-ability-of-nurses-to-implement-continuous-veno-venous-hemodialysis
#19
Wei-Ling Hsiao, Chin-Yuan Tsan
BACKGROUND & PROBLEM: Many critically ill patients require continuous veno-venous hemodialysis (CVVH) due to their hemodynamic instability and high-dose inotropic use. However, our surgical intensive care unit nursing staffs are often unable to set up the dialysis circuit in a correct and timely manner, which necessitates requesting the assistance of nearby units. After detailed investigation and analysis, this problem is attributable to the lack of nursing staff hands-on practice, an over reliance on oral instructions, the insufficiency of in-service education, and a lack of familiarity with CVVH set-up equipment...
October 2017: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/28947359/pre-operative-duplex-ultrasonography-in-arteriovenous-fistula-creation-intra-and-inter-observer-agreement
#20
Niek Zonnebeld, Tommy M G Maas, Wouter Huberts, Magda M van Loon, Tammo Delhaas, Jan H M Tordoir
OBJECTIVE: Although clinical guidelines on arteriovenous fistula (AVF) creation advocate minimum luminal arterial and venous diameters, assessed by duplex ultrasonography (DUS), the clinical value of routine DUS examination is under debate. DUS might be an insufficiently repeatable and/or reproducible imaging modality because of its operator dependency. The present study aimed to assess intra- and inter-observer agreement of DUS examination in support of AVF surgery planning. METHODS: Ten end stage renal disease patients were included, to assess intra- and inter-observer agreement of pre-operative DUS measurements...
September 22, 2017: European Journal of Vascular and Endovascular Surgery
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