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Varicose vein

Omar Rodriguez-Acevedo, Kristen E Elstner, Kui Martinic, Rn Isabelle Ibrahim, Rodrigo Tomazini Martins, Fernando Arduini, Nabeel Ibrahim
Background Recurrence rates and patterns after endovenous radiofrequency ablation (ERFA) are poorly documented. Objective To assess the incidence and anatomical recurrence patterns of saphenous vein reflux after ERFA. Method Two hundred patients previously treated with ERFA were recalled for clinical assessment and venous-duplex ultrasound at three years post-treatment. Results A total of 106 patients (68F, 38M) with a mean age of 49.4 years (SD +11.5y) were assessed. Mean follow-up was 42.1 months (SD + 20...
September 12, 2018: Phlebology
Hongyan Pang, Lei Wang, Jie Liu, Shengfeng Wang, Yuanhua Yang, Ting Yang, Chen Wang
INTRODUCTION: Venous thromboembolism (VTE) in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is not rare, which would affect the patient's prognosis. OBJECTIVES: To examine the prevalence, risk factors and clinical characteristics of AECOPD patients with VTE. METHODS: We performed this multi-center, prospective, observational study that involved 16 hospitals in China. Patients admitted to hospital due to AECOPD were consecutively enrolled...
September 12, 2018: Clinical Respiratory Journal
Huw O B Davies, Matthew Popplewell, Gareth Bate, Ronan P Ryan, Tom P Marshall, Andrew W Bradbury
OBJECTIVE/BACKGROUND: In July 2013, new UK guidelines recommended that all patients with symptomatic varicose veins (VV) be referred to a specialist vascular service for consideration of superficial venous intervention (SVI). In the UK, general practitioners (GPs) in primary care control access to publicly funded vascular services provided through the National Health Service. GP awareness and concordance with Clinical Guideline (CG)168 recommendations is vital if patients with VV are to receive evidence-based treatment in line with national recommendations...
August 24, 2018: European Journal of Vascular and Endovascular Surgery
Peng Liu, Junlu Peng, Lihua Zheng, Haili Lu, Weifang Yu, Xia Jiang, Lei Zhang, Haixia Song, Zengren Zhao
The objectives are to evaluate the application of computed tomography venography (CTV) in the diagnosis of iliac vein compression syndrome (IVCS), and to assess the factors related to the incidence and development of IVCS and the recurrence of varicose veins.Imaging data of 120 patients with chronic venous disease (CVD) of the lower extremity and 68 subjects without CVD (control) were retrospectively reviewed by radiologists blinded to the groups. CTV, conventional venography, and Doppler ultrasound were compared in the diagnosis and contributing factors for IVCS were also analyzed...
August 2018: Medicine (Baltimore)
T Wallace, J El-Sheikha, S Nandhra, C Leung, A Mohamed, A Harwood, G Smith, D Carradice, I Chetter
BACKGROUND: Clinical guidelines recommend endovenous laser ablation (EVLA) over surgery based on short-term evidence, yet there are few studies reporting mid- to long-term outcomes. The aim of this study was to report the 5-year outcomes from an RCT of surgery versus EVLA for treatment of symptomatic great saphenous varicose veins. METHODS: Patients with symptomatic varicose veins due to great saphenous vein (GSV) incompetence were followed up 5 years after enrolment in a randomized trial of either surgery (saphenofemoral junction ligation, GSV strip to the knee and multiple avulsions of varicosities) or EVLA plus multiple avulsions...
August 22, 2018: British Journal of Surgery
Alexander Gallus
No abstract text is available yet for this article.
August 21, 2018: Annals of Internal Medicine
W S A Kamal, A M Affandi, A Bhullar, W S Z Kamal
Lymphoma presenting with ulceration is not typical. We report a case of relapsed DLBCL in a 73-year-old man presenting with a chronic non-healing leg ulcer. He has underlying varicose veins with recurrent venous ulcers. This patient was diagnosed to have DLBCL six years earlier when he presented with recurrent epistaxis originating from a left nasal cavity nodule. Complete resolution was achieved after eight cycles of R-CHOP and intrathecal methotrexate. For this current problem, this patient was treated with rituximab combined with chemotherapy which resulted in healing of the ulcer...
August 2018: Medical Journal of Malaysia
Gary K Yang, Marina Parapini, Joel Gagnon, Jerry C Chen
Objective To review clinical outcomes of varicose vein patients treated with cyanoacrylate embolization and radiofrequency ablation at our institution. Methods A retrospective review of patients who underwent cyanoacrylate embolization and radiofrequency ablation during a three-year period. Patient records were reviewed to assess demographics, location and severity of disease, treatment details and outcome at short- and mid-term follow-ups. Outcome parameters included treatment success and complications. Results Between January 2014 and December 2016, 335 patients with 476 veins were treated with either cyanoacrylate embolization (n = 148) or radiofrequency ablation (n = 328) at the Vancouver General Hospital Vascular Surgery Vein Clinic...
August 16, 2018: Phlebology
R A Ibadov, A Kh Babadzhanov, S Kh Irmatov, N R Gizatulina, S Kn Ibragimov, S A Ruziboev
AIM: Here we analyze efficiency of the algorithm for intensive therapy of acute hepatic insufficiency in patients with cirrhosis after portosystemic shunting, based on the experience of the Republican Specialized Scientific and Practical Medical Center of Surgery named after academician V.V. Vakhidov and considering recommendations of the world's leading hepatology schools. MATERIAL AND METHODS: Algorithm efficiency was analyzed based on the results of portosystemic shunting of 556 patients with cirrhosis and acute liver insufficiency...
2018: Khirurgiia
Lihua Luo, Zhu Chen, Enhua Xiao, Cong Ma
To compare the effect of cold or room temperature of tumescence anesthesia solution on pain perception during and after endovenous laser ablation (EVLA) for varicose veins of lower limb.
 Methods: A total of 51 patients with lower extremity varicose vein were treated by EVLA with tumescence anesthesia solution. All patients were used for local anesthesia and randomly divided into 2 groups according to the temperature of tumescence anesthesia solution: Group A (n=26) with room temperature (24 ℃) of tumescence anesthesia solution and Group B (n=25) with cold (4 ℃) tumescence anesthesia solution...
June 28, 2018: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
Jason Toniolo, Nathaniel Chiang, Diana Munteanu, Amelia Russell, Huming Hao, Jason Chuen
OBJECTIVE: Ultrasound-guided foam sclerotherapy (UGFS) is a low-cost and minimally invasive treatment option for varicose veins. There is a relative paucity of outcome reports. METHODS: UGFS procedures at a tertiary public hospital between 2010 and 2017 were studied. Either the great saphenous vein (GSV) or small saphenous vein (SSV) was treated. Pretreatment, in-treatment, 6-week, and 1-year post-treatment ultrasound reports were analyzed. The primary outcome was to determine whether vein diameter predicts obliteration failure...
August 11, 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Djordje Radak, Nenad Djukic, Mihailo Neskovic
In the past two decades, varicose veins surgery went through a great turbulence and various innovations. A number of new techniques have been introduced with a goal to increase the success rate, reduce the periprocedural complications and, overall, to improve patients' quality of life. The latest of them, named cyanoacrylate embolization (CAE) technique threatens to shake the glory of the currently well-established endovenous methods. We have analyzed all previous studies by searching MEDLINE base using PubMed...
August 9, 2018: Annals of Vascular Surgery
David Epstein, Sarah Onida, Roshan Bootun, Marta Ortega-Ortega, Alun H Davies
OBJECTIVES: To analyze the cost-effectiveness of current technologies (conservative care [CONS], high-ligation surgery [HL/S], ultrasound-guided foam sclerotherapy [UGFS], endovenous laser ablation [EVLA], and radiofrequency ablation [RFA]) and emerging technologies (mechanochemical ablation [MOCA] and cyanoacrylate glue occlusion [CAE]) for treatment of varicose veins over 5 years. METHODS: A Markov decision model was constructed. Effectiveness was measured by re-intervention on the truncal vein, re-treatment of residual varicosities, and quality-adjusted life-years (QALYs) over 5 years...
August 2018: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
Antonietta Cerulli, Milena Masullo, Paola Montoro, Jan Hošek, Cosimo Pizza, Sonia Piacente
Corylus avellana L. (Betulaceae) leaves, consumed as infusion, are used in traditional medicine, for the treatment of hemorrhoids, varicose veins, phlebitis, and edema due to their astringent, vasoprotective, and antiedema properties. In previous works we reported from the leaves of Corylus avellana cv. "Tonda di Giffoni" diarylheptanoid derivatives, a class of plant secondary metabolites with a wide variety of bioactivities. With the aim to give an interesting and economically feasible opportunity to C...
October 25, 2018: Journal of Pharmaceutical and Biomedical Analysis
B Saka, A E Abilogoun-Chokki, S Akakpo, J Teclessou, G W Soga, G Mahamadou, W Gnassingbe, A Mouhari-Toure, K Kombate, E D Dosseh, V P Pitche
The aim of this study was to document the profile and causes of chronic leg ulcers (CLU) in patients hospitalized in Lomé, Togo. This retrospective study reviewed records from the dermatology departments (CHU Sylvanus Olympio and Campus, and the dermatology center of Gbossimé) from 2000 to 2017 and from the general surgery department of CHU Sylvanus Olympio from 2013 to 2017 to identify cases. In all, 125 cases of CLU were identified during the study period. The patients' mean age was 56.6 years and the sex ratio (M/F) was 0...
August 8, 2018: Médecine et Santé Tropicales
Shyue-Luen Chang, Pei-Chun Chen
No abstract text is available yet for this article.
August 7, 2018: JAMA: the Journal of the American Medical Association
Alok Tiwari, Will Lester, Tjun Yip Tang
No abstract text is available yet for this article.
August 7, 2018: JAMA: the Journal of the American Medical Association
Amjad Belramman, Roshan Bootun, Tjun Yip Tang, Tristan R A Lane, Alun H Davies
BACKGROUND: Thermal ablation techniques have become the first-line treatment of truncal veins in the management of chronic venous disease (CVD). Despite excellent outcomes, these methods are often associated with pain; generally due to their use of heat and the necessity of fluid infiltration around the vein. More recently, novel non-thermal techniques, such as mechanochemical ablation (MOCA) and cyanoacrylate adhesive (CAE) have been developed to overcome these unwelcome effects. So far, the novel techniques have been found to have similar efficacy to thermal methods, yet no direct comparisons between the non-thermal treatment techniques have been conducted to date, giving rise to this study...
August 7, 2018: Trials
Jan Nybo, Mads Nybo, Anne-Mette Hvas
This review summarises the current knowledge of risk factors, diagnostic work-up, and treatment of superficial vein thrombosis (SVT). SVT most often affects varicose superficial veins of the lower extremity. The diagnosis is based on clinical signs and may be supplemented by duplex ultrasound. The treatment of SVT aims at relieving symptoms and preventing progression into the deep vein system. Recent studies indicate benefit of anticoagulant therapy in selected cases of SVT.
August 13, 2018: Ugeskrift for Laeger
Mariya A Smetanina, Alexander E Kel, Ksenia S Sevost'ianova, Igor V Maiborodin, Andrey I Shevela, Igor A Zolotukhin, Philip Stegmaier, Maxim L Filipenko
AIM: To integrate transcriptomic and DNA-methylomic measurements on varicose versus normal veins using a systems biological analysis to shed light on the interplay between genetic and epigenetic factors. MATERIALS & METHODS: Differential expression and methylation were measured using microarrays, supported by real-time quantitative PCR and immunohistochemistry confirmation for relevant gene products. A systems biological 'upstream analysis' was further applied...
August 2018: Epigenomics
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