keyword
https://read.qxmd.com/read/38465064/a-study-of-valvular-incompetencies-in-the-lower-limb-veins-using-doppler-ultrasound-findings
#1
JOURNAL ARTICLE
Sangeetha Arumugam, Durgavajjala Pragnya Manaswini, Prudhvinath A Reddy, Joy A Ghoshal, Nandha Kumar Subbiah
INTRODUCTION: Varicose veins (VV) are one of the most common pathologies associated with the venous system of the lower limb. In the Indian population, its incidence is higher, and it is one of the most commonly encountered cases in the hospital. The study aimed to note the widely affected anatomical structure in male and female varicose patients using Doppler ultrasound (DU) examination findings. METHODS: A total of 200 Doppler ultrasound reports of varicose patients were retrospectively analyzed and categorized based on the affected structure...
February 2024: Curēus
https://read.qxmd.com/read/38428500/risk-factors-for-recanalization-of-truncal-veins-following-endoluminal-ablation
#2
JOURNAL ARTICLE
Matthew Vuoncino, Joel Harding, Nasim Hedayati, Mimmie Kwong
BACKGROUND: Recanalization of target veins following treatment of superficial venous incompetence has clinical implications and may be dependent on the type of intervention. The aim of this study was to evaluate patient and procedural factors associated with truncal vein recanalization in a large study cohort using the Vascular Quality Initiative (VQI) Varicose Vein Registry. METHODS: We performed a retrospective review using the VQI Varicose Vein Registry from 2014 to 2018...
February 28, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38395347/comparison-of-radiofrequency-ablation-and-cyanoacrylate-closure-for-large-diameter-great-saphenous-vein-insufficiency
#3
JOURNAL ARTICLE
Ali Aycan Kavala, Gulsum Turkyilmaz, Yusuf Kuserli, Hasan Toz, Saygin Turkyilmaz
OBJECTIVE: To compare radiofrequency ablation (RFA) and cyanoacrylate closure (CAC) for large-diameter great saphenous vein insufficiency (GSV) between diameters of 12 and 16 mm. MATERIAL-METHODS: This study is a single-centre retrospective study. Subjects who underwent endovenous treatment with RFA (Group A) or CAC (Group B) for GSV insufficiency between June 2015 and June 2021 who were followed up for at least 2 years were included in the study. Subjects who had a 12 to 16 mm target vessel diameter and subjects with grade 3 and grade 4 reflux were included...
February 21, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38356738/long-term-clinical-and-imaging-findings-in-patients-with-lower-extremity-varicose-veins-treated-with-endovenous-laser-treatment-a-follow-up-study-of-up-to-12-years
#4
JOURNAL ARTICLE
Hossein Ghanaati, Amir Hossein Jalali, Madjid Shakiba, Diana Zarei, Nafiseh Ghavami, Kavous Firouznia
INTRODUCTION: This study investigates the long-term effectiveness and safety of endovenous laser treatment (EVLT) for chronic venous insufficiency (CVI), a condition commonly caused by dysfunctional valves in the venous circulation system. MATERIALS AND METHODS: In this retrospective cohort study, patients underwent EVLT and were followed up for successive short intervals and one last time after a median duration of 9-year postprocedural. Pre- and postprocedure duplex ultrasound was used to assess changes in the great saphenous vein (GSV) diameter, reflux, and saphenofemoral junction incompetence...
2024: International Journal of Vascular Medicine
https://read.qxmd.com/read/38311050/short-term-cost-effectiveness-of-radiofrequency-ablation-and-high-ligation-stripping-for-great-saphenous-vein-incompetence
#5
JOURNAL ARTICLE
Oskar Nelzén, Johan Skoog, Lars Bernfort, Helene Zachrisson
OBJECTIVE: Superficial venous incompetence (SVI) is a common disease that causes significant quality of life (QoL) impairment. There is a need for more health economic evaluations of SVI treatment. The aim of this study was to perform a cost effectiveness analysis in patients with great saphenous vein (GSV) incompetence comparing radiofrequency ablation (RFA), high ligation/stripping (HL/S), and no treatment/conservative treatment with one year follow up. METHODS: Randomised controlled trial economic analysis from an ongoing trial; 143 patients (156 limbs) with GSV incompetence (C in CEAP 2 - 6) were included...
February 2, 2024: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/38215907/factors-associated-with-ablation-related-thrombus-extension-arte-following-microfoam-versus-radiofrequency-saphenous-vein-closure
#6
JOURNAL ARTICLE
Amanda L Chin, Stephanie D Talutis, Peter F Lawrence, Karen Woo, David A Rigberg, Johnathon C Rollo, Juan Carlos Jimenez
OBJECTIVES: Polidocanol endovenous microfoam (MFA) is approved by the US Food and Drug Administration for great saphenous vein (GSV) closure, yet there is little published data on the subsequent risk of ablation related thrombus extension (ARTE). Recent societal practice guidelines recommend against routine post-procedure duplex ultrasound (DU) following thermal ablation of the GSV in asymptomatic patients. At present, limited data does not allow this recommendation to extend to MFA. Our aim is to identify characteristics and outcomes associated with ARTE following MFA versus radiofrequency ablation (RFA)...
January 10, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38164923/mechanochemical-ablation-disappointing-long-term-anatomic-results-and-worsening-symptoms
#7
JOURNAL ARTICLE
John Blebea
An updated report on the five-year results in the treatment of great saphenous vein incompetence with mechanochemical ablation (MOCA) provides additional evidence for higher rates of anatomic recanalization compared to other treatment modalities and progressive worsening of symptoms with time.
January 2, 2024: Phlebology
https://read.qxmd.com/read/38135217/can-cross-sectional-imaging-replace-diagnostic-venography-in-pelvic-venous-disorder-pevd
#8
JOURNAL ARTICLE
Mohammed Shahat, Omar M A Abdelbaqy, Ahmed M AbdelHakam, Sahar H Ali, Khaled Attalla
INTRODUCTION: The primary etiology of Pelvic venous disorder (PeVD) is multifactorial and challengeable in vascular surgery as it mandates multidisciplinary team cooperation for its evaluation and management. METHODS: All patients investigated for (PeVD) in a high-volume, tertiary referral university hospital were identified and analyzed retrospectively during the period (March 2021 and September 2022). Demographic and medical data were scored. Agreement between the non-invasive modalities (CTV or MRV) and diagnostic venography in detecting the refluxing pelvic veins was analyzed...
December 20, 2023: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38130912/syncope-fainting-on-standing-from-squatting-due-to-massive-venous-reflux-into-lower-limb-varicose-veins-case-report
#9
Mark S Whiteley, Melissa J Kiely
A 42-year-old man presented with very large lower limb varicose veins bilaterally and an 8-month history of fainting when standing up from a squatting position. He had been investigated for syncope by a cardiologist with no abnormality found on electrocardiogram, echocardiogram, 24-h electrocardiogram or 48-h blood pressure monitoring. Venous duplex ultrasonography showed bilaterally great saphenous vein reflux, with each vein having a diameter of 23.5 and 24.0 mm at the groin, and a similar dilation along the whole vein to ankle...
2023: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38130411/right-hepatic-vein-bullet-embolism-a-case-report
#10
Rafael Borella Pelosi, Sandro Scarpelini, Maurício Godinho, José Eduardo Pereira Martins da Silva, Luiz Donizeti da Silva Stracieri, Dino César Pereira da Motta, Gustavo Urbano, Thiago Henrique Sigoli Pereira, Rafael Muller, Jorge Luiz Carnesecca Sobrinho, Guilherme Café Soares Benfatti, Marcelino Quaglia Morato, Beatriz Cristina Barcellos Covre
Penetrating trauma is usually divided into stab and gunshot wounds (GSW). When considering GSW, the initial assessment involves the identification of all the wounds, to understand the projectile's trajectory as well as to determine which anatomic structures might have been damaged [1]. Rarely, the projectile might not leave the victim's body and embolize to a different region through large blood vessels. Known as Missile Embolism (ME), this uncommon complication can compromise multiple body segments, resulting in severe injuries, whether it occurs through an artery or a vein, such as pulmonary embolism, cardiac-valve incompetence, limb-threatening ischemia, coronary infarct, and stroke [2,3]...
February 2024: Trauma Case Reports
https://read.qxmd.com/read/38082236/current-practice-of-cyanoacrylate-endovenous-ablation-american-vein-and-lymphatic-society-position-statement
#11
JOURNAL ARTICLE
Michael A Vasquez, Michael Di Iorio, Robert L Worthington-Kirsch, Elias Fakhoury, John Blebea
BACKGROUND: Cyanoacrylate endovenous ablation and closure of incompetent saphenous veins have become increasingly utilized since its approval for use in the United States in 2015. This increase in usage necessitates a societal update to guide treatment and ensure optimal and consistent patient outcomes. METHOD: The American Vein and Lymphatic Society convened an expert panel to write an updated Position Statement with explanations and recommendations for the appropriate use of cyanoacrylate endovenous ablation for patients with venous insufficiency...
December 11, 2023: Phlebology
https://read.qxmd.com/read/38081513/compression-following-endovenous-treatment-of-incompetent-varicose-veins-by-sclerotherapy-confetti
#12
JOURNAL ARTICLE
Amjad Belramman, Roshan Bootun, Tristan R A Lane Is, Alun H Davies
OBJECTIVE: The evidence for post-foam sclerotherapy compression stockings for varicose veins is limited. Thus, we examined the effects of post-procedural compression stockings on varicose vein patients undergoing foam sclerotherapy. METHOD: CONFETTI study was a prospective, single-center, randomised controlled trial. Patients with foam sclerotherapy-suitable varicose veins were randomly assigned to the compression group (CG) or the no compression stockings group (NCG) for seven days...
December 9, 2023: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38040466/acr-appropriateness-criteria%C3%A2-lower-extremity-chronic-venous-disease
#13
JOURNAL ARTICLE
Paul J Rochon, Arun Reghunathan, Baljendra S Kapoor, Sanjeeva P Kalva, Nicholas Fidelman, Bill S Majdalany, Hani Abujudeh, Drew M Caplin, Jens Eldrup-Jorgensen, Khashayar Farsad, Marcelo S Guimaraes, Amit Gupta, Mikhail Higgins, A Tuba Kendi, Neil M Khilnani, Parag J Patel, Karin E Dill, Eric J Hohenwalter
Lower extremity venous insufficiency is a chronic medical condition resulting from primary valvular incompetence or, less commonly, prior deep venous thrombosis or extrinsic venous obstruction. Lower extremity chronic venous disease has a high prevalence with a related socioeconomic burden. In the United States, over 11 million males and 22 million females 40 to 80 years of age have varicose veins, with over 2 million adults having advanced chronic venous disease. The high cost to the health care system is related to the recurrent nature of venous ulcerative disease, with total treatment costs estimated >$2...
November 2023: Journal of the American College of Radiology: JACR
https://read.qxmd.com/read/38035926/contemporary-management-of-incompetence-of-the-small-saphenous-vein-in-the-light-of-the-recent-results-of-the-fovelass-study
#14
REVIEW
Claudine Hamel-Desnos
The FOVELASS study, a randomised multicentre trial published this year by the French Society of Phlebology, confirms the technical superiority of endovenous laser over sclerosing foam in the treatment of small saphenous vein incompetence, over a 3-year follow-up. However, this study also validates the good clinical results of foam, equivalent to those of endovenous laser, already observed in other clinical studies on the great saphenous vein. Thermal ablation has therefore consolidated its leading position in the treatment of saphenous veins but depending on the anatomical configuration of the veins and the economic context, sclerosing foam, which is widely applicable, highly versatile, and cost-effective, may be an interesting alternative...
2023: Journal de Médecine Vasculaire
https://read.qxmd.com/read/37994646/unique-risk-factors-for-unplanned-preterm-delivery-in-the-uterus-transplant-recipient
#15
JOURNAL ARTICLE
Liza Johannesson, Giuliano Testa, Nicole Petrillo, Anthony R Gregg
STUDY QUESTION: Do characteristics of the lower uterine segment and cervix modify the risk of preterm delivery in uterus transplant (UTx) recipients? SUMMARY ANSWER: The cervical length showed little association with preterm delivery, however, cervical inflammation deserves further exploration as a cause of preterm delivery. WHAT IS KNOWN ALREADY: UTx recipients do not have the risk factors normally used to stratify pregnancies that would benefit from cervical length assessment...
January 5, 2024: Human Reproduction
https://read.qxmd.com/read/37990305/recurrent-reflex-syncope-in-idiopathic-intracranial-hypertension-patient-resolved-after-lumbar-puncture-pathogenetic-implications
#16
JOURNAL ARTICLE
Roberto De Simone, Mattia Sansone, Francesco Curcio, Cinzia Valeria Russo, Gianluigi Galizia, Angelo Miele, Antonio Stornaiuolo, Andrea Piccolo, Simone Braca, Pasquale Abete
BACKGROUND: Idiopathic intracranial hypertension is a disease characterized by increased intracranial cerebrospinal fluid volume and pressure without evidence of other intracranial pathology. Dural sinuses are rigid structures representing a privileged low-pressure intracranial compartment. Rigidity of dural sinus ensures that the large physiologic fluctuations of cerebrospinal fluid pressure associated with postural changes or to Valsalva effect cannot be transmitted to the sinus. An abnormal dural sinus collapsibility, especially when associated with various anatomical sinus narrowing, has been proposed as a key factor in the pathogenesis of idiopathic intracranial hypertension...
November 21, 2023: BMC Neurology
https://read.qxmd.com/read/37975993/erectile-dysfunction-role-of-computed-tomography-cavernosography-in-the-diagnosis-and-treatment-planning-of-venous-leak
#17
REVIEW
Hanno Hoppe, Dominique Hirschle, Martin Christian Schumacher, Heinz Schönhofen, Michael Glenck, Christoph Kalka, Torsten Willenberg, Sebastian Sixt, Dominik Müller, Andreas Gutzeit, Andreas Christe, Vignes Mohan, Nicolas Diehm
BACKGROUND: Venous leak appears to be the most common cause of vasculogenic erectile dysfunction (ED), which can be treated with venous embolization. Traditionally, conventional cavernosography was used for the diagnosis and treatment planning of venous leak. Recently, computed tomography (CT) cavernosography was introduced as a novel cross-sectional imaging method proposed to be advantageous over conventional cavernosography. We created a novel management algorithm for diagnosing venous leak including CT cavernosography as an imaging modality...
November 17, 2023: CVIR Endovascular
https://read.qxmd.com/read/37922319/bidirectional-perforators-in-the-lower-limb-are-not-physiologically-normal-a-brief-commentary
#18
JOURNAL ARTICLE
André M van Rij, Brigid G Hill, Kate N Thomas
The suggestion that bidirectional flow is a normal feature seen in venous perforators of the lower leg has been a longstanding debate. Newer published evidence has changed the perspective on normal perforator flow and is presented here to resolve the misunderstandings and different viewpoints previously held.
November 3, 2023: Phlebology
https://read.qxmd.com/read/37903380/unsuccessful-linguistic-validation-of-the-symptom-questionnaire-for-assessing-quality-of-life-in-polish-patients-with-pelvic-vein-disorders
#19
JOURNAL ARTICLE
Paulina Kłapacz, Mikołaj Maga, Łukasz Drelicharz, Jakub Krężel, Ewa Graczkowska, Kinga Krupa, Gabriela Trąd, Wojciech Maga, Łukasz Partyka, Paweł Maga
Pelvic venous disorder (PeVD) is a prevalent chronic condition characterized by the presence of varicose veins in the pelvis, leading to the development of chronic pelvic pain. Despite the growing interest in assessing quality of life in PeVD, well-designed and validated disease-specific questionnaires are missing. The objective of this study was a linguistic and clinical validation of the Symptom Questionnaire (SQ) in a cohort of Polish females with pelvic vein incompetence. The Polish version of SQ was developed using a standardized validation process that involved a back-and- forth translation protocol...
July 30, 2023: Folia Medica Cracoviensia
https://read.qxmd.com/read/37885503/early-results-of-mechanochemical-ablation-by-flebogrif-and-radiofrequency-ablation-in-treating-primary-varicose-veins-of-lower-limb
#20
JOURNAL ARTICLE
Abdul Razaque, Muhammad K Shazlee, Saqib Qamar, Syed Muhammad Shahnawaz Hyder, Hatem Adel
Introduction Chronic venous insufficiency is a common condition that leads to the development of incompetent great or short saphenous veins (GSV or SSV) resulting in varicose vein development. Conservative management is initially employed for its treatment; however, the varicosities that do not respond to conservative management may require intervention by surgery or endovenous routes. Radiofrequency ablation (RFA) and mechanochemical ablation (MOCA) are the two most common endovascular techniques available for the management of incompetent GSV or SSV...
September 2023: Curēus
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