Read by QxMD icon Read

Varicose Vein Treatment

K Ye, R Wang, J Qin, X Yang, M Yin, X Liu, M Jiang, X Lu
OBJECTIVE: The hypothesis that post-operative short-term compression therapy improves operation related complications in patients with uncomplicated varicose veins after endovenous laser ablation (EVLA) treatment was tested. METHODS: In this randomized trial, patients with uncomplicated varicose veins (C2 according to the CEAP classification) treated with EVLA at a single institution from January 2012 to November 2013 were enrolled. Before EVLA, patients were randomized into two groups based on whether or not (control group) they wore an elastic compression stocking (ECS group) post-operatively...
October 16, 2016: European Journal of Vascular and Endovascular Surgery
Marianne E Witte, Suzanne Holewijn, Ramon R van Eekeren, Jean-Paul de Vries, Clark J Zeebregts, Michel M P J Reijnen
PURPOSE: To report the midterm results of mechanochemical ablation (MOCA) for treating great saphenous vein (GSV) insufficiency. METHODS: In a 1-year period, 85 consecutive patients (median age 51.4 years; 71 women) undergoing MOCA with polidocanol in 104 limbs were enrolled in a prospective registry. The patients were evaluated at baseline and during follow-up (4 weeks and 1, 2, and 3 years) using duplex ultrasound, the CEAP (clinical, etiologic, anatomic and pathophysiologic) classification, the Venous Clinical Severity Score (VCSS), the RAND Short Form 36-Item Health Survey (RAND-SF36), and the Aberdeen Varicose Vein Questionnaire (AVVQ)...
October 14, 2016: Journal of Endovascular Therapy
Hirono Satokawa, Takashi Yamaki, Hirohide Iwata, Masahiro Sakata, Norihide Sugano, Toshiya Nishibe, Makoto Mo, Norikazu Yamada, Takehisa Iwai
Purpose: This study aimed at clarifying the changes in treatments for primary varicose veins in Japan. Methods: A questionnaire was mailed to the members of the Japanese Society of Phlebology. The contents of the survey covered the treatment and treatment strategy of varicose vein cases in 2013. The results were examined and compared with the results of previous surveys conducted by the aforesaid society in 1998, 2004 and 2009. Results: Of 36078 patients, 43958 limbs were reported from 201 institutions. Saphenous type was the most common type of varicose veins that developed in patients aged 70-79 years...
2016: Annals of Vascular Diseases
L Spinedi, M Aschwanden, P Broz, S Imfeld, T Baldi, K Jaeger, D Staub, H Uthoff
Part one addressed the value of duplex ultrasound in the diagnostic workup of varicosis. The present article discusses the use of preinterventional, intrainterventional and postinterventional duplex ultrasound in endoluminal methods for the treatment of varices. It is a prerequisite for the planning, implementation, and follow-up of this form of therapy.
October 13, 2016: Ultraschall in der Medizin
Yasuhiro Shibata, Sota Kurihara, Seiji Arai, Haruo Kato, Tomomi Suzuki, Yoshiyuki Miyazawa, Hidekazu Koike, Kazuto Ito, Tetsuya Nakamura, Kazuhiro Suzuki
OBJECTIVES: Microsurgical subinguinal varicocelectomy is one of the best treatment modalities for varicoceles related to male infertility and scrotal pain. However, the difficulty in identifying testicular arteries, which should be spared, is a limitation of this technique. To visualize and identify the testicular arteries in spermatic cord during the operation, we examined the efficacy of intraoperative indocyanine green angiography (ICGA), which is regularly used in microsurgical neurosurgery...
October 13, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
Stefan Nydahl
Modern management of varicose veins Chronic venous disease is a common medical condition and occurs in about one-third of the adult population. Reflux, and to a much lesser extent obstruction of the superficial and deep venous systems, generates venous hypertension. The goal of the treatment is to reduce venous hypertension in order to prevent complications, progression of venous disease and to improve patients' quality of life. Today we have a wide spectrum of different treatment options at our disposal. Management is based upon accurate clinical diagnosis and duplex imaging...
October 4, 2016: Läkartidningen
Marco Apperti, Ermenegildo Furino, Antonio Sellitti, Gennaro Quarto
AIM: To explain the mode of using and the obtained results during EVLA procedures and sclerotherapies with support of Visioven®, a laser transillumination instrument. MATERIALS AND METHODS: 205 patients suffering from Chronic Venous Insufficiency - CEAP-C stage 1-2 enrolled (103 females and 102 males) and divided into two groups. A Group: patients candidate for sclerotherapy; B Group: patients to be subjected to endovascular laser ablation (EVLA). In both groups patients were divided into two sub-groups on the basis of the use of Visioven® or not during the procedure...
2016: Annali Italiani di Chirurgia
Witold Woźniak, R Krzysztof Mlosek, Piotr Ciostek
INTRODUCTION: Thermal ablation techniques have gradually replaced Babcock procedure in varicose vein treatment. AIM: A comparative quantitative-qualitative analysis of complications and failure of endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) in a 5-year follow-up. MATERIALS AND METHODS: One hundred ten adult participants with varicose veins clinical grade C2 to C6, treated for isolated great saphenous vein (GSV) or small saphenous vein (SSV) insufficiency in a single lower extremity in 2009 to 2010, were enrolled and subdivided into EVLA (n = 56) and RFA (n = 54) groups...
October 2016: Vascular and Endovascular Surgery
Henghui Yin, Haipeng He, Mian Wang, Zilun Li, Zuojun Hu, Chen Yao, Jinsong Wang, Shenming Wang, Guangqi Chang
BACKGROUND: To evaluate the effect of ultrasound-guided foam sclerotherapy (UGFS) in a single session combined with great saphenous vein (GSV) high ligation for severe lower extremity varicosis classified as C4 to C6, compared with GSV stripping plus multistab avulsion or transilluminated powered phlebectomy (TIPP). METHODS: From January 2012 to December 2014, 177 patients with primary GSV insufficiency, classified as C4 to C6, were randomized into the UGFS group or the control group...
September 23, 2016: Annals of Vascular Surgery
Shingo Chihara, Kentaro Sawada, Hiroshi Tomoeda, Shigeaki Aoyagi
We report a case of pulsatile varicose veins successfully managed by endovenous laser treatment (EVLT) of the great saphenous vein (GSV). A 77-year-old woman taking an anticoagulant was transferred to our hospital for pulsatile varicose veins complicated with repeated venous bleeding from an ulcer of her left lower leg. Doppler echocardiography showed severe tricuspid regurgitation, and duplex ultrasonography revealed an arterial-like pulsating flow in the saphenofemoral junction and along the GSV, but an arteriovenous fistula, obstruction of the deep veins, and the distal incompetent perforators were not detected...
September 22, 2016: Annals of Vascular Surgery
Maria de Fátima Guerreiro Godoy, Edivandra Buzato Silva, Jose Maria Pereira de Godoy
BACKGROUND: One of the dreaded complications after the treatment of breast cancer is lymphedema. Therapies used in the treatment of breast cancer such as surgery, radiotherapy, hormone therapy and chemotherapy may be adversely affected by obesity. AIM: The objective of this study was to use bioimpedance to assess abdominal fat in women with breast cancer treatment-related lymphedema and suggest this as a screening method. METHODS: Forty-five female patients with clinical diagnosis of breast cancer treatment-related lymphedema were evaluated in this quantitative cross-sectional study...
July 28, 2016: Breast Disease
Elizabeth A Andraska, Danielle C Horne, Danielle N Campbell, Jonathan L Eliason, Thomas W Wakefield, Dawn M Coleman
BACKGROUND: The spectrum of chronic venous disease (CVD) is well documented in adults; clinical guidelines standardize diagnosis and treatment. There is a paucity of data published commenting on pediatric CVD exclusive of Klippel-Trénaunay syndrome (KTS) and post-thrombotic syndrome. METHODS: This study aimed to define patterns of pediatric venous disease. All venous reflux studies performed on patients <18 years of age between January 2012 and June 2014 were reviewed...
October 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Sulaiman S Shoab, Danielle Lowry, Alok Tiwari
OBJECTIVE: The aim of this preliminary study was to document the effect of treated great saphenous vein (GSV) length on short-term outcomes using freedom from secondary intervention as a marker. METHODS: Analysis was performed of a prospective database of endovascular laser therapy (EVLT) procedures performed by a single surgeon in an NHS hospital setting using a standardized technique in a series of consecutive ambulatory patients. During a 2-year period, 131 episodes with sufficient data were recorded...
October 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
S G Gavrilov, O O Turishcheva
The article is a literature review containing the data on various conservative methods of treatment for pelvic varicose veins. The authors present herein analysis of efficacy of using non-steroidal anti-inflammatory drugs, derivatives of ergot alkaloids, hormonal drugs, phleboprotectors, compression therapy in treatment of pelvic varicose veins, as well as indications for carrying out pharmacotherapy. Attention is drawn to the critically scarce number of studies dedicated to this issue, underlying the necessity of carrying out large multidisciplinary studies aimed at investigating the possibilities of non-surgical treatment of pelvic varicose veins...
2016: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
H Li, X Tong, X Qiu
Objective: This study aims to compare the curative effect of ultrasound guided foam sclerotherapy in combination with ligation of great saphenous varicose vein with stripping of great saphenous vein in the treatment of great saphenous varicose veins. Methods: One hundred and three cases of patients with great saphenous varicose veins were randomly divided into two groups, group A 54 cases underwent high ligation of great saphenous vein and stripping of the saphenous vein, group B 49 cases performed high ligation of great saphenous vein combined with foam slcerotherapy, and the operation time, postoperative recovery time, the duration of pain, cost of surgery, incidence of complications, quality of life and the recurrence rate were compared...
November 4, 2015: West Indian Medical Journal
Anina Lukhaup
Minimally invasive endovenous therapies for treatment of varicosis are a well established alternative to the classical surgical approach. Based on an example of radiofrequency ablation (Venefit(®)) of the great saphenous vein and foam sclerotherapy of the side branches this article shows the step-by-step implementation of the procedure. Tips and tricks for starters with the procedure are given.
September 2016: Deutsche Medizinische Wochenschrift
Cestmir Recek
Varicose vein disease is characterized by tenacious tendency to recur. Measures recommended to prevent recurrences (flush ligation at the saphenofemoral junction, removal of incompetent great saphenous vein in the thigh, and insertion of mechanical barriers in the fossa ovalis) did not succeed in preventing recurrence. Reflux recurrence is triggered by the hemodynamic phenomenon called hemodynamic paradox. Abolition of saphenous reflux removes the hemodynamic disturbance of any degree of severity but at the same time it releases the pathological process leading to recurrent reflux...
August 31, 2016: Phlebology
Rihyeon Kim, Whal Lee, Eun-Ah Park, Jin Young Yoo, Jin Wook Chung
BACKGROUND: Understanding the anatomy of the lower extremity veins is essential for successful varicose vein treatment. Computed tomography (CT) venography may be used to obtain a comprehensive overview and detailed information regarding this. PURPOSE: To describe anatomic variations of the lower extremity venous system in patients with varicose veins, using three-dimensional (3D) CT venography. MATERIAL AND METHODS: A total of 810 limbs in 405 patients with suspected varicose veins were prospectively referred to undertake CT venography and included in our study population retrospectively...
August 26, 2016: Acta Radiologica
Er-Lei Zhang, Zun-Yi Zhang, Shu-Ping Wang, Zhen-Yu Xiao, Jin Gu, Min Xiong, Xiao-Ping Chen, Zhi-Yong Huang
BACKGROUND: Severity of liver cirrhosis plays a vital role in determining an appropriate surgical strategy for HCC treatment. However, preoperative evaluation of the severity of cirrhosis has not been established in a surgical setting. This study aims to develop a model to predict the severity of cirrhosis. METHODS: Overall, 604 patients with hepatocellular carcinoma (HCC) and hepatitis B virus-related cirrhosis undergoing liver resection from Jan 2005 to Jun 2013 were randomly divided into either the model building group (n = 304) or the test group (n = 300)...
August 2016: Journal of Surgical Research
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"