keyword
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
#21
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/38353374/exploring-causal-correlations-between-inflammatory-cytokines-and-varicose-veins-a-mendelian-randomization-analysis
#22
JOURNAL ARTICLE
Shen Min, Mengzhen Xing, Hehe Jiang, Linlin Zhang, Chen Chen, Yuning Ma, Yuxia Ma
This study aimed to investigate the causal relationship between inflammatory cytokines and the risk of varicose veins. The data were sourced from genome-wide association studies (GWAS) of European individuals. Multiple Mendelian randomization (MR) methods were used to evaluate the association between inflammatory cytokines and varicose veins. The study found significant associations between elevated levels of certain inflammatory biomarkers (e.g., CASP-8, Vascular endothelial growth factor A levels (VEGF_A)) and an increased risk of varicose veins, while others (e...
February 2024: International Wound Journal
https://read.qxmd.com/read/38352632/asval-with-phlebectomy-sclerofoam-technique-preliminary-results
#23
JOURNAL ARTICLE
Alberto Garavello, Paola Fiamma, Enrico Oliva
The ambulatory selective varicose vein ablation under local anesthesia (ASVAL) method recommends preserving the great saphenous vein (GSV), unless there is a serious terminal valve insufficiency, and suggests phlebectomy of superficial varicose reservoir as a primary treatment. To increase patient comfort, foam safety and cosmetic results, we used ASVAL with a mixed phlebectomy/foam technique on local anesthesia. Thirty consecutive patients treated with ASVAL phlebectomy-sclerofoam technique were reviewed retrospectively between December 2022 and April 2023...
February 2024: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://read.qxmd.com/read/38348974/the-role-of-compression-therapy-after-endovenous-laser-ablation-evla-review
#24
JOURNAL ARTICLE
Łukasz Świątek, Hubert Stępak, Zbigniew Krasiński
<b><br>Introduction:</b> Chronic venous disease (CVD) is a rising problem in western countries. There are several stages of CVD that can be treated with different ways. One of the methods of treating varicosity, C2 stage of CVD, is still developing endovenous laser ablation (EVLA). This method is popular due to its short operation time, less bleeding, quick recovery and no surgical scars. The compression therapy in form of compression stockings has been widely used as a conservative treatment of early stage CVD and it's also used after EVLA...
November 27, 2023: Polski Przeglad Chirurgiczny
https://read.qxmd.com/read/38344644/advancements-in-varicose-vein-treatment-anatomy-pathophysiology-minimally-invasive-techniques-sclerotherapy-patient-satisfaction-and-future-directions
#25
REVIEW
Faris Fayyaz, Viralkumar Vaghani, Chukwuyem Ekhator, Muhammad Abdullah, Rashed A Alsubari, Omar A Daher, Danyal Bakht, Hanen Batat, Hareem Arif, Sophia B Bellegarde, Pakeezah Bisharat, Muhayya Faizullah
Varicose veins are a common vascular condition known for causing discomfort and cosmetic concerns. This comprehensive narrative review delves into their anatomy, pathophysiology, and modern treatment options, with a focus on endovenous techniques and sclerotherapy. The review starts by emphasizing the intricate anatomy of lower extremity venous circulation, underlining the significance of both superficial and deep venous networks in venous return. It also addresses how changes in the venous wall, including valvular insufficiency, contribute to the development of varicose veins...
January 2024: Curēus
https://read.qxmd.com/read/38341672/the-level-of-occlusion-of-small-saphenous-vein-after-endovenous-laser-ablation
#26
JOURNAL ARTICLE
Anel Okić, Hasib Mujić, Amel Hadžimehmedagić, Nermina Babić, Alma Krvavac Hafizović, Azra Kajmaković Kožo
Aim To determine the success of endovenous laser ablation (EVLA) treatment and long-term occlusion of small saphenous vein (SSV), as well as factors and conditions that influence the effectiveness of EVLA treatment. Methods A total of 250 patients treated with EVLA method over a period of seven years were followed one year after treatment. The main factors monitored and recorded during EVLA treatment were laser power (W), amount of delivered energy (J), duration of treatment (sec), veins length (cm), diameter (mm) and reflux (sec)...
February 1, 2024: Medicinski Glasnik
https://read.qxmd.com/read/38338837/factors-influencing-venous-remodeling-in-the-development-of-varicose-veins-of-the-lower-limbs
#27
REVIEW
Lukasz Gwozdzinski, Anna Pieniazek, Krzysztof Gwozdzinski
One of the early symptoms of chronic venous disease (CVD) is varicose veins (VV) of the lower limbs. There are many etiological environmental factors influencing the development of chronic venous insufficiency (CVI), although genetic factors and family history of the disease play a key role. All these factors induce changes in the hemodynamic in the venous system of the lower limbs leading to blood stasis, hypoxia, inflammation, oxidative stress, proteolytic activity of matrix metalloproteinases (MMPs), changes in microcirculation and, consequently, the remodeling of the venous wall...
January 26, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38322465/benefit-in-physical-function-and-quality-of-life-to-nonsurgical-treatment-of-varicose-veins-pilot-study
#28
JOURNAL ARTICLE
Gwon-Min Kim, BoKun Kim, Minwoo Jang, Jong-Hwan Park, Miju Bae, Chung Won Lee, Jong Won Kim, Up Huh
BACKGROUND: Studies on varicose veins have focused its effects on physical function; however, whether nonsurgical treatments alter muscle oxygenation or physical function remains unclear. Moreover, the differences in such functions between individuals with varicose veins and healthy individuals remain unclear. AIM: To investigate changes in physical function and the quality of life (QOL) following nonsurgical treatment of patients with varicose veins and determine the changes in their muscle oxygenation during activity...
January 26, 2024: World Journal of Clinical Cases
https://read.qxmd.com/read/38316290/endovenous-radiofrequency-ablation-versus-laser-ablation-in-patients-with-lower-extremity-varicose-veins-a-meta-analysis
#29
REVIEW
Wenhong Jiang, Yanying Liang, Zhen Long, Ming Hu, Han Yang, Xiao Qin
BACKGROUND AND OBJECTIVE: Endovenous radiofrequency ablation (RFA) and laser ablation (LA) have been commonly used for treating lower extremity varicose veins (LEVV). Their therapeutic effects have been widely recognized compared with conventional surgery. However, there have been some controversies regarding the choice between RFA and LA. The objective of our study was to conduct a systematic review and meta-analysis comparing the early and long-term outcomes of RFA and LA. METHODS: A comprehensive search was performed in the PubMed, Embase, and Cochrane databases to identify relevant literature on endovenous thermal ablation (ETA) for primary LEVV up until June 2023...
February 3, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38311050/short-term-cost-effectiveness-of-radiofrequency-ablation-and-high-ligation-stripping-for-great-saphenous-vein-incompetence
#30
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/38308425/hypersensitivity-reactions-following-vein-closure-therapy-with-venaseal-tm-n-butyl-2-cyanoacrylate
#31
JOURNAL ARTICLE
Abby Lanakiev, Christopher D Codispodi, Payal D Patel
VenaSealTM is composed of a cyanoacrylate adhesive compound often utilized for chronic venous stasis treatment. Rare case reports of hypersensitivity reactions to this compound exist. We present the first case of dermatographism and angioedema after utilization of VenaSealTM successfully treated via high dose antihistamines. We also present a case of type IV hypersensitivity to VenaSealTM , a cyanoacrylate, occurring in a patient with known meth(acrylate) allergy indicating a possible cross reactivity between these acrylate groups...
February 2024: Vascular
https://read.qxmd.com/read/38306530/combined-transhepatic-and-transsplenic-recanalization-of-chronic-splenic-vein-occlusion-to-treat-left-sided-portal-hypertension-a-cases-report
#32
JOURNAL ARTICLE
Jie Liang, Xu Feng, Min Peng, Jin-Tao Duan, Yao-Yong Chen, Jun Zhu
RATIONALE: This report describes a unique case of a combination transhepatic and transsplenic recanalization of chronic splenic vein occlusion to treat left-sided portal hypertension (LSPH). PATIENT CONCERNS: In this case report, we report a 49-year-old male who was admitted due to LSPH causing black stools for 2 days and vomiting blood for 1 hour. DIAGNOSES: The patient has a history of multiple episodes of pancreatitis in the past. After admission, abdominal contrast-enhanced CT scan showed the appearance of pancreatitis, with extensive splenic vein occlusion and accompanied by gastric varicose veins, indicating the formation of LSPH...
February 2, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38291638/-randomized-controlled-study-on-the-application-effect-of-a-new-type-of-intravenous-radiofrequency-closed-therapy-system-made-in-china-and-an-imported-system
#33
JOURNAL ARTICLE
M J Tang, L Y Zhou, X J Jia, J J Wu, Y B Lou, M J Jin, Y F Zhu
Objective: To compare the application effect of domestic and imported intravenous radiofrequency closure system in the treatment of primary varicose veins of lower extremities. Methods: This single-center prospective, non-inferiority randomized controlled trial was performed in the Department of Vascular Surgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine from January 2021 to January 2022. Patients with primary varicose veins of lower extremities who met the ataxation criteria were randomly assigned to the experimental group(domestic novel venous radiofrequency closure system) or the control group(imported venous radiofrequency closure system) in a ratio of 1︰1...
January 30, 2024: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://read.qxmd.com/read/38290939/ct-venography-combined-with-ultrasound-guided-minimally-invasive-treatment%C3%A2-for-recurrent-varicose-veins-a-pilot-paired-design-clinical-trial
#34
JOURNAL ARTICLE
Y Huang, X Li, L Niu, H Zhang, C Zhang, Y Feng, Z Wang, F Zhang, X Luo
AIM: To compare 1-year outcomes of computed tomography venography (CTV) combined with ultrasound-guided minimally invasive treatment with ascending phlebography and ultrasound-guided treatment for recurrent varicose veins. MATERIALS AND METHODS: Consecutive patients with unilateral recurrent varicose veins were matched by gender, age, C classification, and degree of obesity, and randomised in a 1:1 ratio to receive either CTV (CTV group) or ascending phlebography (control group) combined with ultrasound-guided minimally invasive treatment...
January 19, 2024: Clinical Radiology
https://read.qxmd.com/read/38240500/defining-the-parameters-for-endovenous-microwave-ablation-to-achieve-equivalence-with-endovenous-laser-ablation-using-the-porcine-liver-model
#35
JOURNAL ARTICLE
Anjali Bachetta, Simon Cheung, Emma R Moore, Danny Nguyen, Melissa J Kiely, Mark S Whiteley
AIMS: Endovenous microwave ablation (EMWA) is an endovenous thermoablation (EVTA) system to ablate incompetent truncal veins. Early results suggest that EMWA uses more power than endovenous laser ablation (EVLA) to get the same results. We aimed to define the parameters for EMWA, which give the same tissue ablation as EVLA, using the validated porcine liver model. METHODS: EVLA (1470 nm 600 micron radial fibre) treatments were performed at 6 W, 8 W and 10 W, at pullback speeds of 6, 7, 8 and 9 s/cm, giving Linear Endovenous Energy Densities (LEEDs) between 36 - 90 J/cm...
January 19, 2024: Vascular and Endovascular Surgery
https://read.qxmd.com/read/38226614/pathophysiology-and-genetic-associations-of-varicose-veins-a-narrative-review
#36
JOURNAL ARTICLE
Tao Chen, Peng Liu, Chenguang Zhang, Song Jin, Yuhu Kong, Yanan Feng, Ziqiang Sun
Varicose veins (VVs) have a high prevalence worldwide and have become a major medical burden. Their pathophysiology involves a complex interplay of inflammation and tissue remodeling, and current treatment is limited by its impact on the pathophysiological mechanisms. In addition, despite clear environmental factors, family history is an important risk factor, suggesting a genetic component to the risk of developing VVs. Our understanding of the pathogenesis of these diseases has benefited greatly from the expansion of population genetic studies, from pioneering family studies to large genome-wide association studies; we now find multiple risk loci for each venous disease...
January 16, 2024: Angiology
https://read.qxmd.com/read/38224849/automated-hyperspectral-imaging-for-non-invasive-characterization-of-human-eye-vasculature-a-potential-tool-for-ocular-vascular-evaluation
#37
JOURNAL ARTICLE
Yasser H El-Sharkawy
The vascular supply to the human eye plays a vital role in maintaining ocular health, making its non-invasive evaluation essential for diagnosing and managing various ocular disorders. This paper presents a novel approach utilizing hyperspectral imaging (HSI) to non-invasively characterize human eye vasculature. The proposed system aims to specifically identify the blood atrium and veins of the human eye at 470 nm and 750 nm, respectively, using quantitative phase analysis and k-means clustering...
January 13, 2024: Experimental Eye Research
https://read.qxmd.com/read/38222742/varicose-vein-embolization-and-portal-vein-stenting-in-a-patient-with-sinistral-portal-hypertension-induced-gastrointestinal-hemorrhage-a-case-report
#38
Xi Li, Wenbo Li, Yu Wu, Yuan Liu
INTRODUCTION AND IMPORTANCE: Massive gastrointestinal hemorrhage is a severe hemorrhage that occurs in the gastrointestinal tract and is a life-threatening condition. Sinistral portal hypertension is a common etiology for massive gastrointestinal hemorrhage, whose occurrence might be derived from pathological changes induced by obstruction and/or increased blood flow to the portal vein system. However, there is a rare study reporting pancreatic disease-induced sinistral portal hypertension...
January 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38215907/factors-associated-with-ablation-related-thrombus-extension-arte-following-microfoam-versus-radiofrequency-saphenous-vein-closure
#39
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/38199976/third-generation-of-laser-1900-for-endovenous-thermoablation-evla-of-varicose-veins-a-systematic-review-and-meta-analysis
#40
REVIEW
Luca Palombi, Monica Morelli, Dario Bruzzese, Gennaro Quarto
OBJECTIVES: Third generation lasers with longer wavelengths (>1900 nm) have been introduced, in recent years, for the treatment of varicose veins. The possible advantage of the new generation lasers is that they allow complete damage to the vein wall using a lower Power in Watts (W: J/sec) and a lower linear energy density (LEED: J/cm). The aim of this work is to evaluate the results present in the literature regarding efficacy and safeness of the new generation lasers for the treatment of varicose veins...
January 10, 2024: Phlebology
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