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https://www.readbyqxmd.com/read/28454202/-new-developments-in-compression-treatment
#1
Stefanie Reich-Schupke, Kerstin Protz, Joachim Dissemond, Eberhard Rabe
Patients with peripheral arterial occlusive disease who show an ankle arterial pressure of minimum 60 mmHg can be decongested by use of special padded bandages. Afterwards, medical compression stockings (class 1) with high strength and less elasticity are recommended. Mobile patients seem to benefit from progressive compression therapy with highest pressure above the calf. Compression after uncomplicated interventions of varicose veins or spider veins tends to be modified to a short and excentric compression in patients without risk factors...
May 2017: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/28255210/postpartum-varicose-veins-supplementation-with-pycnogenol-or-elastic-compression-a-12-month-follow-up
#2
Gianni Belcaro, Mark Dugall, Roberta Luzzi, Edmondo Ippolito, M Rosaria Cesarone
This open registry aimed to evaluate the clinical evolution of postpartum varicose veins (VVs), in healthy women after the second pregnancy, how these veins regain shape and competence, and possible treatments. The registry included two groups of women: (1) those who used elastic compression stockings, and (2) who used an oral venotonic agent (Pycnogenol, 100 mg/d). A total of 12 evaluation targets were established. Minor symptoms were scored in an analogue scale line. A visual analogue scale line evaluated the overall satisfaction relative to elastic compression or Pycnogenol...
March 2017: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/27379853/-practical-aspects-of-sclerotherapy
#3
Markus Stücker, Martin Dörler
Sclerotherapy is an important part of the treatment of varicose veins. It may also be performed in patients with contraindications for operative procedures. By adjusting the mode of application (liquid or foam) and the concentration it can be used for the treatment of all vein types. In comparison to other treatment options it is especially well suited for the treatment of spider veins and reticular veins, pudendal varicosity and so called "feeding" varicose veins in the proximity of venous leg ulcers. A current European guideline, which was approved by 23 European phlebologic societies, supports the good international standardization of this treatment technique...
June 2016: Wiener Medizinische Wochenschrift
https://www.readbyqxmd.com/read/26246022/a-novel-approach-for-the-treatment-of-spider-veins
#4
Mirsad Mujadzic, Edmond F Ritter, Kenna S Given
BACKGROUND: Spider veins on the lower limbs are very common and have been reported to be present in 41% of women over 50. Sclerotherapy as a traditional treatment for spider veins has a low cost, though it may have adverse sequelae. Lasers have shown fewer but still substantial complications as well. Its lower efficacy relative to sclerotherapy has limited laser application for the treatment of spider veins. OBJECTIVES: To present a new alternative in management of spider veins which involves a low voltage current delivered via an insulated micro needle with beveled tip...
September 2015: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/26221338/comparison-of-high-ligation-and-stripping-of-the-great-saphenous-vein-combined-with-foam-sclerotherapy-versus-conventional-surgery-for-the-treatment-of-superficial-venous-varicosities-of-the-lower-extremity
#5
Zi-Yuan Zhao, Xiu-Jun Zhang, Jun-Hai Li, Mei Huang
The aim of this study was to compare the results of high ligation and stripping of the great saphenous vein (GSV) trunk combined with foam sclerotherapy with conventional surgery for the treatment of superficial venous varicosities of the lower extremity. One hundred and thirty eight patients with primary or secondary superficial venous varicosities of the lower extremity were included. 60 underwent conventional surgery and 78 were treated with high ligation and stripping of the GSV trunk and foam sclerotherapy of GSV branches, spider veins, and reticular veins...
2015: International Journal of Clinical and Experimental Medicine
https://www.readbyqxmd.com/read/25844617/minocycline-pigmentation-following-carbon-dioxide-laser-resurfacing-treatment-with-the-q-switched-nd-yag-laser
#6
Eric F Bernstein, Caroline Koblenzer, Rosalie Elenitsas
Minocycline is among the most common drugs to cause drug-induced pigmentation. Dermal deposition of drug metabolites typically occurs in areas of vascular leakage, such as surrounding lower extremity spider veins, within erythema associated with solar elastosis, and in areas of bruising. The skin affected by minocycline pigmentation typically takes on a slate-gray coloring in affected areas. The current patient developed minocycline pigmentation after carbon dioxide laser resurfacing of her upper lip to treat rhytides in the laser-treated area...
April 2015: Journal of Drugs in Dermatology: JDD
https://www.readbyqxmd.com/read/25422219/alkaloids-from-beach-spider-lily-hymenocallis-littoralis-induce-apoptosis-of-hepg-2-cells-by-the-fas-signaling-pathway
#7
COMPARATIVE STUDY
Yu-Bin Ji, Ning Chen, Hong-Wei Zhu, Na Ling, Wen-Lan Li, Dong-Xue Song, Shi-Yong Gao, Wang-Cheng Zhang, Nan-Nan Ma
Alkaloids are the most extensively featured compounds of natural anti-tumor herbs, which have attracted much attention in pharmaceutical research. In our previous studies, a mixture of major three alkaloid components (5, 6-dihydrobicolorine, 7-deoxy-trans-dihydronarciclasine, littoraline) from Hymenocallis littoralis were extracted, analyzed and designated as AHL. In this paper, AHL extracts were added to human liver hepatocellular cells HepG-2, human gastric cancer cell SGC-7901, human breast adenocarcinoma cell MCF-7 and human umbilical vein endothelial cell EVC-304, to screen one or more AHL-sensitive tumor cell...
2014: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/24803347/a-review-of-the-current-management-and-treatment-options-for-superficial-venous-insufficiency
#8
REVIEW
Henry T Zhan, Ruth L Bush
The recognition of lower extremity venous disease as a significant cause of morbidity and lower quality of life, afflicting up to 25 % of Western populations, has led to rapid and drastic improvements in treatment options as well as an increasing awareness of the disease. Superficial venous disease, a frequent medical problem encountered in clinical practices, is now a common reason for referral to providers offering a spectrum of interventions. Venous guidelines have been set forth by the American Venous Forum and Society for Vascular Surgery covering simple spider veins to chronic venous ulcerations...
October 2014: World Journal of Surgery
https://www.readbyqxmd.com/read/24399461/ins-and-outs-of-endovenous-laser-ablation-afterthoughts
#9
EDITORIAL
H A Martino Neumann, Martin J C van Gemert
Physicists and medical doctors "speak" different languages. Endovenous laser ablation (EVLA) is a good example in which technology is essential to guide the doctor to the final result: optimal treatment. However, for the doctor, it is by far insufficient just to turn on the knobs of the laser. He should understand what is going on in the varicose vein. On the other hand, the physicist is usually not aware what problems the doctor finds on his road towards improving a new technique. We have tried to bring both languages together in the special on Ins and outs of endovenous laser ablation published in this issue of Lasers in Medical Science...
March 2014: Lasers in Medical Science
https://www.readbyqxmd.com/read/24352901/teleconsultation-in-vascular-surgery-a-13-year-single-centre-experience
#10
Christian A P Schmidt, Sabine H Schmidt-Weitmann, Mario L Lachat, Christiane M Brockes
The University Hospital of Zurich has provided an email-based medical consultation service for the general public since 1999. We examined the enquiries in a 13-year period to identify those related to vascular surgery (based on 22 ICD-10 codes specific for vascular surgery). There were 40,062 questions, of which 643 (2%) were selected by ICD-10 codes. After exclusion of diagnoses not relevant to vascular surgery, 139 questions remained, i.e. an average rate of about one per month. The mean age of the users was 43 years (range 19-88)...
January 2014: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/24142137/percutaneous-foam-sclerotherapy-for-venous-leg-ulcers
#11
R Bush, P Bush
The technique of foam sclerotherapy directed at the distal most vessels, draining the ulcer bed was first described in 2010, with excellent penetration into the underlying venous network possible with this technique. Thirty-five patients have now been treated with this technique as the initial treatment at Midwest Vein Laser, USA. There have been no complications with this technique and rapid healing occurred within 4-8 weeks after the initial treatment in 90% of the patients, and all ulcers were healed at 4 months...
October 2013: Journal of Wound Care
https://www.readbyqxmd.com/read/24127163/treatment-of-spider-veins-of-the-lower-extremity-with-a-novel-532%C3%A2-nm-ktp-laser
#12
Eric F Bernstein, Ayse Noyaner-Turley, Bradley Renton
BACKGROUND AND OBJECTIVES: This study investigated a novel, high-power, 532 nm frequency-doubled Nd:YAG, KTP laser with contact cooling for the treatment of spider veins of the lower extremities. STUDY: Twenty female subjects with Fitzpatrick skin types I-III, were treated to 79 sites using the 532 nm wavelength of a dual-wavelength 532/1,064 nm laser (Excel V, Cutera, Brisbane, CA) with a 5 mm-diameter spot, fluences ranging from 13 to 15 J/cm(2) , and a pulse-duration of 40 milliseconds...
February 2014: Lasers in Surgery and Medicine
https://www.readbyqxmd.com/read/23492605/treating-telangiectasias-my-method
#13
F Ferrara, G Ferrara
AIM: The authors propose a new classification of telangiectasias: conditions involving demonstrated reflux are classified as type A telangiectasias; clustered, spider telangiectasias not related to reflux and with vein diameters of >0.2 mm are classified as type B, while isolated telangiectatic veins of ≤0.2 mm diameter are classed as type C. This histological and pathophysiological approach is the basis for the Authors' Multi-Therapy Treatment Protocol (MTT). METHODS: The treatment regimen provides for initial treatment of type A telangiectasias with just conventional reflux sclerotherapy, followed three weeks later by treatment of type B telangiectasias with 0...
April 2013: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/23268520/management-of-varicose-veins-and-venous-insufficiency
#14
REVIEW
Allen Hamdan
Chronic venous disease, reviewed herein, is manifested by a spectrum of signs and symptoms, including cosmetic spider veins, asymptomatic varicosities, large painful varicose veins, edema, hyperpigmentation and lipodermatosclerosis of skin, and ulceration. However, there is no definitive stepwise progression from spider veins to ulcers and, in fact, severe skin complications of varicose veins, even when extensive, are not guaranteed. Treatment options range from conservative (eg, medications, compression stockings, lifestyle changes) to minimally invasive (eg, sclerotherapy or endoluminal ablation), invasive (surgical techniques), and hybrid (combination of ≥1 therapies)...
December 26, 2012: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/22950561/laser-use-for-cutaneous-vascular-alterations-of-cosmetic-interest
#15
Pier Luca Bencini, Athanasia Tourlaki, Vincenzo De Giorgi, Michela Galimberti
In 1983, selective photothermolysis dramatically transformed vascular surgery, reducing the adverse effects and increasing its efficacy. As a result, laser surgery is now considered the gold standard treatment for many congenital and acquired skin vascular disorders. In this paper, the authors analyze the main laser sources for vascular surgery, the general parameters regarding laser-tissue interactions that can influence the treatment (such as hemodynamic features, anatomical areas, vessel depth, and diameters), and other aspects important for a good laser practice...
July 2012: Dermatologic Therapy
https://www.readbyqxmd.com/read/22886138/optimal-and-safe-treatment-of-spider-leg-veins-measuring-less-than-1-5-mm-on-skin-type-iv-patients-using-repeated-low-fluence-nd-yag-laser-pulses-after-polidocanol-injection
#16
RANDOMIZED CONTROLLED TRIAL
Javier Moreno-Moraga, Esteban Hernández, Josefina Royo, Justo Alcolea, M Jose Isarría, Mihail Lucian Pascu, Adriana Smarandache, Mario Trelles
Treatment of micro-veins of less than 1.5 mm with laser and with chemical sclerosis is technically challenging because of their difficulty to remedy. Laser treatment is even more difficult when dark phototypes are involved.Three groups of 30 patients each, skin type IV, and vessels measuring less than 1.5 mm in diameter, were enrolled for two treatment sessions 8 weeks apart: group A, polidocanol (POL) micro-foam injection; group B, Nd:YAG laser alone; and group C, laser after POL injection. Repeated 8-Hz low-fluence pulses, moving the hand piece over a 3-cm vein segment with an average of five laser passes maximum and with a total time irradiation of 1 s were used...
May 2013: Lasers in Medical Science
https://www.readbyqxmd.com/read/22791985/pooled-safety-analysis-of-diclofenac-sodium-topical-solution-1-5-w-w-in-the-treatment-of-osteoarthritis-in-patients-aged-75-years-or-older
#17
Sanford H Roth, Philip Fuller
BACKGROUND: This study aimed to determine the safety of diclofenac sodium topical solution 1.5% (w/w) in 45.5% dimethyl sulfoxide (TDiclo) for the treatment of knee or hand osteoarthritis in persons aged 75 years or older. METHODS: A pooled analysis of safety data from seven multicenter, randomized, blinded, Phase III clinical trials (4-12 weeks' duration) of TDiclo was conducted. The analysis focused on a subset of patients (n = 280) aged 75 years or older with a primary diagnosis of osteoarthritis of the knee (six trials) or hand (one trial)...
2012: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/21824544/sclerotherapy-it-is-back-and-better
#18
Margaret W Mann
With the recent US Food and Drug Administration (FDA) approval of polidocanol in the United States, there has been a resurgence of interest in sclerotherapy. Despite the popularity of laser therapy, sclerotherapy remains the gold standard for treating spider and reticular veins. Although this traditional method of treatment has been around for more than 100 years, better sclerosing agents and newer techniques have made sclerotherapy safer and more efficacious than ever before. This article is a primer for physicians interested in updating their skills in sclerotherapy...
July 2011: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/21812257/-basic-pathogenesis-of-asthenia-of-healthy-energy-and-blood-stasis-in-liver-cirrhosis-studied-by-serum-proteomics
#19
Ye-wei Zhou, Pin-chu Xu, Yang Cheng
OBJECTIVE: To study the basic pathogenesis of "asthenia of healthy energy and blood stasis" in liver cirrhosis studied by Chinese syndromes and serum proteomics. METHODS: The information of four methods of examinations and serum samples were collected from 44 cases of male cirrhotic patients and 17 cases of healthy male volunteers. The different syndrome groups were summarized according to syndrome differentiation and frequency analysis using the patient's information of four methods of examinations...
May 2011: Chinese Journal of Integrated Traditional and Western Medicine
https://www.readbyqxmd.com/read/21508585/lasers-for-vascular-lesions-standard-guidelines-of-care
#20
C R Srinivas, M Kumaresan
INTRODUCTION: Lasers are a good therapeutic tool for congenital and acquired vascular lesions. Technological advances in lasers have reduced the adverse effects and increased the efficacy. MACHINES: Among the various lasers used for treating vascular lesions, pulsed dye laser (PDL) has the best efficacy and safety data. The other machines that are widely available are Nd:YAG laser and intense pulse light (IPL). RATIONALE AND SCOPE OF GUIDELINE: Much variation exists in different machines and techniques, and therefore, establishing standard guidelines has limitations...
May 2011: Indian Journal of Dermatology, Venereology and Leprology
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