IF 1.7 4区医学

Phlebology Pub Date : 2024-02-01 Epub Date: 2023-09-07 DOI: 10.1177/02683555231201757

Lena Blomgren

引用次数: 0

Long-term results and predictors of failure after mechanochemical endovenous ablation in the treatment of primary great saphenous vein incompetence. 治疗原发性大隐静脉瓣膜功能不全的机械化学静脉腔内消融术的长期效果和失败预测因素。

IF 1.7 4区医学

Phlebology Pub Date : 2024-02-01 Epub Date: 2023-09-15 DOI: 10.1177/02683555231202181

Marianne E Witte, Suzanne Holewijn, Daphne van der Veen, Michel Mpj Reijnen, Clark J Zeebregts

{"title":"Long-term results and predictors of failure after mechanochemical endovenous ablation in the treatment of primary great saphenous vein incompetence.","authors":"Marianne E Witte, Suzanne Holewijn, Daphne van der Veen, Michel Mpj Reijnen, Clark J Zeebregts","doi":"10.1177/02683555231202181","DOIUrl":"10.1177/02683555231202181","url":null,"abstract":"Background: Mechanochemical endovenous ablation (MOCA) was introduced to treat superficial venous insufficiency of the lower leg with less pain and haematoma. Long-term outcome is still lacking. The purpose was to report long-term outcome and to analyse possible predictors for failure.Methods: The study was a retrospective pooled analysis of two prospective cohorts previously reported, but with prolonged long-term outcome up to 5-years follow-up.Results: 163 treated legs were analysed. Mean follow-up was 5.4±0.6 years, in which 33 total failures occurred. Four procedures were partially successful. VCSS improved significantly and remained stable after 1 and 2-years, but significantly rose again after 5-years. AVVQ dropped significantly, but increased after 1 year to 4.3 and 6.1 at 5-years follow-up.Conclusion: MOCA was effective with minimal pain perioperative. However, anatomical success deteriorated after 1-year and showed even less results after 5-years, mainly due to partly recanalization, while clinical results were less affected. There were no clear clinical predictors for failure.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":" ","pages":"9-19"},"PeriodicalIF":1.7,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10627556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Transparietal diffusion of polidocanol: Potential complication of sclerotherapy? 多元醇经顶扩散:硬化治疗的潜在并发症?

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 Epub Date: 2023-08-29 DOI: 10.1177/02683555231198405

Albert-Adrien Ramelet, Simon Bossart

引用次数: 0

Durability and efficacy of the ELVeS® Radial® 2ring slim fiber for multiple ablations. 耐用性和功效的精灵®径向®2ring纤薄纤维多次消融。

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 Epub Date: 2023-08-06 DOI: 10.1177/02683555231193883

Jürgen Verbist, Veerle Laeremans, Fien Gryffroy, Wouter Van den Eynde, Caroline Heerinckx, Dorien Haesen

{"title":"Durability and efficacy of the ELVeS® Radial® 2ring slim fiber for multiple ablations.","authors":"Jürgen Verbist, Veerle Laeremans, Fien Gryffroy, Wouter Van den Eynde, Caroline Heerinckx, Dorien Haesen","doi":"10.1177/02683555231193883","DOIUrl":"10.1177/02683555231193883","url":null,"abstract":"Objectives: To prove that the ELVeS® Radial® 2ring slim fiber (Biolitec AG, Wien, Austria) is safe and effective, with a reliable fiber durability.Methods: This prospective, non-randomized, registry recruited patients with venous incompetence of the great saphenous vein, with or without concomitant incompetence of the small, anterior accessory and posterior accessory saphenous veins. Anatomic success, clinical success and pain were assessed.Results: 150 patients (410 veins) underwent endovenous laser ablation (EVLA). Mean number of veins treated was 2.7 (1-7) with a mean total length of 80.7 cm. 98.3% occlusions were observed after 12 months. Clinical improvement was significant with reduced venous clinical severity scores at 1 month (1.7 ±1.9; p < .0001) and 12 months (0.7 ±1.3; p < .0001) versus pre-operation (4.4 ± 2.2). Mean pain level after 1-week was 5.8/100. No major surgery- or device-related complications occurred.Conclusions: 1470-nm EVLA with the 2ring slim fiber is a highly effective treatment option well tolerated by patients. Despite intensive use, fiber integrity was preserved.Clinical registration: The study protocol was registered in clinicaltrials.gov (NCT03810677).","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":" ","pages":"641-648"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9947042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of small saphenous veins. 氰基丙烯酸酯封闭与射频消融治疗小隐静脉的比较。

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 Epub Date: 2023-08-29 DOI: 10.1177/02683555231198625

Oguz Arslanturk, Fatih Gumus

引用次数: 0

Clinical observations in treatment of lower extremity varicose veins with trigger points acupuncture. 穴位针刺治疗下肢静脉曲张的临床观察。

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 Epub Date: 2023-09-14 DOI: 10.1177/02683555231198615

Lin Liu, Zong-Hui Wu, Qiang-Min Huang, Qing-Guang Liu, Li-Na Wang, Xiao-Hong Jin

{"title":"Clinical observations in treatment of lower extremity varicose veins with trigger points acupuncture.","authors":"Lin Liu, Zong-Hui Wu, Qiang-Min Huang, Qing-Guang Liu, Li-Na Wang, Xiao-Hong Jin","doi":"10.1177/02683555231198615","DOIUrl":"10.1177/02683555231198615","url":null,"abstract":"Objectives: To observe the effect of the acupuncture of myofascial trigger points (MTrPs) in the treatment of lower extremity varicose veins (LEVVs).Methods: Overall, 260 patients with LEVVs participated in this study. LEVVs were selected based on diagnostic criteria of Clinical, Etiology, Anatomy, and Pathophysiology levels 2-5 and classified into six types on the basis of their anatomical positions. The MTrPs in the lower extremities were localized in accordance with the classification of LEVVs and treated by MTrPs acupuncture combined with self-massage and self-stretching. The interval between each treatment was 2 weeks to 1 month, depending on needling pain tolerance of each patient. An in-house evaluation was used to estimate the proportion of varicose veins in the lower limbs and their accompanying symptoms. The treatment effect was evaluated before each treatment and at 1-year follow-up.Results: The mean evaluation score of LEVVs before the treatment course was 3.66 ± 1.19. After the course, this reduced to 1.18 ± 0.97, with the following response rates: 85% for excellent and good and 15% for medium. After 1-year follow-up, the mean evaluation score of all patients was 1.11 ± 0.92, with the following response rates: 87% for excellent and good, and 13% for medium.Conclusions: In some patients, MTrP acupuncture could cure LEVVs and its accompanying symptoms. These LEVVs are probably caused by fascia tension as a pre-pathology induced by the MTrPs.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":" ","pages":"675-682"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10223345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A new compression stocking with well-defined pressure-a randomized controlled pilot study. 一种具有明确压力的新型压缩袜——随机对照试验研究。

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 Epub Date: 2023-09-11 DOI: 10.1177/02683555231200974

Ulrika Källman, Melina Fallenius, Carina Bååth

{"title":"A new compression stocking with well-defined pressure-a randomized controlled pilot study.","authors":"Ulrika Källman, Melina Fallenius, Carina Bååth","doi":"10.1177/02683555231200974","DOIUrl":"10.1177/02683555231200974","url":null,"abstract":"Background: To evaluate an innovative class I compression stocking with predetermined uniform pressure in comparison to a graduated class III compression stocking system, regarding edema reduction, interface pressure, and patient comfort.Method: Twenty-five patients with chronic venous disease, were randomized: 12 to investigational stocking, 13 to comparator stocking. Data collected at baseline and after 14 days.Results: Edema was significantly equal reduced to follow-up; mean -129.0 cm3 (SD 105; p = .004, Class I) and -223.7 cm3 (SD 120; p = .002, Class III), respectively. The investigational stocking lost significantly less compression pressure than the comparator stocking (p ≤ .013). Participants in both groups perceived significant improvement regarding leg heaviness, leg swelling, and feelings of tightness and tingling (p ≤ .016).Conclusion: The innovative investigational class I stocking appears to offer similar edema reduction and benefits to the comparator class III stocking. However, a larger and prolonged study is required. The study was registered in the ISRCTN-registry, ISRCTN17356077, https://www.isrctn.com/ISRCTN17356077.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":" ","pages":"683-694"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10212871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The relationship between inspiratory muscle strength, venous refilling time, disease severity, and functional capacity in patients with chronic venous insufficiency. 慢性静脉功能不全患者的吸气肌力量、静脉充注时间、疾病严重程度和功能能力的关系。

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 Epub Date: 2023-08-10 DOI: 10.1177/02683555231194419

Gamze Aydin, Ipek Yeldan, Ahmet Akgul

{"title":"The relationship between inspiratory muscle strength, venous refilling time, disease severity, and functional capacity in patients with chronic venous insufficiency.","authors":"Gamze Aydin, Ipek Yeldan, Ahmet Akgul","doi":"10.1177/02683555231194419","DOIUrl":"10.1177/02683555231194419","url":null,"abstract":"Background: Our aim is to evaluate the relationship between inspiratory muscle strength and venous refilling time, disease severity, and functional capacity in patients with chronic venous insufficiency (CVI).Methods: Sixty-one patients (49 female, aged 20-65 ) were enrolled in the study. The demographic characteristics of the patients were questioned. All patients were assessed with maximum inspiratory and expiratory pressure (MIP/MEP) for inspiratory and expiratory muscle strength, photoplethysmography for venous refilling time (VRT), venous clinical severity score (VCSS) for disease severity, and 6-min walk test (6-MWT) for functional capacity.Results: The mean age of the patients was 49.48 ± 13.19 years, and the mean duration of disease was 9.18 ± 6.57 years. There was statistically significant positive association between MIP and VRT(r: 0.331, p: 0.009), 6-MWT (r: 0.616, p < 0.001) values, and there was negative association between MIP and VCSS(r: -0.439 p < 0.001) scores.Conclusion: Evaluation of inspiratory muscle strength and elimination of its deficiency, providing interventions to approach normative values have the potential to contribute positively to the treatment of the patient.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":" ","pages":"649-656"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10320577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abstracts for the 2023 Venous Symposium, 10-13 May 2023, New York, New York, USA 2023 年静脉研讨会摘要，2023 年 5 月 10-13 日，美国纽约

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 DOI: 10.1177/02683555231216300

Italo Eugenio Souza Gadelha de Abreu, Beatriz Santana Watanabe, Lucas Carta ﬁ na, Barbosa Sousa, Victor Maia, Amanda Sabio Rodrigues, Maria Paula, Vieira Mariz

引用次数: 0

Pigmentation of lower limbs: Contribution of haemosiderin and melanin in chronic venous insufficiency and related disorders. 下肢色素沉着:血黄素和黑色素在慢性静脉功能不全及相关疾病中的作用。

IF 1.7 4区医学

Phlebology Pub Date : 2023-12-01 Epub Date: 2023-08-29 DOI: 10.1177/02683555231196702

Lois Zhang, Kate Ng, James P Pham, Samuel Thoo, Anes Yang, Mina Kang, David Connor, Steven Kossard, Kurosh Parsi

{"title":"Pigmentation of lower limbs: Contribution of haemosiderin and melanin in chronic venous insufficiency and related disorders.","authors":"Lois Zhang, Kate Ng, James P Pham, Samuel Thoo, Anes Yang, Mina Kang, David Connor, Steven Kossard, Kurosh Parsi","doi":"10.1177/02683555231196702","DOIUrl":"10.1177/02683555231196702","url":null,"abstract":"Background: To determine the composition of skin pigmentation in chronic venous insufficiency (CVI) and other less common vascular conditions of lower limbs.Methods: Forty-five skin biopsies were obtained from 17 patients. Samples were taken from pigmented regions and compared with control non-lesional samples from the same patient. Perl's Prussian Blue was used to identify haemosiderin and Schmorl's for melanin.Results: Seven patients presented with CVI, one with concurrent livedo vasculopathy (LV). One patient had LV only. Two patients had acroangiodermatitis (AAD). Six patients had post-sclerotherapy pigmentation (PSP), one with concurrent post-inflammatory hyperpigmentation (PIH). One patient had PIH only. The predominant pigment in CVI samples was haemosiderin. C5-C6 patients showed increased epidermal melanin. LV, AAD, and PSP samples showed dermal haemosiderin but no increase in epidermal melanin. PIH samples showed prominent epidermal melanin whilst no haemosiderin was detected.Conclusion: The predominant pigment in CVI and other vascular conditions was haemosiderin. Melanin was present in later stages of CVI (C5-C6) and in PIH.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":" ","pages":"657-667"},"PeriodicalIF":1.7,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10111471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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