Phlebology最新文献_第6页

Danger of floating venous thrombosis: myth or reality? 漂浮静脉血栓的危险:神话还是现实?

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231169507

Larisa Chernukha, Yaroslav Khrebtiy, Halyna Khrebtii

{"title":"Danger of floating venous thrombosis: myth or reality?","authors":"Larisa Chernukha, Yaroslav Khrebtiy, Halyna Khrebtii","doi":"10.1177/02683555231169507","DOIUrl":"https://doi.org/10.1177/02683555231169507","url":null,"abstract":"Introduction: To date, the problem of venous thromboembolism and its consequences remains relevant, despite significant progress in the development of phlebology and technologies.Aim: In our study, we tried to assess the \"danger\" of floating DVTs, methods and features of conservative and surgical treatment of patients with floating DVTs, analyze the results of treatment of this group of patients, and draw conclusions based on our data.Materials and methods: The results of treatment of 1297 patients with venous thromboembolism for the period 2011-2022 were analyzed. 104 patients were treated with floating deep vein thrombosis, 1193 patients had occlusive proximal venous thrombosis.Results: In our study, we determined the danger of floating DVT by comparing the facts of the migration of thrombotic masses in the proximal direction according to the results of treatment in two groups of patients. The first group consisted of 10 patients with proximal floating venous thromboses who were implanted with cava filters, the second group consisted of 28 patients with occlusive proximal venous thrombosis who were implanted with cava filters. Embolism occurred in 40.0% of cases floating DVT, while no cases of embolism were detected in occluding DVT (p < 0.01). Groups of patients with the length of the floating part of the thrombus up to 5 cm were analyzed. Anticoagulant therapy was used in 42 cases; thrombectomy was performed in 52 cases. There was no case of pulmonary embolism when treated with both conservative and surgical methods.Conclusions: Based on our research, it can be stated that floating thrombosis of deep veins of proximal venous segments is a type of thrombosis that has an increased risk of thromboembolic complications when the length of the floating part is 5 cm or more.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 5","pages":"322-333"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9540365","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

Impact of a one-stop rapid access venous ulcer clinic on inpatient admissions. 静脉性溃疡一站式快速门诊对住院患者的影响。

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231174995

Keohane Cr, Alagha M, O'Shaughnessy Mp, Joyce Dp, Tawfick W, Tubassam Ma, Walsh Sr

{"title":"Impact of a one-stop rapid access venous ulcer clinic on inpatient admissions.","authors":"Keohane Cr, Alagha M, O'Shaughnessy Mp, Joyce Dp, Tawfick W, Tubassam Ma, Walsh Sr","doi":"10.1177/02683555231174995","DOIUrl":"https://doi.org/10.1177/02683555231174995","url":null,"abstract":"Objectives: Venous leg ulcers (VLU) are prevalent and require a large investment of resources to manage. We investigated whether the introduction of a rapid access see-and-treat clinic for VLU patients affected rates of unplanned inpatient admissions with VLU.Methods: The Hospital Inpatient Enquiry database was consulted for data on admission rates, length of stay, bed-days used, and costs, across a 4-year period; 2 years since the introduction of the clinic, and the 2 years prior as a control.Results: Two hundred and eighteen patients admitted with VLU accounted for 2,529 inpatient bed-days, 4.5 (2-6) admissions per month, and a median hospital stay of 7 (4-13) days across the study period. Median admissions decreased from 6 (2.5-8.5) per month before, to 3.5 (2-5) after introduction of the clinic (p = 0.04). Bed-day usage fell from 62.5 (27-92.5), to 36.5 (21-44) days per month (p = 0.035).Conclusions: Admissions and bed-day usage for inpatient management of VLU fell after commencing a one-stop, rapid access clinic.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 5","pages":"341-347"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9588598","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

Calf extra-Fascial compartment area affects calf muscle pumping action: an air plethysmography and computed tomography study. 小腿筋膜外腔室面积影响小腿肌肉泵送动作:空气体积脉搏波和计算机断层扫描研究。

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231173747

Hiroki Mitsuoka, Takashi Ohta, Takahiro Arima, Ikuo Sugimoto, Yuki Orimoto, Akio Kodama, Hiroyuki Ishibashi

{"title":"Calf extra-Fascial compartment area affects calf muscle pumping action: an air plethysmography and computed tomography study.","authors":"Hiroki Mitsuoka, Takashi Ohta, Takahiro Arima, Ikuo Sugimoto, Yuki Orimoto, Akio Kodama, Hiroyuki Ishibashi","doi":"10.1177/02683555231173747","DOIUrl":"https://doi.org/10.1177/02683555231173747","url":null,"abstract":"Objectives: We aimed to elucidate whether lower limb extra-fascial compartment and muscle areas affect the calf muscle pumping action on lower limbs.Method: This study included 90 patients (180 limbs) who underwent preoperative air plethysmography (APG) and preoperative non-contrast computed tomography (CT) of the lower limbs for diagnosis of unilateral or bilateral primary varicose veins. A correlation between cross-sectional CT images and preoperative APG was confirmed. Cross-sectional CT was used to measure the extra-fascial compartment and muscle areas of the calf. The lower limbs were divided into two groups: those that were normal and those with primary varicose veins.Results: The extra-fascial compartment area was significantly correlated with the ejection fraction in normal (r = 0.388, n = 53, p = 0.004) and varicose limbs (r = 0.232, n = 91, p = 0.027).Conclusions: In normal and varicose limbs, evaluation of ejection fraction, an indicator of muscle pumping, requires consideration of the extra-fascial compartment area.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 5","pages":"334-340"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9890621","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

Phlebological insole: Can it help in the lymphoedema treatment? A scoping review. 血液鞋垫:它能帮助治疗淋巴水肿吗?范围审查。

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231162291

Manuela De Michele, Monica Mastrullo, Gianluca Melotto, Roberto Tedeschi

{"title":"Phlebological insole: Can it help in the lymphoedema treatment? A scoping review.","authors":"Manuela De Michele, Monica Mastrullo, Gianluca Melotto, Roberto Tedeschi","doi":"10.1177/02683555231162291","DOIUrl":"https://doi.org/10.1177/02683555231162291","url":null,"abstract":"Background: The treatment of lymphoedema requires a multi-professional and interdisciplinary approach. Despite being prescribed in the management of lymphatic disorders, the effectiveness of the phlebological insoles is still under investigation.Aim: This scoping review aims to identify and analyse evidence regarding the efficacy of phlebological insoles as a conservative intervention for lower limb lymphoedema.Method: The following databases were searched up to November 2022: PubMed, Cochrane Library, CINAHL Complete, PEDro and Scopus. Preventive and conservative interventions were considered. Studies considering people with lower limb oedema, of any age and type of oedema, were eligible for inclusion. No restrictions in terms of language, year of publication, study design and type of publication were applied. Additional studies were sought through grey literature.Results: From 117 initial records, 3 studies met the inclusion criteria. Two quasi-experimental studies and one randomised cross-over study were included. The results of the examined studies confirmed the positive effects of insoles usage and foot and ankle mobility on the venous return.Conclusion: This scoping review provided an overview of the topic. The studies analysed in this scoping review have shown that insoles seem to be beneficial in reducing the lower limb oedema in healthy individuals. However, there are still no comprehensive trials confirming this evidence on people with lymphoedema. The small number of identified articles, the selection of participants not affected by lymphoedema, the use of heterogeneous devices in terms of modifications and materials highlight the need of further investigations. Future trails should include people affected by lymphoedema, address the choice of materials in manufacturing the insoles and take in consideration the patients' adherence to the device and concordance to the treatment.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 5","pages":"300-306"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9527641","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

3D printing personalized guide plate in the management of recurrent intramuscular venous malformations: A single center experience. 3D打印个性化导板在治疗复发性肌内静脉畸形中的应用:单一中心体验。

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231162300

Tao Han, Shupei Jiang, Jiageng Xiong, Jie Cui, Weimin Shen

{"title":"3D printing personalized guide plate in the management of recurrent intramuscular venous malformations: A single center experience.","authors":"Tao Han, Shupei Jiang, Jiageng Xiong, Jie Cui, Weimin Shen","doi":"10.1177/02683555231162300","DOIUrl":"https://doi.org/10.1177/02683555231162300","url":null,"abstract":"Objective: This study aimed to investigate the feasibility and effectiveness of 3D printing personalized guide plate in the management of recurrent intramuscular venous malformations (IVM).Methods: Fifteen patients with recurrent IVM were retrospectively assessed. 3D-slicer software was used to extract and reconstruct the imaging data from CT and/or MRI to highlight the morphology, size, and puncture depth of the lesion. With the guidance of personalized plate, complete excision of the IVM was adopted along the pre-marked (methylene blue, MB) margin.Results: Personalized guide plate matched involved extremity well, and MB-puncture approach was consistent with preoperative design. All IVMs were removed radically in one single session. Complete pain relief was obtained in all cases postoperatively.Conclusion: The application of 3D printing guide plate can be safe, effective, and reliable to confirming the precise margin of IVM, renders a promising technique with a high practical value in resection of recurrent lesion.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 5","pages":"307-314"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9534809","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

Translation and adaptation to Spanish of Aberdeen varicose veins questionnaire. 阿伯丁静脉曲张问卷的翻译与西班牙文改编。

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231167776

Gabriela Ibarra Sanchez, Marina Ansuategui Vicente, Sergio Revuelta Suero, Cristina Cases Perez, Alejandra Comanges Yeboles, Jose Antonio Gonzalez Fajardo

引用次数: 0

Selected phlebological abstracts. 选定的血液学摘要。

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231174727

Lowell S Kabnick, Katheen Ozsvath, Jorge H Ulloa

{"title":"Selected phlebological abstracts.","authors":"Lowell S Kabnick, Katheen Ozsvath, Jorge H Ulloa","doi":"10.1177/02683555231174727","DOIUrl":"https://doi.org/10.1177/02683555231174727","url":null,"abstract":"OBJECTIVES\u0000This systematic review investigated the incidence of stent migration in patients with acute and chronic deep venous iliofemoral disease who were treated with dedicated venous stents. Procedural approaches, clinical and stent patency outcomes, and other complications are described.\u0000\u0000\u0000METHODS\u0000MEDLINE and Embase were searched for literature published from January, 2012 to December, 2021. Evidence on the study population and procedural characteristics, and outcomes related to symptomatic changes, health-related quality of life, stent patency and complications was presented.\u0000\u0000\u0000RESULTS\u0000Fourty-two studies were identified from 857 articles found through the database searched. Five-hundred seventy acute deep vein thrombosis (DVT) patients and 2,859 chronic disease patients were included. Ten dedicated venous stent brands were employed. There were six episodes of stent migration (0.17% of patients); of which three involved a closed-cell stent and one involved a hybrid-design stent. The 12-month primary patency rate in patients with acute DVT ranged from 86 to 88%, whilst secondary patency was 96%. Amongst the chronic-disease cohort the primary and secondary patency were noted to range from 59% to 94%, and 87% to 100%, respectively. The pooled 12-month primary and secondary stent patency rates were 73.8% and 91.5%, respectively.\u0000\u0000\u0000CONCLUSION\u0000Iliofemoral stenting using dedicated venous stents is associated with a low rate of stent migration, although this may be due to a lack of reporting. Further research with specific surveillance protocols is necessary to reliably determine the true incidence of stent migration.","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 5","pages":"354-356"},"PeriodicalIF":1.7,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9583819","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: 4

Allergic contact dermatitis caused by n-butyl-2-cyanoacrylate in VenaBlock vein glue. VenaBlock静脉胶中2-氰基丙烯酸正丁酯引起的过敏性接触性皮炎。

IF 1.7 4区医学

Phlebology Pub Date : 2023-06-01 DOI: 10.1177/02683555231160347

Jacqueline K Nguyen, Stefania Roberts, Adriene Lee

引用次数: 1

Authors' reply: An online survey of pelvic congestion support group members regarding comorbid symptoms and syndromes. 作者回复:骨盆充血支持小组成员关于共病症状和综合征的在线调查。

IF 1.7 4区医学

Phlebology Pub Date : 2023-05-01 DOI: 10.1177/02683555231157475

Steven Janney Smith, Michael J Sichlau, Luke E Sewall, B Holly Smith, Brenda Chen, Peter C Rowe

引用次数: 0

Selected phlebological abstracts. 选定的血液学摘要。

IF 1.7 4区医学

Phlebology Pub Date : 2023-05-01 DOI: 10.1177/02683555231170492

Lowell S Kabnick Md, Katheen Ozsvath Md, Jorge H Ulloa Md

{"title":"Selected phlebological abstracts.","authors":"Lowell S Kabnick Md, Katheen Ozsvath Md, Jorge H Ulloa Md","doi":"10.1177/02683555231170492","DOIUrl":"https://doi.org/10.1177/02683555231170492","url":null,"abstract":"The authors investigated different laser ﬁ ber tip con ﬁ gurations to outcomes regarding technical success and incidence of complications. A retrospective analysis was conducted on patients with documented great saphenous vein (GSV) re ﬂ ux from 2020 to 2022, comparing baseline parameters and outcome between 2 groups of laser tip ﬁ bers used; radial tip and jacketed tip. The primary endpoint was technical success. Secondary endpoints included incidence of complications in each group, and venous clinical severity score (VCSS) difference in both groups. Inclusion criteria entailed patients with primary varicose veins over the age of 18 years, free from malignancy, hematological disorders, and having documented GSV re ﬂ ux of more than 0.5 seconds. All patients had endovenous laser ablation (EVLA) of the GSV, with comple-mentary foam sclerotherapy or ambulatory phlebectomies as required. A total of 74 patients underwent EVLA (85 limbs). 54 limbs utilized the radial laser ﬁ bers, and the remaining utilized jacketed ﬁ bers. Technical success was achieved in 92.9%; 6 limbs (7.1%) had recanalization of the proximal 3 cm GSV at 1 month; 2 patients experienced hematomas; and 5 patients had super ﬁ cial vein thrombosis. There was no signi ﬁ cant association between postoperative pain, bruising, recanalization, hematoma","PeriodicalId":20139,"journal":{"name":"Phlebology","volume":"38 4","pages":"291-294"},"PeriodicalIF":1.7,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9436969","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