Veins and Lymphatics最新文献

{"title":"Interface pressures and stiffnesses of different bandages studied on a Hiraï leg","authors":"J-P Benigni, Jf. Uhl, F. Balet, P. Filori","doi":"10.4081/vl.2024.12240","DOIUrl":"https://doi.org/10.4081/vl.2024.12240","url":null,"abstract":"Hirai et al. have developed a tool to assess the in vitro pressures of different compression devices. This tool has the advantage of being easy to use and finally inexpensive. The study of 7 bandages (Biflex 16, Urgo K2, Urgo K1, Coban 2, Biflex kit, Rosidal K and Rosidal Sys) on a Hirai leg allowed a precise analysis of the evolution of pressures and stiffnesses. Interface pressures were measured using the Picopress system and a 5 cm diameter probe. The difference between pre-stretch and stretch pressures in mmHg characterized stiffness. If the difference is greater than 10 mmHg, the bandage is considered stiff. These bandages were applied with a pressure of 45±2 mmHg at point B1. One hundred extension maneuvers were then performed. A decrease in mean pre-stretch pressures was noted more frequently for Rosidal K, Urgo K1 and Coban 2 than for the other bandages. Biflex 16 has a stiffness of less than 10 mmHg (p<0.001). Urgo K1, Urgo K2, Coban 2, Kit Biflex have very similar stiffnesses (p=ns). Rosidal K and Rosidal Sys have higher stiffness (p<0.001).","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"85 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140445425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CHIVA diffusion is now possible, even towards “normal” phlebologists","authors":"Stefano Ricci","doi":"10.4081/vl.2024.12299","DOIUrl":"https://doi.org/10.4081/vl.2024.12299","url":null,"abstract":"The recent review paper titled CHIVA for Dummies is here commented.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"54 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140481686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the unlocked secrets of the lymphatics and lymphatic circulation","authors":"Giancarlo Pansini","doi":"10.4081/vl.2023.12206","DOIUrl":"https://doi.org/10.4081/vl.2023.12206","url":null,"abstract":"The glory of having discovered the lymphatic vessels belongs undoubtedly to the Italian Gaspare Aselli from Cremona; he established itself as an excellent anatomist and surgeon, also military, in Milan, where the first true description of the lymphatic system can really begin; later, he moved to Pavia, where in 1624 he obtained the chair of anatomy.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139443490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular treatment of sciatic pain from venous congestion in the pelvis","authors":"Maddalena Bressan, Ilaria Massi, E. Tsolaki, Roberto Galeotti","doi":"10.4081/vl.2023.12124","DOIUrl":"https://doi.org/10.4081/vl.2023.12124","url":null,"abstract":"Klippel-Trénaunay Syndrome (KTS) is a vascular disorder characterized by a combination of vascular malformations (capillary, lymphatic, and venous) and limb overgrowth. Pelvis involvement is less frequent and is often underrecognized. We report a case of a patient affected by KTS with persistent sciatic pain. Phlebography demonstrated significant pelvic venous congestion mainly due to reflux at the level of the sacral plexus venous. A minimally invasive approach was successfully utilized to treat reflux with complete pain regression.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"4 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to: Is there any clinical reason to administer anticoagulant therapy to patients with the Jugular Vein Nutcracker Syndrome?","authors":"Chiara Angelini, G. Mantovani, A. Scerrati","doi":"10.4081/vl.2023.12137","DOIUrl":"https://doi.org/10.4081/vl.2023.12137","url":null,"abstract":"Not available.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"10 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138603200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular treatment of a Right Internal Jugular Vein occlusion in a hemodialysis patient with severe neurological symptomatology","authors":"Martina Maria Giambra, Gaetano Lomonaco, Maria Grazia Lumia, Marco Barbanti, Francesco Setacci, A. Giaquinta, M. Veroux, P. Veroux","doi":"10.4081/vl.2023.12145","DOIUrl":"https://doi.org/10.4081/vl.2023.12145","url":null,"abstract":"In the last decade, Internal Jugular Vein (IJV) obstructive disease has been gaining increasing attention due to different confounding symptoms that impair patients’ quality of life and cannot be explained by other established causes. The most common clinical symptoms associated with IJV stenosis are tinnitus and sleep disturbances (60.5%), headache (48.8%), visual disturbances (39.5%), hearing disorders (39.5%) and anxiety or depression (37.5%). We report a complex case of a woman with a wide range of severe neurological inexplicable disorders. Using Duplex Ultrasound, an IJV occlusion was successfully diagnosed and the patient was then treated using endovascular techniques. IJVs occlusion and outflow alteration were detected by the means of Duplex Ultrasound (DUS) demonstrating the need of a carefully assessment of neck vessels in patients with drug-resistant neurological symptomatology as headache, tinnitus and sleep disturbances.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"72 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138604636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Photobiomodulation in clinical practice","authors":"Stefano Bacci, Franco Bassetto, Alessandro Corsi, Ornella Forma, Vieri Grandi, Alberto Macciò, Antonio Raspa, Carlotta Scarpa, Gregorio Stratta, Mirko Tessari","doi":"10.4081/vl.2023.11821","DOIUrl":"https://doi.org/10.4081/vl.2023.11821","url":null,"abstract":"For the past few years, we have been witnessing a gradual, but rapid change in the management of skin wounds: the so-called 'advanced' dressings have been joined, and partly replaced, by interactive dressings, in which the dressing itself interacts with the wound bed and perilesional skin, modulating one or more aspects of the tissue repair mechanism through the interaction with cells, chemical mediators and factors hindering healing.&#x0D; The even more recent introduction of high-tech devices has definitively propelled Wound Care into the modern era of Tech Treatment, in which one or more technologies are employed in the management of the wound and the reparative process.&#x0D; In this field, Regenerative Medicine and Surgery represent the most recent frontier reached by this 'technological expansion', through the use of dermo/epidermal substitutes and material stimulating the healing process in its different phases.&#x0D; &#x0D; In the early 2000s, considerable interest was aroused by the attempt to apply 'phototherapy' to wound management: Taking their cue from the results obtained some time ago in the treatment of certain lesions, cutaneous and otherwise, neoplastic and not, with the use of Photodynamic Therapy (by means of red light and 5 amino-levulinic acid), a Florentine research group (to which some of the Authors of this paper belonged) began to study its effects on venous ulcers, with extremely encouraging results in terms of resumption of the reparative process, with evidence of increased angiogenesis, fibroblast number and antigen-presenting cells, amongst other things.&#x0D; Over the years, other types of biophotonic treatment have been developed, with the introduction of monochromatic light sources (red, green, blue), capable of selectively interacting with the different tissue chromophores, and of triggering effects (so-called photobiomodulation) in the treated tissues, which differ according to the wavelength used and the chromophores stimulated each time.&#x0D; More recent is the application of exogenous fluorophores, which can absorb radiant light and convert it into light of different wavelengths through a phenomenon known as fluorescence.&#x0D; The enormous therapeutic possibilities offered by different treatments have led to exciting results from a tissue regeneration point of view.&#x0D; However, as it often happens when a technology is affected by such sudden changes and developments, clinical practice currently suffers from certain biases, mainly related to the presence of uncoordinated protocols of use, for each technology, in the absence, therefore, of algorithms of use that would make their clinical application homogeneous, establishing, for each type of light stimulation, its role and real potential, setting its limits and indications, also on the basis of clinical risk.&#x0D; We felt it was time to sit around a table, bringing together some of the top experts in each field of this discipline, trying to clarify all t","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136211418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurosurgical implications of the Jugular Vein Nutcracker","authors":"Chiara Angelini, Giorgio Mantovani, Michele Alessandro Cavallo, Alba Scerrati, Pasquale De Bonis","doi":"10.4081/vl.2023.11892","DOIUrl":"https://doi.org/10.4081/vl.2023.11892","url":null,"abstract":"In the last ten years, a new variant of Eagle Syndrome is emerging and being described: Styloid Jugular Nutcracker (SJN). In SJN, an elongated or vertically directed styloid process causes jugular vein stenosis by compressing the vein against the arch of C1. The clinical consequences appear to be various and misunderstood, ascribable mainly to venous flow impairment and consequent intracranial hypertension. The aim of this paper is to create an overview of Jugular Vein Nutcracker and to focus on its neurosurgical implications. A PRISMA-based literature search was performed to select the most relevant papers on the topic and to realize a mini-review. Future searches in the neurosurgical field should focus on collecting data about further causes of jugular stenosis compression and the association of SJN with cerebrovascular diseases. It would also be interesting to investigate the potential role of primary and secondary prevention, which is unknown so far.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136354706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The troubled course of the CHIVA Cure through clinical studies: a critical review","authors":"Massimo Cappelli, Raffaele Molino Lova, Mauro Pinelli, Claude Franceschi","doi":"10.4081/vl.2023.11886","DOIUrl":"https://doi.org/10.4081/vl.2023.11886","url":null,"abstract":"The treatment of Superficial Venous Insufficiency (SVI) encompasses a wide and disparate array of techniques, ranging from destructive procedures (endovascular ablation, stripping and sclerotherapy) to the conservative hemodynamic procedure (CHIVA). This variety of options betrays a wide degree of uncertainty on the recommended treatment, mainly due to technical biases in performing the CHIVA Cure that heavily affect the results from Randomized Controlled Trials (RCTs). In fact, the authors of the last Cochrane Review (CR) on the CHIVA Cure disowned its superiority based on the results from five RCTs in which more than 200 of the overall 419 participants allocated to the CHIVA arm had actually received treatments other than the CHIVA Cure. Further, the Guidelines (GLs) from both the American and the European Society for Vascular Surgery recommend the CHIVA Cure only to vascular surgeons experienced with this technique, contradicting what is expected of a specialist, i.e. mastery of the treatment of diseases in his or her specialty. Finally, CRs and GLs do not take into any account the ethically relevant issue that destructive procedures, recommended for vascular surgeons not experienced in the CHIVA Cure, will fatally deprive the patient of the Great Saphenous Vein (GSV), which is the first-choice infra-inguinal graft for the treatment of severe peripheral artery disease and to ward off the severely disabling condition resulting from limb loss, when angioplasty/stenting is not feasible. In this paper we review and discuss the RCTs, CRs, and GLs concerning the CHIVA Cure available at June 2023 on Medline and Cochrane Central databases.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136353081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Monitoring the cerebral venous drainage in space missions: the Drain Brain experiments of the Italian Space Agency","authors":"Silvia Mari, Anselmo Pagani, Giovanni Valentini, Gabriele Mascetti, Salvatore Pignataro, Antonino Proto, Erica Menegatti, Angelo Taibi, Paolo Zamboni","doi":"10.4081/vl.2023.11716","DOIUrl":"https://doi.org/10.4081/vl.2023.11716","url":null,"abstract":"It is well known that the space environment induces major alterations to various human physiological systems, determining a general deconditioning of the body. Medical research programs aim to keep the astronaut’s health status during the mission, enable their ready operation once they arrive at their destination, and allow their safe recovery when returned to Earth. Among the programs coordinated and supported by the Italian Space Agency (ASI), the experiments called Drain Brain, performed by the University of Ferrara, are particularly relevant in this respect. The project, which began with the collaboration of Samantha Cristoforetti in 2014, has demonstrated the capability of a plethysmograph system to study the cerebral circulation and the venous return from the brain to the heart, onboard the International Space Station (ISS). Demonstrating the progressive reduction of the cross-sectional area of the internal jugular vein, particularly significant between pre-flight data collection and the last assessment after 6 months of flight on the ISS (p<0.001). Over the next two years, thanks to the Drain Brain 2.0 project, crews of the International Space Station will be studied with a new version of the plethysmograph, synchronized with the electrocardiogram, to assess cardiac efficiency and brain drainage in relation to symptoms such as blurred vision, numbness, or the feared onset of jugular thrombosis, that is linked to blood flow slowdown due to the absence of the gravitational gradient. Drain Brain 2.0 will also generate important returns to Earth, closing the virtuous circle of terrestrial application of space research.","PeriodicalId":478045,"journal":{"name":"Veins and Lymphatics","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135739771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}