Phlebology最新文献

{"title":"The relationship between sleep quality and pain, fatigue, and mood in individuals with lipedema.","authors":"Nur Kesiktaş, Sedef Ersoy, Büşra Şirin Ahısha","doi":"10.1177/02683555261499144","DOIUrl":"https://doi.org/10.1177/02683555261499144","url":null,"abstract":"<p><p>ObjectiveThis study aimed to comparatively evaluate sleep quality in individuals with lipedema and healthy controls. In addition, the relationships between sleep quality and depression, anxiety, fatigue, and clinical parameters were investigated.MethodsThis cross-sectional study included 30 women with lipedema and 30 healthy female controls aged 18-75 years. Pain severity in individuals with lipedema was assessed using the Visual Analog Scale (VAS). Lipedema stage, comorbidities, and symptom duration were also recorded. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), depressive and anxiety-related symptoms were assessed using the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), and fatigue severity was evaluated using the Fatigue Severity Scale (FSS).ResultsIndividuals with lipedema had significantly higher BDI, BAI, and FSS scores than controls (all <i>p</i> < 0.001 except BDI, <i>p</i> = 0.001). Sleep quality was significantly poorer in the lipedema group (<i>p</i> < 0.001). Among PSQI subcomponents, subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, and daytime dysfunction were significantly worse in individuals with lipedema, while sleep medication use was similar between groups (<i>p</i> > 0.05). In the lipedema group, PSQI scores were positively correlated with depressive (r = 0.489, <i>p</i> = 0.006) and anxiety symptoms (r = 0.386, <i>p</i> = 0.035). No significant associations were found between sleep quality and age, anthropometric measurements, education duration, pain severity, lipedema stage, symptom duration, or fatigue severity.ConclusionsThis study demonstrated poorer sleep quality in individuals with lipedema compared to healthy controls. Sleep quality was also associated with depressive and anxiety-related symptoms, highlighting an association between psychological symptoms and sleep problems in individuals with lipedema.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555261499144"},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198642","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":"Venous reflux and CEAP clinical class in patients with lipedema: Prevalence, duplex ultrasonographic patterns, and clinical associations.","authors":"Sefa Gümrük Aslan, Ayşegül Akın Yavuzel, Onur Gündoğdu","doi":"10.1177/02683555261499777","DOIUrl":"https://doi.org/10.1177/02683555261499777","url":null,"abstract":"<p><p>ObjectivesTo determine the prevalence of chronic venous insufficiency (CVI) in patients with lipedema, characterize venous reflux patterns and CEAP clinical classes, and evaluate associations with demographic and lipedema-related characteristics.MethodsThis retrospective, single-center observational study included adults with lipedema evaluated between January 2023 and December 2025. Of 120 patients screened, 50 were excluded because of incomplete venous Doppler ultrasonography, clinical, or demographic data, leaving 70 patients for analysis. Demographic and clinical characteristics and lower-extremity venous duplex ultrasonography findings were reviewed. Superficial, deep, and perforator reflux; segment-specific reflux; great saphenous vein (GSV) and small saphenous vein (SSV) diameters; laterality; and CEAP clinical class were recorded. Pathological reflux was defined as reversed flow lasting >0.5 s in superficial truncal veins and >1.0 s in the common femoral, femoral, and popliteal veins. Univariable and multivariable logistic regression analyses examined factors associated with CVI.ResultsCVI was identified in 38 of 70 patients (54.3%; 95% confidence interval, 41.9%-66.3%). Venous reflux predominantly involved the superficial system, with GSV reflux as the most frequent segment-specific finding, whereas deep venous reflux was uncommon. Patients with CVI had greater GSV and SSV diameters than those without CVI (both <i>p</i> < 0.001), while age, body mass index (BMI), and disease duration did not differ between groups. CVI frequency increased across BMI categories, although the overall categorical association was not significant. Lipedema stage was not associated with CVI or individual reflux patterns; however, increasing lipedema stage showed a weak positive association with higher CEAP clinical class. Age, BMI, and lipedema stage were not independently associated with CVI in multivariable analysis.ConclusionsVenous insufficiency was frequently observed in patients with lipedema and predominantly involved the superficial venous system. Greater saphenous vein diameters provided an objective ultrasonographic correlate of venous involvement. Because an appropriately matched local control population was not available, the present study cannot establish whether venous reflux is more frequent in patients with lipedema than in the general population. The observed relationship between lipedema stage and CEAP clinical class should therefore be considered hypothesis-generating and warrants confirmation in prospective controlled studies.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555261499777"},"PeriodicalIF":1.5,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198653","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":"Effects of nighttime graduated compression tights on overnight changes in lower-limb circumference in healthy young women with subjective leg swelling: A randomized crossover trial.","authors":"Nobuyuki Wakui, Asuka Ozaki, Yuna Koakutsu, Hazuki Ogami, Yuna Hirota, Manaka Kawakami, Ayaka Aida, Shunsuke Shirozu, Yoshiaki Machida","doi":"10.1177/02683555261497310","DOIUrl":"https://doi.org/10.1177/02683555261497310","url":null,"abstract":"<p><p>BackgroundTransient lower-limb swelling may occur in healthy young women during daily life. This study examined whether wearing graduated compression tights during sleep enhanced overnight reductions in lower-limb circumference and affected subjective sleep quality or morning fatigue.MethodsIn this randomized, open-label, two-period crossover trial, female university students aged 18-28 years with subjective lower-limb swelling were assigned 1:1 to compression-first or no-compression-first sequences. Each 14-day period was separated by a 7-day washout. With compression, participants wore graduated compression tights during sleep after daytime acclimation. Co-primary outcomes were between-condition differences in overnight circumference change at the ankle, calf, and thigh. Secondary outcomes were subjective sleep quality and morning fatigue. Self-reported morning leg swelling was assessed at each time point. Mixed-effects models were used, with Holm adjustment for three primary outcomes.ResultsForty-six participants were randomized and 44 completed both periods. Compared with no compression, compression resulted in greater overnight reductions at the ankle (least squares mean difference, -0.23 cm; 95% confidence interval, -0.33 to -0.13; adjusted <i>p</i> = 0.0001), calf (-0.35 cm; -0.52 to -0.18; adjusted <i>p</i> = 0.0004), and thigh (-0.28 cm; -0.47 to -0.08; adjusted <i>p</i> = 0.0066). Perceived morning leg swelling was less likely with compression (30.6% vs. 58.4%). The OSA-MA sleep-length factor was lower at Time3 (nominal <i>p</i> = 0.03), but no other sleep-related outcome or morning fatigue differed significantly. No adverse events were reported.ConclusionsWearing graduated compression tights during sleep enhanced overnight reductions in lower-limb circumference. Although the differences were modest (approximately 2-4 mm) and their clinical importance remains uncertain, the accompanying reduction in perceived morning swelling suggests that these changes may have perceptible relevance to participants. Nighttime compression may facilitate the overnight reduction of transient lower-limb swelling under everyday living conditions.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555261497310"},"PeriodicalIF":1.5,"publicationDate":"2026-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170820","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":"Mechanochemical ablation versus cyanoacrylate glue closure for treatment of incompetent saphenous veins in C2-C4 patients: Three-year outcomes of a single-centre, single-operator experience.","authors":"Michał-Goran Stanišić","doi":"10.1177/02683555261492365","DOIUrl":"https://doi.org/10.1177/02683555261492365","url":null,"abstract":"<p><p>ObjectivesTo compare anatomical and clinical outcomes of mechanochemical ablation (MOCA; ClariVein®) and cyanoacrylate glue closure (CAG; VenaSeal™) for the treatment of incompetent great saphenous veins (GSV) and small saphenous veins (SSV) in patients classified as CEAP C2-C4, with follow-up to 3 years.MethodsRetrospective analysis of a prospectively maintained single-centre, single-operator database. Allocation to MOCA or CAG followed anatomical suitability and patient preference. Duplex follow-up was at 3 and 8 weeks and 6, 12, 24 and 36 months. The primary endpoint was complete occlusion. The venous segment was the unit of analysis; Kaplan-Meier estimates were compared by log-rank test and proportions by Fisher's exact test.ResultsA total of 214 venous segments were treated with MOCA (196 GSV, 18 SSV) and 161 with CAG (148 GSV, 13 SSV). Cohorts were comparable in vein diameter and segment length; CAG patients were older (median 45 vs 39 years). GSV occlusion at 24 months was 94.4% (95% CI 90.2-96.8) for MOCA and 96.6% (95% CI 92.3-98.5) for CAG (Fisher <i>p</i> = .441; log-rank <i>p</i> = .329). SSV occlusion was 77.8% (95% CI 54.8-91.0) in 18 MOCA segments and 100% (95% CI 77.2-100) in 13 CAG segments (Fisher <i>p</i> = .120; log-rank <i>p</i> = .075); with only 31 SSV segments the estimate is imprecise, and the non-significant result is not evidence of equivalence. Three-year results were identical to 24-month data. Symptom improvement was documented in both groups without obvious deterioration in association with late recanalisation; assessment was qualitative, without a validated instrument.ConclusionsCAG showed numerically higher GSV and SSV occlusion than MOCA at two and 3 years, but no difference reached statistical significance and the cohorts were not randomised. No obvious symptomatic deterioration was documented with late MOCA recanalisation, supporting a clinically led rather than duplex-led re-treatment strategy. Adequately powered randomised trials with 3-year follow-up are required.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555261492365"},"PeriodicalIF":1.5,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140147","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":"Screening for lipedema in women with lower extremity pain and its associations with functional status, pain, mood, and quality of life: A questionnaire-based case-control study.","authors":"Gülseren Demir Karakılıç, Ömer Said Otlu, Esra Şahingöz Bakırcı, Özlem Balbaloğlu, Evren Yaşar","doi":"10.1177/02683555261490379","DOIUrl":"https://doi.org/10.1177/02683555261490379","url":null,"abstract":"<p><p>ObjectivesThis study aimed to determine the frequency of probable lipedema among women with lower extremity pain (LEP) using a validated screening questionnaire and to examine its associations with neuropathic pain (NP) characteristics, functional status, psychological symptoms, and health-related quality of life (HRQoL).MethodsThis prospective questionnaire-based case-control study included 133 women, comprising 68 women with LEP and 65 age-matched healthy controls. Participants were evaluated using the Lipedema Screening Questionnaire (LSQ), Lower Extremity Functional Scale (LEFS), Hospital Anxiety and Depression Scale (HADS), PainDETECT questionnaire, and 12-Item Short Form Health Survey (SF-12). An LSQ score of ≥8 was classified as probable lipedema, whereas a score of ≥12 was classified as high-probability lipedema. These categories indicate screening probability rather than a confirmed clinical diagnosis of lipedema. Group comparisons, correlation analyses, and multivariable regression analyses were performed to examine factors associated with LSQ and LEFS scores.ResultsWomen with LEP had significantly higher LSQ scores and a greater proportion of probable lipedema (36.8% vs 12.3%, <i>p</i> = .001) and high-probability lipedema (19.1% vs 3.1%, <i>p</i> = .003) than controls. Compared with controls, women with LEP had poorer lower extremity function, greater anxiety symptoms, more prominent NP characteristics, and lower physical and mental HRQoL scores (all <i>p</i> < .05). Higher LSQ scores were positively correlated with PainDETECT scores (r = 0.446, <i>p</i> < .001), whereas pain intensity was not significantly correlated with the evaluated clinical outcomes. In multivariable linear regression, PainDETECT score was independently associated with LSQ score (β = 0.382, <i>p</i> = .004). For functional status, both the SF-12 physical (β = 0.352, <i>p</i> = .001) and mental component scores (β = 0.362, <i>p</i> = .002) were independently associated with LEFS scores.ConclusionsProbable lipedema was more frequently identified by LSQ among women with LEP than among healthy controls. NP characteristics were independently associated with greater lipedema-related symptom burden, whereas lower extremity function was independently associated with both physical and mental HRQoL. These findings support the use of lipedema and NP screening as complementary components of the clinical assessment of women with LEP. However, LSQ findings should not be interpreted as a clinical diagnosis of lipedema and require confirmation through appropriate clinical assessment.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555261490379"},"PeriodicalIF":1.5,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149140078","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":"Effectiveness and safety of detachable fibered coils as a single therapy for embolization in venous origin chronic pelvic pain.","authors":"Rubén Rodríguez Carvajal, Pablo E Bretos-Azcona, Rocío Láinez Rube, María Teresa Hernández Carbonell, Ana Margarita Ruales Romero","doi":"10.1177/02683555241288725","DOIUrl":"10.1177/02683555241288725","url":null,"abstract":"<p><p>ObjectivesTo investigate the effectiveness and safety of endovascular treatment by embolization with detachable fibered coils of insufficient pelvic veins, as the primary cause of Venous Origin Chronic Pelvic Pain (VOCPP).MethodsThis observational, retrospective study analyzes data from the PELVIC registry from 2014 to 2022. Sociodemographic, diagnostic, preoperative, intraoperative, and postoperative follow-up variables were reported.ResultsA total of 255 patients were included, with follow-up periods up to 5 years. The study's effectiveness was significant with a 60% decrease in pelvic pain at the first follow-up after treatment measured by a Visual Analogue Scale (<i>p</i> = 0.001). There were also decreases in the severity levels of dyspareunia (<i>p</i> = 0.03), dysmenorrhea (<i>p</i> = 0.12) and presence of Pelvic Venous Disorders symptoms in general (-43.8%; <i>p</i> = 0.001). No major adverse events were recorded. Only 5 patients (2%) experimented technical issues in coil implantation, all of them solved in situ.ConclusionThe treatment of VOCPP by embolization with detachable fibered coils has proven to be an effective and safe option for insufficient pelvic veins.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"750-759"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368147","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":"Artificial intelligence and vascular surgeons in patient communication: A comparative analysis of intelligibility and clinical appropriateness in acute deep vein thrombosis.","authors":"Oliver Antonio Gómez Gutiérrez, Oscar A De la Torre, Gabriela Cassagne, Jorge Flores-Orduña, Luis Leon, Mario Alejandro Fabiani","doi":"10.1177/02683555261494674","DOIUrl":"https://doi.org/10.1177/02683555261494674","url":null,"abstract":"<p><p>ObjectiveEffective patient communication is critical in acute deep vein thrombosis (DVT) management. This study evaluated and compared the intelligibility and clinical appropriateness of patient-directed explanations for acute DVT generated by vascular surgeons versus a diverse panel of large language models (LLMs), using a balanced, unit-matched design.MethodsIn this observational, cross-sectional study, 11 board-certified vascular surgeons and 11 distinct, independently developed LLMs each produced one response to a standardized acute DVT vignette in Spanish. Responses were blinded and scored using an 8-item clinical appropriateness grid (two independent graders, consensus) and five validated Spanish readability indices. Central tendency was assessed with Mann-Whitney U tests; dispersion was assessed descriptively (coefficient of variation, range) and, exploratorily, with Brown-Forsythe tests.ResultsClinical appropriateness did not differ significantly between groups (median 7/8 in both; <i>p</i> = 0.258), dispersion was descriptively far smaller for LLMs (SD 0.40 vs 1.92; coefficient of variation 5.9% vs 32.5%). LLM responses were more readable on three of four content-complexity indices (Fernández-Huerta, Gutiérrez de Polini, Szigriszt-Pazos; all <i>p</i> < 0.02) and required a numerically lower educational grade level (Crawford 5.4 vs 6.1; <i>p</i> = 0.075). Readability dispersion was descriptively far lower for LLMs (Fernández-Huerta range 31 vs 200 points; coefficient of variation 15% vs 181%), driven in the surgeon cohort by a single response that fell far outside the interpretable range; formal variance tests did not reach significance at this sample size. LLM responses were longer (median 903 vs 354 words; <i>p</i> = 0.003) and took longer to read (4.5 vs 1.8 min; <i>p</i> < 0.001). Neither group addressed screening for silent pulmonary embolism. Free-versus-premium comparisons were model-specific rather than uniform.ConclusionCurrent-generation LLMs matched board-certified surgeons in clinical completeness and produced more readable, descriptively far more consistent patient-facing explanations, without the communication failures observed in a minority of human responses. Both cohorts share an important, guideline-adjacent counseling gap.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555261494674"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121629","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":"Pelvic venous disorders in chronic pelvic pain care in Türkiye: A cross-sectional e-survey among obstetricians and gynaecologists.","authors":"Erhan Hüseyin Cömert, Umran Karabulut Dogan, Tugce Baykara, Cavide Ali, Pinar Kadirogullari, Ozan Dogan","doi":"10.1177/02683555261469786","DOIUrl":"10.1177/02683555261469786","url":null,"abstract":"<p><p>ObjectivesTo investigate how obstetricians' and gynaecologists' self-rated familiarity with pelvic venous disorders (PeVD), including pelvic congestion syndrome (PCS), and local interventional access relate to self-reported recognition, diagnostic choices, and management pathways in chronic pelvic pain (CPP) care.MethodsWe conducted an anonymous web-based survey of obstetricians and gynaecologists involved in CPP care in Türkiye between January 2026 and February 2026. Outcomes were frequency of considering PCS/PeVD, self-reported annual PCS diagnoses, first-choice imaging, clinical approach, and treatment knowledge. Ordinal proportional-odds and multinomial logistic regression models adjusted for age, gender, years in practice, institution type, and monthly CPP volume; interventional radiology/embolisation availability was added where clinically relevant. The invitation denominator could not be reliably enumerated, so no response rate was calculated.ResultsAmong 528 respondents, 79.8% considered PCS/PeVD at least sometimes and 20.3% considered it very rarely. In the past year, 25.2% reported no PCS diagnoses, 58.9% reported 1-5, 12.5% reported 6-10, and 3.4% reported >10. Transvaginal Doppler ultrasound was the most common first-choice imaging modality (78.4%). Limited self-rated familiarity was associated with lower odds of more frequent consideration (aOR 0.25, 95% CI 0.17-0.37), whereas university-hospital setting was associated with higher consideration frequency (aOR 2.94, 95% CI 1.29-6.69). On-site embolisation availability was associated with a lower relative risk of choosing no PCS-specific treatment versus conservative management (RRR 0.23, 95% CI 0.06-0.84). Limited familiarity was also associated with lower treatment knowledge (aOR 0.42, 95% CI 0.29-0.61).ConclusionsSelf-rated familiarity and local interventional access were associated with self-reported PCS/PeVD recognition and management choices. These exploratory associations should be interpreted cautiously because key exposure and outcome measures were subjective and partly overlapping. PeVD-oriented education, ultrasound training, and clearer multidisciplinary referral routes warrant prospective evaluation.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"815-824"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148427637","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":"Ovarian vein interventions in patients with combined radiologically significant left renal vein compression and symptomatic pelvic vein reflux.","authors":"Sergey Gennadievich Gavrilov, Alexander V Sazhin, Anatoly V Karalkin, Yekaterina P Moskalenko, Sergey V Chubchenko","doi":"10.1177/02683555261424067","DOIUrl":"10.1177/02683555261424067","url":null,"abstract":"<p><p>BackgroundThe issues of diagnosis and treatment strategy for the left renal vein compression (LRVC) have not been fully resolved, and treatment methods vary widely from medical therapy to renal autotransplantation. The aim of this study was to determine the feasibility of isolated interventions on the left ovarian vein in patients with LRVC of varying severity.MethodsThis prospective cohort study included 63 female patients with LRVC (30 symptomatic and 33 asymptomatic), selected out of 266 consecutively examined patients with pelvic venous disorders (PeVD). All participants underwent blood and urine tests, duplex ultrasound studies (DUS) of the renal and pelvic veins, and dynamic renal scintigraphy (DRS). Patients with LRVC and symptoms of pelvic venous insufficiency (PVI) and/or reflux in the left ovarian vein (LOV) further underwent ovarian vein resection or embolization. Follow-up clinical and laboratory evaluations, DUS, and DRS were performed 1 to 12 months after the intervention.ResultsLRVC was diagnosed in 23.6% of patients with PeVD, and was symptomatic in 11.3% and hemodynamically significant, according to DUS, in 4.9% of them. None of patients with LRVC had renal symptoms (pain in the left flank of the abdomen, hematuria) or impaired filtration and secretory dysfunction of the left kidney (LK), according to DRS. Symptomatic LRVC was accompanied by clinical manifestations of PeVD. Ovarian vein interventions were performed in 24 symptomatic patients and resulted in elimination of chronic pelvic pain (CPP) and pelvic venous reflux (PVR) in all cases. Follow-up examinations did not reveal any deterioration in the blood outflow through LRV or disturbances in the LK function after intervention in any patient.ConclusionsLRVC without hematuria does not deteriorate the LK filtration and secretory functions. Patients with symptomatic LRVC without hematuria can undergo isolated interventions on LOV. These interventions are effective in eliminating CPP and do not impair the LK function.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"760-772"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146121010","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":"Transfixing Endovenous Thermal Ablation (TEThA) for varicose veins treatment - A prospective single-arm study.","authors":"Nara Medeiros Cunha deMelo Vasconcelos, Marcelo Halfen Grill, Gabriela de Oliveira Buril, Fabrício Rodrigues Santiago, Renata Camila Barros Rodrigues, Gabriel Henrique Simoni, Marcela Zanoni, Isabela Zampirolli Leal, Viviane Santana da Silva, Walkiria Hueb Bernardi, Roberto Augusto Caffaro, Eduardo Ramacciotti","doi":"10.1177/02683555261427233","DOIUrl":"10.1177/02683555261427233","url":null,"abstract":"<p><p>BackgroundVaricose veins impact quality of life in patients with chronic venous disease (CVD), and their optimal treatment remains unclear. The Transfixing Endovenous Thermal Ablation(TEThA) technique is a procedure that consists of endovenous laser thermal ablation of varicose tributaries by combining the transfixing technique for endovenous procedure with tumescent anesthesia.ObjectiveTo evaluate the impact of the TEThA technique on quality of life and postoperative complications in patients with varicose veins.MethodsThis Prospective, single-arm study included 22 patients (CEAP C2-C6) treated with the TEThA technique. Quality-of-life and clinical scores (CIVIQ-14, AVVQ, rVCSS, CEAP, Caprini) were assessed at baseline, 6 weeks, and 6 months postoperative.ResultsSignificant improvements were observed in CIVIQ-14 (30.95 to 22.76; p = .013), AVVQ (36.43 to 23.49; p = .012), rVCSS (7.73 to 4.18; p = .014), and CEAP (3.09 to 1.94; p = .002). No significant complications, thrombotic events, or need for reintervention occurred.ConclusionTEThA significantly improved clinical and quality-of-life outcomes in patients with varicose veins, with a favorable safety profile.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"808-814"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146198320","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}