Phlebology最新文献

{"title":"Diagnosis of post-thrombotic syndrome: International union of phlebology (UIP) survey of medical specialists.","authors":"Nuo Xu, Manisha Siriwardene, Nikita Naidu, David E Connor, Alun H Davies, Peter Gloviczki, Mark H Meissner, Kurosh Parsi","doi":"10.1177/02683555241259616","DOIUrl":"10.1177/02683555241259616","url":null,"abstract":"<p><strong>Objective: </strong>To review the current approaches to the diagnosis of Post-Thrombotic Syndrome (PTS) and to evaluate the potential need for a diagnostic tool.</p><p><strong>Method: </strong>Medical specialists were invited to participate in an online survey of their current approaches to the diagnosis and management of PTS, including the use of scoring systems, diagnostic imaging techniques and the extent the practitioner reviews the patient's venous history.</p><p><strong>Results: </strong>502 participants completed the survey. Over 80% obtained imaging reports to confirm a history of deep vein thrombosis (DVT). 72% of participants always obtained an up-to-date duplex ultrasound for PTS diagnosis. Over 50% did not use a scoring system for either PTS diagnosis or management. 65% of the participants agreed that a new system for PTS diagnosis should be devised.</p><p><strong>Conclusion: </strong>Heterogeneity was observed in methods of diagnosing PTS by medical practitioners with frequent use of medical imaging studies and moderate use of scoring systems. Development of a new diagnostic tool for PTS should be considered for future studies.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"606-618"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307765","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":"Diagnostic value of fibrinogen in lower extremity deep vein thrombosis caused by rib fracture: A retrospective study.","authors":"Lei Feng, Zexin Xie, Xuetao Zhou, Yang Yang, Zheng Liang, Chunjuan Hou, Lili Liu, Dongsheng Zhang","doi":"10.1177/02683555241258274","DOIUrl":"10.1177/02683555241258274","url":null,"abstract":"<p><p><b>Objectives:</b> To investigate the diagnostic value of fibrinogen (FIB) in patients with rib fractures complicated by lower extremity deep venous thrombosis (DVT).<b>Methods:</b> Analyzing data from 493 patients at Shijiazhuang Third Hospital, FIB levels at 24, 48, and 72 h post-injury were compared between DVT and non-DVT groups.<b>Results:</b> DVT group had elevated FIB levels at all times (<i>p</i> < .001). FIB at 24 h showed highest AUC, particularly in patients with BMI <28.<b>Conclusion:</b> In conclusion, measuring FIB at 24 h post-injury enhances DVT detection in rib fracture patients, with potential BMI-related variations.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"592-600"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187232","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":"Elevation of cardiac enzymes and B-type natriuretic peptides following venous recanalization and stenting in chronic venous obstruction.","authors":"Yan Yan, Mohammad E Barbati, Efthymios D Avgerinos, Suat Doganci, Michael Lichtenberg, Houman Jalaie","doi":"10.1177/02683555241261321","DOIUrl":"10.1177/02683555241261321","url":null,"abstract":"<p><strong>Background: </strong>B-type natriuretic peptides (BNP) and cardiac enzymes are both recognized biomarkers of heart health. Many studies have reported that using these indicators can assess cardiac condition and predict prognosis of patients undergoing surgery. Currently little is known on the effect of increased cardiac input after venous recanalization on cardiac physiology in patients with chronic venous obstruction (CVO).</p><p><strong>Objectives: </strong>The aim of this study was to explore the effect of iliocaval recanalization and stenting on cardiac biomarkers in patients with CVO.</p><p><strong>Methods: </strong>This was a prospective study involving 60 patients in a single unit. Blood tests were collected 1 day before and 1 day after venous intervention. Three groups as group 1: patients with iliofemoral post-thrombotic syndrome (PTS) but without involvement of inferior vena cava (IVC) (<i>n</i> = 33); group 2: patients with iliofemoral PTS and involvement of IVC (<i>n</i> = 19) and group 3: patients with non-thrombotic vein lesion (NIVL) (<i>n</i> = 8) were compared based on cardiac biomarker levels.</p><p><strong>Results: </strong>Median concentration of post-operative BNP (259.60 pg/mL) was greater than preoperative levels (49.80 pg/mL) [interquartile range (IQR), 147.15/414.68 versus 29.85/82.88; <i>p</i> < 0.001]. The levels of CK-MB [preop: 3 U/l (IQR, 1.40/11.00) versus postop: 14 U/l (IQR, 12/17), <i>p</i> < 0.001] and troponin T [preop: 3.00 pg/mL (IQR, 3.00/5.25) versus postop: level of 6 pg/mL (IQR, 3.00/9.50), <i>p</i> < 0.001]. Post-procedure increases in cardiac enzymes showed significant differences in BNP (<i>p</i> = 0.023) and troponin T (<i>p</i> = 0.007) across the three groups, while CK-MB levels were not significantly different (<i>p</i> > 0.05). Intergroup comparisons of postoperative BNP: group 1 versus group 2 (<i>p</i> = 0.013), group 2 versus group 3 (<i>p</i> = 0.029), group 1 versus group 3 (<i>p</i> = 0.834); and postoperative troponin T: group 1 versus group 2 (<i>p</i> = 0.018), group 2 versus group 3 (<i>p</i> = 0.002), group 1 versus group 3 (<i>p</i> = 0.282). According to multiple linear regression analysis, length of stenting and level of preoperative BNP were independent determinants of postoperative BNP levels (<i>p</i> < 0.05), and preoperative troponin T affected postoperative troponin T independently (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Troponin T, CK-MB and BNP seem to increase after venous recanalization and stent implantation, the elevation being more prominent for longer lesions.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"619-628"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307766","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":"Tributary treatment: Foam or phlebectomy?","authors":"Marwah Salih, Matthew Tan, Tristan Lane, Sarah Onida, Alun H Davies","doi":"10.1177/02683555241259638","DOIUrl":"10.1177/02683555241259638","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"578-579"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238897","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":"Selected Phlebological Abstracts.","authors":"Lowell S Kabnick, Kathleen Ozsvath, Jorge H Ulloa","doi":"10.1177/02683555241279899","DOIUrl":"10.1177/02683555241279899","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"645-647"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142116800","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":"Comparative analysis of the efficacy and safety of different methods for injecting polidocanol in the treatment of venous malformations.","authors":"Wei Peng, Xin Li, Rongjie Wu, Shiyu Xiong, Haijin Huang, Yong Zeng, Feng Chen, Qian Liu, Haijin Liu","doi":"10.1177/02683555241263228","DOIUrl":"10.1177/02683555241263228","url":null,"abstract":"<p><strong>Objective: </strong>To compare and analyze the efficacy and safety of different methods for injecting polidocanol in the treatment of venous malformations.</p><p><strong>Methods: </strong>The medical records of patients with venous malformations in our hospital from April 2021 to April 2023 were analyzed retrospectively, and they were divided into control group (<i>n</i> = 38) and observation group (<i>n</i> = 20) according to different treatment methods. Control group was injected with polidocanol under ultrasound guidance, while observation group was injected with polidocanol under digital subtraction angiography (DSA) monitoring. Therapeutic effects of observation group and control group after 3-6 months of treatment were compared and analyzed, and complications that can be used to reflect the safety of treatment in two groups were collected and recorded.</p><p><strong>Results: </strong>After treatment, the total effective rates of observation group and control group were 97.37% (37/38) and 75.00% (15/20) respectively, with significant differences (both <i>p</i> < .05). After 3-6 months of treatment, 13 complications occurred in observation group, while 16 occurred in control group. The number of complications in observation group was 6, with an incidence rate of 15.78%; while that in control group was 9, with an incidence rate of 45.00%, with a significant difference (<i>p</i> < .05). There were no significant differences among other baseline data, age and complications between two groups (all <i>p</i> > .05).</p><p><strong>Conclusion: </strong>Injection of polidocanol in patients with venous malformations under DSA monitoring was more effective and safer.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"629-635"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328263","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":"Safety of synchronous prophylactic ablation of the anterior saphenous vein in patients undergoing great saphenous vein thermal ablation- 6 months follow-up data of the SYNCHRONOUS study.","authors":"Carmen K Dietrich, Tobias Hirsch, Karsten Hartmann, Thomas Mattausch, Hans-Christian Wenzel, Philipp Zollmann, Jürgen Veltman, Thomas K Weiler, Guido Lengfellner, Lars Müller, Markus Stücker, Felizitas Pannier, Lorenz Uhlmann, Christine Müller-Christmann","doi":"10.1177/02683555241257840","DOIUrl":"10.1177/02683555241257840","url":null,"abstract":"<p><strong>Background: </strong>The SYNCHRONOUS-study investigates simultaneous ASV-ablation with great saphenous vein (GSV) treatment in endovenous laser ablation (EVLA) for preventing varicose vein recurrence. This sub-study examines complication rates associated with prophylactic ASV-ablation.</p><p><strong>Methods: </strong>Among 1173 patients with refluxing GSV, 604 underwent GSV-ablation only, and 569 received additional ASV-ablation. Complication rates were compared over 6 months.</p><p><strong>Results: </strong>Approximately 80% of patients were complication-free with minor bruising and dysesthesia being most common complications. After 6 months, additional prophylactic ASV-ablation did not increase the rate of complications compared to GSV-only treatment.</p><p><strong>Conclusion: </strong>The 6-months follow-up data suggests that prophylactic ASV-closure, alongside GSV-treatment, is safe, with similar complication rates to GSV-only EVLA.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"585-591"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180818","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":"Thromboprophylaxis in varicose veins surgery: The everyday concern.","authors":"John F García Vélez, Martha O Correa Posada","doi":"10.1177/02683555241260182","DOIUrl":"10.1177/02683555241260182","url":null,"abstract":"<p><p>Venous thromboembolic disease (VTE) occupies an important place as a cause of morbidity and mortality in surgical patients in all specialties. Despite the existence of guidelines for thrombo prophylaxis in surgery, it is not clear due to the lack of current evidence, how to develop antithrombotic prophylaxis in varicose vein surgery and many questions arise when the surgeon is faced with a patient to be operated on. A comprehensive review of the literature was conducted to examine the evidence about the prevention of the venous thromboembolism in varicose veins surgery patients, and aims to guide the reader through questions that arise in daily practice, discussing the different scenarios presented in the literature for the choice of the most appropriate prophylaxis for each case. The lack of conclusive literature determines that risk should be individualized using available scales and other procedure-related factors, so that the type and duration of prophylaxis can be determined on a case-by-case basis.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"580-584"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285719","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":"Hypothesis: Pump shoes for the prevention and treatment of varicose veins.","authors":"Alireza Jahanbani","doi":"10.1177/02683555241260763","DOIUrl":"10.1177/02683555241260763","url":null,"abstract":"<p><strong>Background: </strong>This hypothesis introduces pump shoes as a method for the prevention and treatment of varicose veins.</p><p><strong>Method: </strong>An air pump is placed in the shoe, connected to an airbag wrapped around the leg through a hose. With each step, air is pumped into the foot airbag, applying pressure to the leg muscles and superficial veins. This action mimics muscle pumping, helping to push blood back towards the heart. Excess air is released through an outlet hose with an adjustable sphincter, allowing for increased pressure on the leg.</p><p><strong>Results & conclusion: </strong>These shoes offer a simple mechanism to assist in returning blood from the feet to the heart. They can be beneficial in preventing varicose veins in at-risk individuals or treating those in the early stages of the disease.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"601-605"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263331","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":"Can internal cooling radiofrequency catheters with local hypothermia eliminate the need for tumescent anesthesia? A single-center, retrospective, observational study.","authors":"Gongmin Rim, Kwanyong Hyun, Deog Gon Cho, Jaemin Cho","doi":"10.1177/02683555241287074","DOIUrl":"https://doi.org/10.1177/02683555241287074","url":null,"abstract":"<p><p><b>Background:</b> Tumescent anesthesia not only prolongs the operation time but also induces postoperative pain, bruising, and swelling. This study investigated the effectiveness and safety of tumescentless RFA using an internal cooling system with a VENISTAR catheter and local hypothermia. <b>Methods:</b> We retrospectively analyzed patients who had undergone RFA for above-knee (AK) great saphenous vein (GSV) between March 2023 and November 2023. We compared the efficacy and safety of tumescentless RFA between group T (conventional tumescent group, <i>n</i> = 50) and group N (non-tumescent group, <i>n</i> = 59). <b>Results:</b> The operative time was shorter in group N than in group T (group N: 31.37 min, group T: 42.31 min, <i>p</i> < .01), with no severe adverse events occurred in either group, such as endovenous heat-induced thrombosis or deep vein thrombosis. Postoperative pain (Group N, 0.53% vs Group T, 0.52%; <i>p</i> = .86), postoperative complications such as bruising (Group N, 6.78% vs Group T, 4%; N= .34) and paresthesia (Group N, 1.7% vs Group T, 6%; <i>p</i> = .27) showed no significant difference between the two groups on postoperative day 10. <b>Conclusion:</b> Tumescentless RFA with internal cooling and local hypothermia shows promising results with minimal complications. This novel approach represents a recent advancement in endovenous RFA that omits additional tumescent anesthesia.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555241287074"},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335874","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}