Phlebology最新文献_第5页

Comparison of the safety and efficacy between endovenous laser ablation and radiofrequency ablation for great saphenous vein incompetence. 静脉内激光消融与射频消融治疗大隐静脉功能不全的安全性和有效性比较。

IF 1.5

Phlebology Pub Date : 2025-08-05 DOI: 10.1177/02683555251366380

Xianhao Su, Hongjian Ding, Zhiyu Pan, Huaqing Li, Jianing Yue, Qian Chen

{"title":"Comparison of the safety and efficacy between endovenous laser ablation and radiofrequency ablation for great saphenous vein incompetence.","authors":"Xianhao Su, Hongjian Ding, Zhiyu Pan, Huaqing Li, Jianing Yue, Qian Chen","doi":"10.1177/02683555251366380","DOIUrl":"https://doi.org/10.1177/02683555251366380","url":null,"abstract":"AimsThis multicenter retrospective study sought to compare the efficacy and safety of endovenous laser ablation (EVLA) versus radiofrequency ablation (RFA) for treating great saphenous vein (GSV) incompetence.MethodsWe performed propensity score matching (PSM) between 864 EVLA and 1009 RFA cases. Primary endpoints comprised complete venous ablation (efficacy) and incidence of deep vein thrombosis (DVT) and endovenous heat-induced thrombosis (EHIT) (safety). Secondary outcomes assessed at serial follow-ups included: Numerical Rating Scale (NRS) pain scores, cutaneous adverse events, Venous Clinical Severity Score (VCSS), and Chronic Venous Insufficiency Questionnaire (CIVIQ-20).ResultsThe propensity-matched cohort (n = 855 per group) showed balanced baseline characteristics after exclusions (all p > .05). Primary efficacy analysis revealed significantly lower 24-month recurrence rates with EVLA versus RFA (5.6% vs 10.2%, p < .001). Primary safety outcomes demonstrated reduced thrombotic complications with RFA, including lower DVT incidence (0.7% vs 1.8%, p = .048) and decreased EHIT formation (Class 0: 93.9% vs 89.7%; grades 1-4: 6.1% vs 10.3%, p = .034). Secondary analysis showed RFA's advantages in pain profiles (p < .001), cutaneous complications (skin burns: 2.7% vs 4.7%, p = .029), and superior therapeutic improvement through 24 months (VCSS: 0.66 ± 0.15 vs 1.66 ± 0.55, p = .029; CIVIQ-20: 5.66 ± 1.10 vs 10.66 ± 2.69, p = .006).ConclusionRFA demonstrates superior perioperative safety profiles, symptom relief, and quality-of-life outcomes. However, its significantly higher long-term recurrence risk compared to EVLA necessitates risk-stratified treatment algorithms.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555251366380"},"PeriodicalIF":1.5,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791196","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}

引用次数: 0

Recanalization times in patients with deep vein thrombosis with and without thrombophilia. 深静脉血栓形成伴与不伴血栓形成的患者再通次数。

IF 1.5

Phlebology Pub Date : 2025-08-02 DOI: 10.1177/02683555251365062

Halis Yilmaz, Haci Cihat Atabas, Nevzat Herdem, Deniz Elcik, Adnan Hasgul, Aydin Tuncay

{"title":"Recanalization times in patients with deep vein thrombosis with and without thrombophilia.","authors":"Halis Yilmaz, Haci Cihat Atabas, Nevzat Herdem, Deniz Elcik, Adnan Hasgul, Aydin Tuncay","doi":"10.1177/02683555251365062","DOIUrl":"https://doi.org/10.1177/02683555251365062","url":null,"abstract":"ObjectiveHypercoagulability, called thrombophilia, has a vital role in the development of deep vein thrombosis. During the healing process of patients with thrombosis, the recanalization process in deep veins takes longer in some patients. This study was designed to investigate the role of thrombophilia in this critical process, considering that thrombophilia may be one of the reasons for the prolonged recanalization period.MethodThe study was retrospectively analyzed in 118 patients with deep vein thrombosis. Patients were grouped according to thrombophilia or not. Patients were divided into early and late recanalization groups according to the recanalization status on ultrasonography at the sixth month. The thrombophilia status of these groups was evaluated.Results62 of the patients were female, and 56 were male. The mean age was 41.92 ± 10.26 years. Thrombophilia was more common in women. There was a significant difference between the mean age and thrombophilia status; the mean age was lower in the thrombophilia group (p = .029). No statistically significant difference was found between age and recanalization times (p = 0, 274). Recurrence rates were also higher in the F5 Leiden and Protein-S deficiency group.ConclusionThe presence of thrombophilia affects patients' recanalization time and, therefore, suggests the need to reevaluate treatment strategies.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555251365062"},"PeriodicalIF":1.5,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769529","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}

引用次数: 0

Compression terms: Defining terminology of compression therapy - An international compression club consensus document. 压缩术语：定义压缩治疗术语-国际压缩俱乐部共识文件。

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-02-04 DOI: 10.1177/02683555241313422

Giovanni Mosti, Jean P Benigni, Serge Bohbot, Nele Devoogdt, Isabel Forner-Cordero, Eduardo da Matta, Didier Rastel, Claas Roes, Sara Thomis

{"title":"Compression terms: Defining terminology of compression therapy - An international compression club consensus document.","authors":"Giovanni Mosti, Jean P Benigni, Serge Bohbot, Nele Devoogdt, Isabel Forner-Cordero, Eduardo da Matta, Didier Rastel, Claas Roes, Sara Thomis","doi":"10.1177/02683555241313422","DOIUrl":"10.1177/02683555241313422","url":null,"abstract":"BackgroundThe terminology in compression therapy is not always consistent. Confusion arises from layers, components, materials, whether elastic or inelastic, stiff or not stiff, compression class, and other terms. The aim of this paper is to define a standard terminology for compression therapy.Methodthe International Compression Club (ICC) board members prepared a draft consensus paper, which was circulated among the ICC members and refined by GM according to the comments and suggestions received.ResultsAll the terms used in compression therapy, from the definition to the materials, compression kits or systems, their physical properties, compression pressure, compression characteristics, and components and layers, were considered and agreed upon.ConclusionsThe given definitions allow for consistent classification of compression materials or devices. The International Compression Club hopes that the proposed terminology will be widely accepted and that papers and congress presentations on compression will use precise terminology.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"490-495"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191442","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}

引用次数: 0

Clinical characteristics of male lymphedema: A single center-experience. 男性淋巴水肿的临床特征：单中心经验。

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-01-16 DOI: 10.1177/02683555241313014

Hande Özdemir

{"title":"Clinical characteristics of male lymphedema: A single center-experience.","authors":"Hande Özdemir","doi":"10.1177/02683555241313014","DOIUrl":"10.1177/02683555241313014","url":null,"abstract":"ObjectivesThe aim of this study was to analyze the demographic and clinical characteristics of male patients.MethodsRetrospective data were collected from the files of 52 male patients with lymphedema. Duration, diagnostic category, localization and stage of lymphedema, and complaints were analyzed and reported. In addition, subgroups based on age, lymphedema etiology and cellulite history were compared in terms of demographic and clinical characteristics.ResultsThe most common cause of lymphedema was chronic venous insufficiency (32.7%), followed by cancer-related lymphedema (30.8%). The location of the lymphedema varied, with 46.2% having it in the unilateral lower extremity, 32.7% in both lower extremities, and smaller percentages in the upper extremities, genital area, and head and neck. The median duration of lymphedema was 12 months, and the most common referral source was cardiovascular surgeons. The most common symptoms reported were swelling and feeling of heaviness. Approximately 23.1% of patients had a history of cellulitis. Non-cancer related lymphedema patients had higher body mass index and longer duration, and a third of them had a history of cellulitis, unlike cancer-related lymphedema patients.ConclusionIt is crucial to acknowledge that lymphedema can also affect men. Prompt diagnosis of men with potential risk factors, such as chronic venous insufficiency and cancer, is vital to prevent lymphedema and its associated complications.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"473-478"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019589","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}

引用次数: 0

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

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-06-30 DOI: 10.1177/02683555251356799

Lowell S Kabnick, Kathleen Ozsvath, Jorge H Ulloa

引用次数: 0

Preferences of continuing care service options for patients with venous leg ulcer: A discrete choice experiment. 下肢静脉性溃疡患者持续护理服务选择的偏好：一项离散选择实验。

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-02-09 DOI: 10.1177/02683555251319839

Panpan Zhou, Fei Gu, Xian Wang, Zheng Huang, Jinzhi Yu, Meng Li

{"title":"Preferences of continuing care service options for patients with venous leg ulcer: A discrete choice experiment.","authors":"Panpan Zhou, Fei Gu, Xian Wang, Zheng Huang, Jinzhi Yu, Meng Li","doi":"10.1177/02683555251319839","DOIUrl":"10.1177/02683555251319839","url":null,"abstract":"Objective: The purpose of this study was to determine the preferences of patients with venous leg ulcer for wound continuing care programs. Methods: A discrete choice experiment was conducted among patients with venous leg ulcer in three large tertiary hospitals in Shanghai, China. Conditional logit analysis was used to estimate the preference weights for wound continuing care services. Results: A total of 223 VLU patients were surveyed, and 201 valid questionnaires were collected, with a validity rate of 90.1%. The modes of care delivery, service type, consistency of caregiver, and additional services were important considerations for patients when choosing wound continuing care options. Of these, community health service center and wound specialist nurses were preferred, as were options with the same caregiver providing services, online platform appointments, and the inclusion of additional services, while western care and make an appointment in-person at the clinic were relatively less attractive for patients. Conclusion: These results reflect patients' needs and preferences in different aspects and provide valuable references for healthcare organizations and care providers. Patient preferences are deemed as one of the multiple factors that necessitate consideration in the distribution of medical resources. They are integrated with various aspects of deliberations, including geographical location, health conditions, and economic status, so as to construct a comprehensive perspective.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"536-545"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384953","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}

引用次数: 0

Machine learning web application for predicting varicose veins utilizing global prevalence data. 利用全球流行数据预测静脉曲张的机器学习web应用程序。

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-01-29 DOI: 10.1177/02683555251318154

Yury Rusinovich, Volha Rusinovich, Markus Doss

{"title":"Machine learning web application for predicting varicose veins utilizing global prevalence data.","authors":"Yury Rusinovich, Volha Rusinovich, Markus Doss","doi":"10.1177/02683555251318154","DOIUrl":"10.1177/02683555251318154","url":null,"abstract":"AimThis study aimed to develop a web-based machine learning (ML) model to predict the lifetime likelihood of developing varicose veins using global disease prevalence data.MethodsWe utilized data from a systematic review, registered under PROSPERO (CRD42021279513), which included 81 studies on varicose vein prevalence across various geographic regions. The data used to build the ML model included disease prevalence as the outcome (%), along with the following predictors: mean age, gender distribution (%), mean body mass index (BMI) of the study cohort, and the mean gravity field of the study region (mGal), representing variations in Earth's underground mass distribution that influence blood and fluid redistribution in the human body, affecting disease prevalence. After standardizing the outcome and predictors, the model was trained using neural network regression implemented with the TensorFlow.js library and deployed as a web-based ML application.ResultsAfter 406 epochs of training, and upon achieving a validation loss (mean squared error) of 0.9, training was stopped due to no further improvement. The achieved test loss was 0.49, and the mean absolute error (MAE) was 0.56, corresponding to an up to 6.7% difference between the predicted and true disease probabilities (calculated as MAE x σ, where σ is the standard deviation of the mean disease prevalence = 0.56 x 11.9 = 6.7). The likelihood of developing varicose veins, as predicted by the model, showed the strongest correlation with age (0.78), followed by gravity anomaly (0.30), BMI (0.27), and gender (0.15).ConclusionThis study summarizes research on the prevalence of varicose veins by developing a web-based ML model to predict an individual's likelihood of developing the disease. Using data reported in the literature, the ML algorithm provides a non-discriminatory predictive baseline, offering a valuable tool for future investigations into disease epidemiology.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"528-535"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070633","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}

引用次数: 0

The CHIVA in practice: Ready for a bold rebranding? CHIVA的实践：准备好大胆的品牌重塑了吗？

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-04-03 DOI: 10.1177/02683555251333005

Efstratios Georgakarakos

引用次数: 0

Patterns of reflux in patients with CEAP C2 disease compared to patients with C6 venous ulceration. 与C6静脉溃疡患者相比，CEAP C2患者的反流模式

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-01-29 DOI: 10.1177/02683555251317852

Neel Gadhoke, Zoe Deol, Richard Kennedy, Sanjiv Lakhanpal, Peter J Pappas

{"title":"Patterns of reflux in patients with CEAP C2 disease compared to patients with C6 venous ulceration.","authors":"Neel Gadhoke, Zoe Deol, Richard Kennedy, Sanjiv Lakhanpal, Peter J Pappas","doi":"10.1177/02683555251317852","DOIUrl":"10.1177/02683555251317852","url":null,"abstract":"ObjectiveCEAP categorizes patients based on disease progression and severity. Whether disease severity is associated with specific patterns of reflux is currently unknown. We hypothesize that patterns of reflux in patients with C2 and C5/6 disease will differ.DesignMulti-center retrospective cohort analysis.MethodsFrom January 2015 to December 2020, we performed a retrospective review of reflux patterns in 21 335 patients and 31 727 limbs in symptomatic patients with C2 or C5/6 disease. Patterns of reflux in Great (GSV), Small (SSV), Deep and Perforators (Perf), were analyzed in patients with and without junctional reflux. The GSV and SSV were divided into six and three segments respectively. The number of perforators with reflux were categorized as 1-3 above and below-knee and deep system reflux was divided into three segments.ResultsOf the 21 335 patients the average age and female/male distribution was the following: C2 (54.13 ± 13.82, 21 410/5047), C5/6 (64.75 ± 14.75, 1514/1755) (p ≤ .001). When SFJ reflux is present, 6-segment GSV reflux was most prevalent (C2, 14.85% vs C5/6, 27.50). Without junctional reflux, above knee reflux was more common in C2 disease, while below knee reflux was more common in C5/6 disease (p ≤ .01). Three segment SSV reflux was more prevalent in C2 patients (26.67% vs 16.27%, p ≤ .001). Below knee perforator reflux was more prevalent in C5/6 patients (79.56% vs 73.53%, p ≤ .01). Combined CFV/FV/POPV reflux was more prevalent in C5/6 patients (38.5% vs 20.5%, p ≤ .001).ConclusionThe presence of junctional reflux is more closely associated with disease location (above- vs below-knee) than with disease classification. SFJ reflux is more likely to present with extensive above knee disease. Isolated below-knee reflux is more significantly associated with C5/6 disease, independent of junctional reflux. Conversely, isolated above-knee superficial reflux is significantly associated with C2 disease and junctional reflux.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"508-517"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070638","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}

引用次数: 0

Clinical outcomes following treatment for small saphenous vein insufficiency: An AVLS PRO venous registry study. 小隐静脉功能不全治疗后的临床效果：AVLS PRO 静脉登记研究。

IF 1.5

Phlebology Pub Date : 2025-08-01 Epub Date: 2025-02-05 DOI: 10.1177/02683555251317854

Carlos Echevarria, Sherry Scovell, John Blebea, Micah Thornton, Julianne Stoughton

{"title":"Clinical outcomes following treatment for small saphenous vein insufficiency: An AVLS PRO venous registry study.","authors":"Carlos Echevarria, Sherry Scovell, John Blebea, Micah Thornton, Julianne Stoughton","doi":"10.1177/02683555251317854","DOIUrl":"10.1177/02683555251317854","url":null,"abstract":"BackgroundCompared to the great saphenous vein, there is a relative paucity of data in the literature focused on treating the small saphenous vein (SSV). Our goal was to evaluate and analyze national registry data related to the diagnosis and treatment of the SSV and identify practice patterns and clinical outcomes.MethodSubjects undergoing SSV interventions between April 2014 and March 2023 were identified in the AVLS PRO Venous Registry. Data points included Clinical, Etiological, Anatomical, Pathological (CEAP) classifications; Venous Clinical Severity Score (VCSS), Venous Quality of Life (VVSymQ®) instrument scores, Heaviness, Aching, Swelling, Throbbing, Itching (HASTI) symptoms, and Short Form Health Survey (SF-36.) Duplex ultrasound findings included vein diameter, length, and the overall recanalization rate.ResultA total of 92,175 SSV interventions were identified. Over two-thirds of subjects presented with a CEAP classification of C3 (31%) and C4 (C4 40%). Clinical results demonstrated significant improvement immediately after treatment in the first month and maintained beneficial results at 1 year or longer (p < 0.001.) This improvement was reflected in the significant decrease in VCSS scores (6 ± 3.4 to 5 ± 2.9; p < 0.0001), VVSymQ (9.5 ± 6.0 to 5.9 ± 4.4; p < 0.0001), and HASTI (9.4 ± 5.9 to 6.6 ± 5.2; p < 0.0001). The recanalization rate at any follow-up was 3%; 48% of those occurring within the first year. Predictors associated with recanalization were larger vein diameter (mean 4.0 mm, 95% CI 3.9-4.1, p < 0.0001) and shorter SSV length (mean 15.27 mm, 95 % CI 14.4-16.1, p < 0.0001).ConclusionTreatment of SSV insufficiency improved clinical outcomes by both patient and physician-derived outcome measures. Only 3% of SSV demonstrated recanalization, and nearly half occurred within the first year following the procedure. Predictors of recanalization included larger pre-procedure vein diameters and treatment of a shorter length of SSV.","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"518-527"},"PeriodicalIF":1.5,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191441","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}

引用次数: 0