PhlebologyPub Date : 2024-09-01Epub Date: 2024-05-29DOI: 10.1177/02683555241257868
Aysun Aksoy, Seda Colak, Burcu Yagiz, Belkıs Nihan Coskun, Ahmet Omma, Alper Sarı, Nuh Atas, Can Ilgın, Omer Karadag, Abdülsamet Erden, Yasin Yildiz, Ediz Dalkılıç, Haner Direskeneli, Fatma Alibaz-Oner
{"title":"Assessment of venous disease with different venous disease specific scales in Behçet's disease patients with deep vein thrombosis.","authors":"Aysun Aksoy, Seda Colak, Burcu Yagiz, Belkıs Nihan Coskun, Ahmet Omma, Alper Sarı, Nuh Atas, Can Ilgın, Omer Karadag, Abdülsamet Erden, Yasin Yildiz, Ediz Dalkılıç, Haner Direskeneli, Fatma Alibaz-Oner","doi":"10.1177/02683555241257868","DOIUrl":"10.1177/02683555241257868","url":null,"abstract":"<p><p><b>Objectives:</b> Post-thrombotic syndrome (PTS) is a frequent and important consequence of deep vein thrombosis (DVT) for Behcet`s disease (BD) patients. Although various clinical scales are used to diagnose PTS, Villalta scale was accepted as the standard tool to diagnose and grade the severity of PTS. Poor quality of life (Qol) in the general population was defined for patients with PTS, however, studies in BD patients with PTS is limited. Our aim was to compare the performance of different scales to assess venous disease in BD patients with a history of DVT and to assess the relationship with quality of life.<b>Methods:</b> Patients with BD (<i>n</i> = 194, M/F:157/37, age:39.1 ± 9.5 years) with a DVT history were investigated. Villalta, VCSS,CEAP scale and SF 36,Veines scales were used to assess venous disease and QoL respectively.<b>Results:</b> Among BD patients, 120 (61.9 %) patients were classified as having PTS by Villalta and of patients 18% had severe PTS. Half of patients with CEAP score <4 were classified as having PTS. Also, 42% of patients with CEAP>4 and almost two third of VCSS classified severe CVD patients was grouped in severe PTS by Villalta scale. VCSS and Villalta classified PTS patients had decreased disease specific and general Qol scores compared to the patients without PTS. Also, severe PTS group (by VCSS) had decreased veines QoL scores and PCS compared to mild/moderate group.<b>Conclusion:</b> BD patients with DVT have a high risk of PTS. Our results show that both Villalta scale and VCSS should be used to assess venous disease BD patients with DVT. However, VCSS classified severity of PTS can show better correlation with venous disease -specific QoL.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"550-556"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141177057","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":"Treatment of vascular leg ulcers with leukocyte- and platelet-rich fibrin (L-PRF): A systematic review.","authors":"Amirali Barzegar Amin, Dries Dorpmans, Hozan Mufty, Inge Fourneau","doi":"10.1177/02683555241256543","DOIUrl":"10.1177/02683555241256543","url":null,"abstract":"<p><p><b>Objectives:</b> This systematic review aimed to assess the efficacy of Leukocyte- and Platelet-Rich Fibrin (L-PRF) for the treatment of vascular leg ulcers. <b>Method:</b> Following PRISMA guidelines, a literature search was done for studies where L-PRF was used to treat vascular leg ulcers. <b>Results:</b> Among six included articles, a total of 76 venous leg ulcers were treated with L-PRF. None of the studies included ulcers of arterial or lymphatic origin. Fifty-seven (75.0%) of the venous ulcers completely healed at end of follow-up. Mean time to complete healing was 6.7 weeks (SD = 5.0). All non-healed ulcers showed an important reduction in wound area. No adverse effects related to L-PRF therapy were reported. <b>Conclusions:</b> The results suggest that L-PRF could be a safe, simple to use and effective therapeutic option for the treatment of venous leg ulcers, however, caution is advised as the results are based on small sample sizes.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"512-520"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088555","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}
PhlebologyPub Date : 2024-09-01Epub Date: 2024-05-20DOI: 10.1177/02683555241256264
Sergey G Gavrilov, Yekaterina P Moskalenko, Anatoly V Karalkin, Alexander V Alenichev
{"title":"Pelvic vein thrombosis in patients with pelvic venous disorders.","authors":"Sergey G Gavrilov, Yekaterina P Moskalenko, Anatoly V Karalkin, Alexander V Alenichev","doi":"10.1177/02683555241256264","DOIUrl":"10.1177/02683555241256264","url":null,"abstract":"<p><strong>Objective: </strong>To assess the incidence of pelvic vein thrombosis (PVT) and outcomes of anticoagulant therapy for PVT in patients with pelvic venous disorders (PeVDs).</p><p><strong>Methods: </strong>This prospective cohort study included 588 female patients with PeVDs underwent clinical examination followed by duplex ultrasound of the pelvic veins in 2021-2023. Patients with PVT were administered with anticoagulant therapy in an outpatient setting using low molecular weight heparins at a therapeutic dose.</p><p><strong>Results: </strong>PVT was detected in 7.6% of patients with PeVDs and was symptomatic in 28.8% of them. The majority of asymptomatic patients had thrombosis in only one of the parametrial veins (90.6%). Anticoagulant therapy resulted in the PVT symptoms relief in all patients within 10 days and recanalization of the pelvic veins in 1-3 months.</p><p><strong>Conclusion: </strong>In our study, PVT was diagnosed in 7.6% of patients with PeVDs. Anticoagulant therapy is effective and safe in resolving PVT symptoms.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"534-542"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141072370","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}
PhlebologyPub Date : 2024-09-01Epub Date: 2024-05-30DOI: 10.1177/02683555241257858
Vangelis G Alexiou, Areti Vassiliou, Michail Mitsis, Michail Peroulis
{"title":"EndoVenous-assisted invaginated stripping of the great saphenous vein: A pilot and feasibility study.","authors":"Vangelis G Alexiou, Areti Vassiliou, Michail Mitsis, Michail Peroulis","doi":"10.1177/02683555241257858","DOIUrl":"10.1177/02683555241257858","url":null,"abstract":"<p><p><b>Objective:</b> By incorporating an endovascular component into Great Saphenous Vein stripping, EndoVenous-assisted Invaginated Stripping (EVIS) aims to make the procedure minimally invasive. A study was conducted to investigate the surgical intervention. <b>Methods:</b> Sketches and videos were used to illustrate the technical aspects of EVIS. A prospective cohort study included 20 patients with chronic venous insufficiency (CVI). <b>Results:</b> EVIS is performed as a day-surgery. Technical success was 100%, and no complications were recorded. The mean operative time was 45 minutes, intraoperative pain score was 4.8, post-operative pain was 2.5, 1.8, 1.2, 0.5 at 48 hours, 1, 4, and 12 weeks, respectively. The mean blood loss was 15 mL, and the mean length of the GSV strapped was 19 cm. The follow-up duplex showed a reduction in the diameter of the residual GSV stump. <b>Conclusions:</b> EVIS is a combination of standard techniques that may prove valuable in managing CVI.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"564-570"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180775","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}
PhlebologyPub Date : 2024-09-01Epub Date: 2024-05-15DOI: 10.1177/02683555241255279
Monty Fricker, Sarah Whittley, Daniel Carradice, Alun H Davies
{"title":"Optimal thromboprophylaxis following superficial endovenous treatment: What is it?","authors":"Monty Fricker, Sarah Whittley, Daniel Carradice, Alun H Davies","doi":"10.1177/02683555241255279","DOIUrl":"10.1177/02683555241255279","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"507-508"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922496","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":"Varicose vein treatment reduces edema not only in the treated legs but also in the entire body.","authors":"Shinji Tomita, Takuya Mizukami, Yutaka Koyama, Masahiro Inagaki, Satoki Ozoe, Yasuhide Okawa","doi":"10.1177/02683555241251647","DOIUrl":"10.1177/02683555241251647","url":null,"abstract":"<p><strong>Objectives: </strong>We explored the connection between varicose vein and edema, by investigating extracellular water ratio (E/T) using bioelectrical impedance analysis.</p><p><strong>Methods: </strong>In a prospective cohort study 120 patients underwent varicose vein surgery with extracellular fluid to total body water ratio (E/T) and E/T postop divided by E/Tpreop (E/T ratio) measured using a body composition analyzer. Edema was defined as E/T ≥0.390. Seventy-nine patients received unilateral treatment, while 41 underwent bilateral. <i>p</i> < .05 is statistically significant.</p><p><strong>Results: </strong>Preoperatively, patients exhibited edema (E/T) in the treated leg (0.394 ± 0.009), untreated leg (0.392 ± 0.009), trunk (0.390 ± 0.007), and whole body (0.391 ± 0.007). Postoperatively, E/T decreased across body (<i>p</i> < .05). The lowest E/T ratio was observed in the treated leg (0.991 ± 0.012), followed by the untreated leg (0.994 ± 0.012), the trunk (0.995 ± 0.009), and the whole body (0.994 ± 0.009). E/T ratio of bilateral group were lower than unilateral group (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Varicose vein contributes to generalized edema, and treatment alleviates edema in the treated leg and the entire body.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"527-533"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900608","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}
PhlebologyPub Date : 2024-09-01Epub Date: 2024-05-30DOI: 10.1177/02683555241258283
Maysen E Calzon, John Blebea, Christopher Pittman
{"title":"Detection and quantitation of venous leg edema with the edema ruler and ultrasound.","authors":"Maysen E Calzon, John Blebea, Christopher Pittman","doi":"10.1177/02683555241258283","DOIUrl":"10.1177/02683555241258283","url":null,"abstract":"<p><p><b>Objective:</b> Lower extremity edema is characteristic of C3 chronic venous disease. We developed a new clinical and duplex ultrasound (DUS) methodology for the detection and quantification of leg edema and prospectively evaluated its usefulness. <b>Methods:</b> Forty-seven venous patients (94 legs) were evaluated for ankle edema using an Edema Ruler<sup>TM</sup> and DUS using a modified Suehiro grading scale. <b>Results:</b> Interobserver reliability for the use of the Edema Ruler<sup>TM</sup> was 0.985 (<i>p</i> < .001) and 0.883 (<i>p</i> < .001) for the Modified Suehiro Grade. The Edema Ruler<sup>TM</sup> had stronger significant correlations with Edema rVCSS (0.842; <i>p</i> < .001) compared to DUS: (0.474;<i>p</i> < .001) with Edema rVCSS. There were significant differences between the edema pitting depth in CEAP classification of C1 and C2 compared to C3, C4a, and C4c. DUS analysis only had significant differences between CEAP classification C2 and C4a. <b>Conclusions:</b> The Edema Ruler<sup>TM</sup> provides a quantitative measurement of lower extremity edema with high reliability which can be easily integrated into clinical practice. While both methods had good inter-observer reliability, the Edema Ruler<sup>TM</sup> had stronger correlations to Edema rVCSS and showed significant differences in pitting depths between lower CEAP scores (C1-2) compared to higher CEAP scores (C3-4c).</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"557-563"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180774","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}
PhlebologyPub Date : 2024-09-01Epub Date: 2024-06-20DOI: 10.1177/02683555241230737
Andrew Nicolaides, Stavros K Kakkos, Jaime G Estrada-Guerrero
{"title":"Chronic venous disease: What if everything started with early care? A discussion with experts.","authors":"Andrew Nicolaides, Stavros K Kakkos, Jaime G Estrada-Guerrero","doi":"10.1177/02683555241230737","DOIUrl":"10.1177/02683555241230737","url":null,"abstract":"<p><p>Chronic venous disease (CVD) is an umbrella term for a group of morphological and functional disorders of the venous system. Clinical signs of CVD may range from telangiectasia and reticular veins to active venous ulcers; therefore, earlier diagnosis and management of CVD may delay disease progression and reduce the burden of CVD on patients, caregivers, and healthcare systems. In this podcast discussion, Professor Andrew Nicolaides, Professor Stavros Kakkos, and Dr Gerardo Estrada-Guerrero share the key highlights from their symposium at the 2023 European Venous Forum. This symposium, titled \"Chronic venous disease: what if everything started with early care?\", discussed the clinical significance of \"functional CVD,\" evidence and risk factors for CVD progression, and real-world strategies to facilitate earlier diagnosis and management of CVD. Together, these topics highlight the importance of early care to improve long-term outcomes for people with CVD.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"509-511"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141088484","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}
PhlebologyPub Date : 2024-08-10DOI: 10.1177/02683555241273229
Junyu Zhang, Yao Lin, Lifeng Zhang, Caijuan Geng, Wei Huang, Qifan Yang, Wei Zeng, Chunshui He
{"title":"Comparison of one-year outcomes and quality of life between radiofrequency ablation and microwave ablation in the treatment of lower extremity varicose veins: A retrospective cohort study.","authors":"Junyu Zhang, Yao Lin, Lifeng Zhang, Caijuan Geng, Wei Huang, Qifan Yang, Wei Zeng, Chunshui He","doi":"10.1177/02683555241273229","DOIUrl":"https://doi.org/10.1177/02683555241273229","url":null,"abstract":"<p><strong>Objective: </strong>This study compared the outcomes of radiofrequency ablation (RFA) and microwave ablation (EMA) for treating lower limb varicose veins.</p><p><strong>Methods: </strong>Patients who underwent RFA (<i>n</i> = 240) or EMA (<i>n</i> = 209) at our institute from December 2020 to August 2022 were included in this retrospective investigation. Follow-up outcomes included active vein occlusion rate, Venous Clinical Severity Score (VCSS), the Aberdeen Varicose Vein Questionnaire (AVVQ), and Chronic Insufficiency Venous Quality of Life questionnaire-14 (CIVIQ-14)score.</p><p><strong>Results: </strong>There was no significant difference in the active vein occlusion rate between the two groups after the operation (<i>p</i> > .05). Compared to pre-surgery scores, both groups showed substantial improvement in VCSS, AVVQ, and CIVIQ-14 scores(<i>p</i> < .05), there was no significant difference in these scores in either group (<i>p</i> > .05).</p><p><strong>Conclusion: </strong>Intravenous radiofrequency and microwave ablation effectively improve the quality of life for patients with lower limb varicose veins, with low post-operative complication and recurrence rates.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555241273229"},"PeriodicalIF":0.0,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141915009","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}