PhlebologyPub Date : 2024-08-01Epub Date: 2024-03-25DOI: 10.1177/02683555241239555
Omar L Esponda
{"title":"The untold story of cyanoacrylate adhesive closure: Addressing the challenges of reporting and analyzing adverse events in medical device studies.","authors":"Omar L Esponda","doi":"10.1177/02683555241239555","DOIUrl":"10.1177/02683555241239555","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"497"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290132","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 : 2024-07-30DOI: 10.1177/02683555241269164
Jianyu Liao, Zhoupeng Wu
{"title":"Different modes of ankle pump exercise to prevent PICC-related thrombosis through femoral vein.","authors":"Jianyu Liao, Zhoupeng Wu","doi":"10.1177/02683555241269164","DOIUrl":"https://doi.org/10.1177/02683555241269164","url":null,"abstract":"<p><strong>Objective: </strong>To explore the preventive effect of different modes of ankle pump exercise on femoral vein PICC catheter-related thrombosis.</p><p><strong>Method: </strong>Convenient sampling method was used to select 172 patients with lung cancer with PICC catheterization through femoral vein admitted to West China Hospital of Sichuan University as the observation group and control group. Comfort angle ankle pump exercise mode and maximum angle ankle pump exercise mode were adopted. We have compared the differences in the incidence of catheter-related thrombosis, unplanned catheter removal, fatigue score, and catheter retention time between two groups of patients.</p><p><strong>Results: </strong>The incidence of catheter-related thrombosis, unplanned catheter removal, fatigue score, and catheter retention time were statistically significant (<i>p</i> < .05) in both groups of patients.</p><p><strong>Conclusion: </strong>The maximum angle ankle pump exercise mode can reduce the incidence of catheter-related thrombosis and unplanned catheter removal in patients with lung cancer with PICC catheterization through femoral vein, increase catheter retention time, but it can easily cause patient fatigue. In clinical practice, patient tolerance should be considered.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555241269164"},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141857542","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 : 2024-07-23DOI: 10.1177/02683555241265601
Alessandro Posa, Pierluigi Barbieri
{"title":"Spermatic vein sclero-embolization through basilic vein access: A short communication.","authors":"Alessandro Posa, Pierluigi Barbieri","doi":"10.1177/02683555241265601","DOIUrl":"https://doi.org/10.1177/02683555241265601","url":null,"abstract":"<p><p><b>Objectives:</b> To depict the basics of percutaneous spermatic vein sclero-embolization through a right basilic vein access and to qualitatively assess the reduced discomfort and pain of this access compared to the femoral one through a VAS scale. <b>Methods:</b> From February 2019 to March 2020, 20 varicocele sclero-embolizations through a right basilic vein were performed and retrospectively evaluated. All patients were men with a median age of 24.5 years. Treatment technique is described, as well as mean radiation dose and procedural time, and complication rates. <b>Results:</b> Technical success was obtained in all patients. 1 access site complication requiring conversion to femoral access occurred. 100% of patients reported only a \"mild\" pain ranging from 1 to 3 on VAS scale, suggesting a comfortable access for this procedure. <b>Conclusions:</b> Basilic vein access determines easy left and right spermatic vein catheterization, rapid ambulation as well as easy monitoring of the access site for post-procedural evaluations.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555241265601"},"PeriodicalIF":0.0,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750161","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":"Causal relationships between COVID-19 and venous thromboembolism: A mendelian randomization analysis.","authors":"Hui Wang, Sensen Wu, Dikang Pan, Wenzhuo Meng, Lefan Hu, Hanyu Zhang, Yachan Ning, Jianming Guo, Yongquan Gu","doi":"10.1177/02683555241266659","DOIUrl":"https://doi.org/10.1177/02683555241266659","url":null,"abstract":"<p><p><b>Objective:</b> Observational studies show the correlation between COVID-19 and venous thromboembolism (VTE) risk. However, the causal effects remain uncertain. We aimed to explore the potential causal association between COVID-19 and VTE using Mendelian randomization (MR) design. <b>Methods:</b> Two-sample MR was used to evaluate the potential causality between COVID-19 and VTE by selecting single-nucleotide polymorphisms (SNPs) as instrumental variables (IVs) from genome-wide association studies (GWAS). The weighted median, MR-Egger, simple mode, and weighted mode were employed as supplementary methods for MR estimations, with the inverse-variance weighted (IVW) method serving as the principal analysis. In addition, we took sensitivity analyses, including Cochran's test, MR-Pleiotropy Residual Sum and Outlier (MR-PRESSO), and leave-one-out analysis to ensure that we obtained stable and reliable results. <b>Results:</b> Our study selected 26 COVID-19 severity, 31 COVID-19 hospitalization, and 13 COVID-19 susceptibility SNPs as instrumental variables. The IVW analysis results revealed that there was no causal relationship between COVID-19 severity, hospitalization, or susceptibility and VTE, with odds ratios of 0.974 (95%CI: 0.936-1.013, <i>p</i> = 0.19), 0.976 (95%CI: 0.918-1.039, <i>p</i> = 0.447), and 0.908 (95%CI: 0.775-1.065, <i>p</i> = 0.235), respectively. The IVW approach yielded consistent results with MR-Egger, Weighted Median simple mode, and weighted mode. MR-PRESSO and sensitivity analysis further confirmed the stability and consistency of the MR results. <b>Conclusions:</b> This study did not find evidence to support a causal relationship between COVID-19 and VTE at the genetic level. Further investigation is warranted to determine if the significant association reported in previous observational studies between the two is due to confounding factors.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555241266659"},"PeriodicalIF":0.0,"publicationDate":"2024-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141736311","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 : 2024-07-01Epub Date: 2024-02-18DOI: 10.1177/02683555241235042
Eduardo Simões Da Matta, Giovanni Mosti, Vanessa da Silva Corralo, Glauciano Policeno de Moura, Luciano Branco de Quadros, Clodoaldo Antônio De Sá
{"title":"Effects of lower limb muscle strengthening on interface pressure in older adults undergoing inelastic compression: Randomized controlled clinical trial.","authors":"Eduardo Simões Da Matta, Giovanni Mosti, Vanessa da Silva Corralo, Glauciano Policeno de Moura, Luciano Branco de Quadros, Clodoaldo Antônio De Sá","doi":"10.1177/02683555241235042","DOIUrl":"10.1177/02683555241235042","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the effects of lower limb muscle strengthening on interface pressure (IP), static stiffness index (SSI), dynamic stiffness index (DSI), and walking pressure amplitude (WPA) in older adults undergoing inelastic compression therapy.</p><p><strong>Method: </strong>Forty-three healthy older adults of both sexes (Age: 66.2 ± 4.4 years) met the eligibility criteria and completed all stages of the study (Resistance Training - RT: N = 20; Control - CONT: N = 23). Body composition, strength and functional mobility of lower limbs, IP, SSI, DSI, and WPA were evaluated before and after intervention.</p><p><strong>Results: </strong>The two-way ANOVA with repeated measures demonstrated a significant time-group interaction effect on muscular strength for 1-RM [F (1, 41) = 21.091; <i>p</i> ≤ 0.001], IP in the orthostatic position [F (1, 41) = 5.124; <i>p</i> ≤ 0.05], minimum WPA [F (1, 41) = 10.999; <i>p</i> ≤ 0.05], maximum WPA [F (1, 41) = 8.315; <i>p</i> ≤ 0.05], DSI minimum (F (1, 41) = 4.608; <i>p</i> ≤ 0.05), DSI maximum (F (1, 41) = 8.926; <i>p</i> ≤ 0.05), and on the delta DSI (F (1, 41) = 7.891; <i>p</i> ≤ 0.05).</p><p><strong>Conclusions: </strong>In RT group, the increase in lower limb muscle strength was accompanied by an increase in IP in foot dorsiflexion and plantar flexion maneuvers, both in the standing position (DSI) and during gait (WPA).</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"379-387"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139901059","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 : 2024-07-01Epub Date: 2024-02-22DOI: 10.1177/02683555241235436
Rabia Ergelen, Seda Kutluğ Ağaçkıran, Haner Direskeneli, Fatma Alibaz-Oner
{"title":"Common femoral vein wall thickness measurement by Doppler ultrasonography is an accurate diagnostic test for Behçet's Disease both in supine and standing positions.","authors":"Rabia Ergelen, Seda Kutluğ Ağaçkıran, Haner Direskeneli, Fatma Alibaz-Oner","doi":"10.1177/02683555241235436","DOIUrl":"10.1177/02683555241235436","url":null,"abstract":"<p><strong>Objectives: </strong>We recently reported the first controlled Doppler ultrasonography (US) study demonstrating increased common femoral vein (CFV) thickness in Behçet's Disease (BD). Standard lower extremity venous Doppler US is performed in erect position. In order to confirm accuracy and applicability of method, we measured CFV thickness in both supine and standing positions in this study.</p><p><strong>Method: </strong>We included sex and age-matched 42 BD patients and 41 healthy controls (HCs). After routine visits, bilateral CFV thickness was measured with Doppler US both in supine and standing positions.</p><p><strong>Results: </strong>Bilateral CFV thickness was significantly higher in BD than in HC. There were no statistically significant differences in measurements of CFV wall thickness between standing and supine positions in both groups.</p><p><strong>Conclusions: </strong>CFV measurement by Doppler US is a new and non-invasive diagnostic tool for the diagnosis of BD. Our study confirmed that patient position does not affect CFV wall thickness measurement for diagnosis of BD.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"388-392"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139935021","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 : 2024-07-01Epub Date: 2024-02-13DOI: 10.1177/02683555241233626
Jianyu Liao, Zhoupeng Wu
{"title":"The study on the relationship between venous ulcer and ankle joint range of motion using ultrasound.","authors":"Jianyu Liao, Zhoupeng Wu","doi":"10.1177/02683555241233626","DOIUrl":"10.1177/02683555241233626","url":null,"abstract":"<p><strong>Background: </strong>Chronic venous insufficiency (CVI) often leads to venous ulcers. The relationship between ankle joint range of motion (ROM) and venous ulcers remains under-investigated. This study aims to clarify this relationship using ultrasound imaging.</p><p><strong>Methods: </strong>We conducted a study on 20 patients with unilateral venous ulcers. Ankle ROM and popliteal vein blood flow were measured using a goniometer and ultrasound, respectively. The measurements were compared between the affected and unaffected limbs.</p><p><strong>Results: </strong>A significant reduction in ROM and popliteal vein blood flow was observed in the limbs with venous ulcers compared to the unaffected limbs. The data suggest a correlation between reduced ankle mobility and the development of venous ulcers.</p><p><strong>Conclusion: </strong>The study underscores the importance of maintaining ankle mobility in patients with CVI to prevent venous ulcers. A multifactorial approach is essential for managing these conditions effectively.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"428-430"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725616","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 : 2024-07-01Epub Date: 2024-02-27DOI: 10.1177/02683555241236824
Mohammed Alsagheer Alhewy, Abdelaziz Ahmed Abdelhafez, Mohammed Hamza Metwally, Ehab Abd Elmoneim Ghazala, Alhussein M Khedr, Ahmed Atef Khamis, Hassan Gado, Wael Abdo Abdo Abd-Elgawad, Abdullah El Sayed, Abdelhalim A Abdelmohsen
{"title":"Femoral vein stenting versus endovenectomy as adjuncts to iliofemoral venous stenting in extensive chronic iliofemoral venous obstruction.","authors":"Mohammed Alsagheer Alhewy, Abdelaziz Ahmed Abdelhafez, Mohammed Hamza Metwally, Ehab Abd Elmoneim Ghazala, Alhussein M Khedr, Ahmed Atef Khamis, Hassan Gado, Wael Abdo Abdo Abd-Elgawad, Abdullah El Sayed, Abdelhalim A Abdelmohsen","doi":"10.1177/02683555241236824","DOIUrl":"10.1177/02683555241236824","url":null,"abstract":"<p><strong>Purpose: </strong>To compare femoral endovenectomy with the creation of an arteriovenous fistula (FE + AVF), versus iliofemoral endovenous stenting with the concurrent extended femoral vein (FV-S) stenting in patients with chronic iliofemoral venous obstruction (IFVO).</p><p><strong>Materials and methods: </strong>In a randomized prospective single-center study, 48 received (FV-S), while the other 54 had (FE + AVF).</p><p><strong>Results: </strong>There were no statistically significant differences in the primary outcomes between the two groups (FV-S) and (FE + AVF) (59% vs 56.8%, 75% vs 79.1%, respectively). At a median of 13 months after the treatment. However, the FV-S group's patients experienced fewer postoperative problems (<i>p</i> = .012), shorter procedures (<i>p</i> = .001), and shorter stays in the hospital (<i>p</i> = .025).</p><p><strong>Conclusion: </strong>There is no difference between the efficacy and symptomatic resolution of the FV-S group and the FE + AVF group at the same time, FV-S has lower postoperative complications and a shorter procedure duration and hospital stay.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"393-402"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984945","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 : 2024-07-01Epub Date: 2024-03-07DOI: 10.1177/02683555241238772
Sabit Sarikaya, Ozge Altas, Mustafa Mert Ozgur, Hakan Hancer, Betul Ayca Ozdere, Tanil Ozer, Mehmet Aksut, Murat Bulent Rabus, Kamile Ozeren Topcu, Tolga Bas, Kaan Kirali
{"title":"Outcomes of conservative management in patients with nutcracker syndrome.","authors":"Sabit Sarikaya, Ozge Altas, Mustafa Mert Ozgur, Hakan Hancer, Betul Ayca Ozdere, Tanil Ozer, Mehmet Aksut, Murat Bulent Rabus, Kamile Ozeren Topcu, Tolga Bas, Kaan Kirali","doi":"10.1177/02683555241238772","DOIUrl":"10.1177/02683555241238772","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to evaluate outcomes in nutcracker syndrome patients with tolerable symptoms and treated conservatively without invasive interventions.</p><p><strong>Methods: </strong>This prospective study included patients treated conservatively. Promoting weight gain, the endpoint of the study was spontaneous resolution of symptoms.</p><p><strong>Results: </strong>Sixteen patients (75% female and mean age 24.4 ± 3.5 years) underwent conservative management. Over a mean follow-up of 27.3 months [13-42, interquartile range (IQR)], the diameter ratio (5.5 [5-6.5, IQR] vs 4.3 [4.1-6], <i>p</i> = NS), the peak velocity ratio (6 [5-7, IQR] vs 4.8 [4.8-5.8], <i>p</i> = NS), beak angle (27° [24-30, IQR] vs 29° [24-32]; <i>p</i> = NS), and aortomesenteric angle (26° [23-29, IQR] vs 28° [24-30]; <i>p</i> = NS) exhibited no statistically significant changes. Complete resolution and improvement of symptoms were 28.5% and 31.4%, respectively, while 68.5% remained unchanged.</p><p><strong>Conclusions: </strong>This study shows that a conservative approach contributes to the spontaneous improvement or complete resolution in young adult patients with mild symptoms.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"403-413"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061688","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}