“The Symptoms-Varices-Pathophysiology (SVP) Classification of Pelvic Venous Disorders”: A New Tool to Assess the Complex Scenario of Chronic Venous Diseases

Author(s):  
Antonio Basile ◽  
Davide Castiglione
Author(s):  
Stephan Dahlmanns ◽  
Stefanie Reich-Schupke ◽  
Franziska Schollemann ◽  
Markus Stücker ◽  
Steffen Leonhardt ◽  
...  

VASA ◽  
2003 ◽  
Vol 32 (Supplement 63) ◽  
pp. 3-6

Background. The use of compression therapy is mainly based on tradition and experience. Randomized controlled trials demonstrating clinical effects in different indications are rare or non-existing. A clear proof of effectiveness for different compression devices endorsed by evidence based medicine will be a prerequisite for reimbursement by health budgets in the near future. Against this background a group of experts has discussed and approved the following position document under the auspices of the International Union of Phlebology. Indications for compression therapy in phlebology and lymphology are mainly: 1. Chronic venous disorders (CEAP C0-C6 ) (1) 2. Acute venous diseases 3. Lymphoedema. The following 3 questions are discussed for every single indication: ¥ What is done? (Current practice and rationale) ¥ What do we know? (Level of recommendation based on present knowledge) ¥ What do we need to know? (Proposals for randomized controlled trials on compression therapy)


2019 ◽  
Vol 5 (5) ◽  
pp. eaav9188 ◽  
Author(s):  
Sylvain Glémin ◽  
Celine Scornavacca ◽  
Jacques Dainat ◽  
Concetta Burgarella ◽  
Véronique Viader ◽  
...  

Cultivated wheats are derived from an intricate history of three genomes, A, B, and D, present in both diploid and polyploid species. It was recently proposed that the D genome originated from an ancient hybridization between the A and B lineages. However, this result has been questioned, and a robust phylogeny of wheat relatives is still lacking. Using transcriptome data from all diploid species and a new methodological approach, our comprehensive phylogenomic analysis revealed that more than half of the species descend from an ancient hybridization event but with a more complex scenario involving a different parent than previously thought—Aegilops mutica, an overlooked wild species—instead of the B genome. We also detected other extensive gene flow events that could explain long-standing controversies in the classification of wheat relatives.


2021 ◽  
pp. 026835552199955
Author(s):  
Mark H. Meissner ◽  
Neil M. Khilnani ◽  
Nicos Labropoulos ◽  
Antonios P. Gasparis ◽  
Kathleen Gibson ◽  
...  

[Box: see text] With the support of the American College of Obstetricians and Gynecologists, the American Vein & Lymphatic Society, the American Venous Forum, the Canadian Society of Phlebology, the Cardiovascular and Interventional Radiology Society of Europe, the European Venous Forum, the International Pelvic Pain Society, the International Union of Phlebology, the Korean Society of Interventional Radiology, the Society of Interventional Radiology, and the Society for Vascular Surgery


Phlebologie ◽  
2016 ◽  
Vol 45 (01) ◽  
pp. 15-24 ◽  
Author(s):  
M. Marshall ◽  
R. Murena-Schmidt ◽  
W. Doppel ◽  
S. Hahn ◽  
C. Schwahn-Schreiber

SummaryBackground As detailed data are lacking on the provision of medical compression stockings (MCSs) in outpatient therapy of venous disorders in Germany, we examined various application parameters of mediven® roundknit garments in an 18-month observational study.Results Findings possibly indicative of impaired tolerability (dry skin [26.5–29.6 %], transient skin irritation [1.3–2.7 %]) were rare and decreased during the course of the study. The number of patients reporting a marked improvement during the past 12 months increased by 41.5–46.1 %, irrespective of the CEAP classification. Up to 84.5 % of participants reported that their well-being remained at a constantly high level, and the CEAP class improved objectively in 17.7 % of participants. The participants were prescribed an average of four prescriptions for MCSs (mainly compression class 2) which, irrespective of the CEAP and BMI, were mostly of a light quality. During the study, 65.3–75.6 % of patients wore the MCSs every day.Conclusion Our data show that mediven® MCSs are very well tolerated and lead to a subjective improvement in symptoms. Nevertheless, our results clearly confirm the need to optimise provision to patients with venous disorders.


2012 ◽  
Vol 27 (1_suppl) ◽  
pp. 114-118 ◽  
Author(s):  
E Rabe ◽  
F Pannier

The first CEAP (clinical, aetiological, anatomical and pathological elements) consensus document was published after a consensus conference of the American Venous Forum, held at the sixth annual meeting of the AVF in February 1994 in Maui, Hawaii. In the following years the CEAP classification was published in many international journals and books which has led to widespread international use of the CEAP classification since 1995. The aim of this paper is to review the benefits and limits of CEAP from the available literature. In an actual Medline analysis with the keywords ‘CEAP’ and ‘venous insufficiency’, 266 publications using the CEAP classification in venous diseases are available. The CEAP classification was accepted in the venous community and used in scientific publications, but in most of the cases only the clinical classification was used. Limitations of the first version including a lack of clear definition of clinical signs led to a revised version. The CEAP classification is the gold standard of classification of chronic venous disorders today. Nevertheless for proper use some facts have to be taken into account: the CEAP classification is not a severity classification, C2 summarizes all kinds of varicose veins, in C3 it may be difficult to separate venous and other reasons for oedema, and corona phlebectatica is not included in the classification. Further revisions of the CEAP classification may help to overcome the still-existing deficits.


1997 ◽  
Vol 31 (3) ◽  
pp. 218-221 ◽  
Author(s):  
John J. Bergan
Keyword(s):  

Phlebologie ◽  
2021 ◽  
Author(s):  
Suat Doganci

AbstractPelvic venous diseases encompasses all chronic pathologies of pelvic veins caused by venous hypertension and retrograde flow in pelvic veins. It is commonly unexplained and often underdiagnosed cause of chronic pelvic pain in women of productive age. Pelvic venous pathologies are a part of multidisciplinary problem that should be considered in a holistic approach. Newly offered SVP classification may help correctly classifying patients and using the same nomenclature. Endovascular treatment options are highly effective with good long-term results. Patients with inconclusive gynecologists examinations should be referred to a specialist for the investigation of pelvic venous disorders.


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