Photographic presentation of venous diseases

Summary: Intravascular ultrasound (IVUS) has been used extensively in coronary applications. Its use in venous applications has increased as endovascular therapy has increasingly become the mainstay therapy for central venous diseases. IVUS has been used for both diagnostic and therapeutic purposes in managing venous stenotic disease, venous occlusive disease, and IVC filter placement and removal. IVUS has been proven to be effective in providing detailed measurement of the venous anatomy, which aid in determining the appropriate size and the approach for venous stent placement. In IVC filter placement, IVUS can provide detailed measurement and guide IVC filter placement in emergent and critical care settings. It also has certain utility in filter removal. At any rate, to date there are only a few studies examining its impact on patient outcomes. Prospective randomized controlled trials are warranted in the future.

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Doppler ultrasound in preoperativ evaluation of the superficial venous diseases

Ultraschall in der Medizin - European Journal of Ultrasound ◽

10.1055/s-2008-1080018 ◽

2008 ◽

Vol 29 (S 1) ◽

Author(s):

C Tiu ◽

N Popescu ◽

A Todea

Keyword(s):

Doppler Ultrasound ◽

Venous Diseases

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Skin diseases in hospitalized geriatrics: a 9-year analysis from a University Dermatology Center in Germany

Archives of Dermatological Research ◽

10.1007/s00403-021-02244-9 ◽

2021 ◽

Author(s):

Claudia Ansorge ◽

Johannes M. Miocic ◽

Franziska Schauer

Keyword(s):

Geriatric Patients ◽

Skin Diseases ◽

Medical Center ◽

Malignant Neoplasm ◽

Ageing Society ◽

Demographic Trend ◽

Venous Diseases ◽

Notable Increase ◽

Hospitalized Geriatric Patients

AbstractThe demographic trend of an ageing society is mirrored in the rising number of hospitalized geriatric patients in Germany. However, there is still a wide gap of knowledge regarding the dermatological diseases, comorbidities and performed procedures within this growingly important group of patients. The study was conducted as a retrospective monocentric data analysis of all patients 65 years or older from the Department of Dermatology, Medical Center—University of Freiburg, Germany. In total, 10,009 individual hospitalisations were included from 2009 to 2017, and there was a notable increase of geriatric patients in the study period. This study illustrates the following: leading major diagnoses included malignant neoplasm of the head and neck, ulcerated and non-ulcerated inflammatory spectrum of chronic venous insufficiency, whereas angina pectoris, type 2 diabetes and cardiac diseases were noted most frequently as secondary diagnoses. Patients with venous diseases had considerably more often cardiopulmonary minor diagnoses, whereas endocrine diagnoses peaked in the cohort of patients with psoriasis and psychiatric and muscululoskeletal disorders in patients with bullous dieseases. Moh’s surgery, dressings and multimodal dermatological treatments were the most often encoded procedures.

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Sclerotherapy of telangiectasias: A prospective, randomized, comparative clinical trial of hypertonic glucose versus sodium tetradecyl sulfate

Vascular Medicine ◽

10.1177/1358863x21992853 ◽

2021 ◽

pp. 1358863X2199285

Author(s):

Oksana Vasilyevna Bukina ◽

Aleksander Aleksandrovich Sinitsyn ◽

Andrey Viktorovich Pelevin

Keyword(s):

Clinical Trial ◽

Sodium Tetradecyl Sulfate ◽

Median Score ◽

Primary Efficacy ◽

Point Scale ◽

Prospective Randomized Clinical Trial ◽

Hypertonic Glucose ◽

Venous Diseases ◽

Group 3

To compare the disappearance of the telangiectasias after sclerotherapy with 75% glucose (HG) versus 0.2% sodium tetradecyl sulfate (STS). This prospective, randomized clinical trial compared the results of sclerotherapy of the telangiectasias with HG and STS. The primary efficacy end point was telangiectasia disappearance within 14, 28, 42, and 56 days following treatment. The clearing of the vessels was assessed using a six-point scale (from 0 to 5). A total of 159 women were treated (81 in the STS group; 78 in the HG group). The median score of the vessels clearing (IQR) was significantly lower in the STS group than in the HG group: 3 (2–4) versus 4 (3–5) after 56 days, p < 0.001. Pigmentation was frequently observed in the STS group (38.3% vs 2.6%; p < 0.001). In conclusion, throughout the entire follow-up period, sclerotherapy of telangiectasias with glucose was significantly superior to that with STS. Moreover, pigmentation and intravascular clots frequently occurred with STS treatment. Registered at the Russian Registry of Treatment of Chronic Venous Diseases (RRT CVD); ID: VRCVD 1.005.

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Discriminating Reflux from Non-Reflux Diseases of Superficial Veins in Legs by Novel Non-Contrast MR with QFlow Technique

Journal of Personalized Medicine ◽

10.3390/jpm11040242 ◽

2021 ◽

Vol 11 (4) ◽

pp. 242

Author(s):

Yuan-Hsi Tseng ◽

Chien-Wei Chen ◽

Min Yi Wong ◽

Teng-Yao Yang ◽

Bor-Shyh Lin ◽

...

Keyword(s):

Stroke Volume ◽

Saphenous Vein ◽

Great Saphenous Vein ◽

Flow Volume ◽

Mean Velocity ◽

Forward Flow ◽

Saphenous Veins ◽

Venous Diseases ◽

The Status ◽

Stroke Distance

Objectives: To find an objective diagnostic tool for the superficial veins in legs. Methods: This study included 137 patients who underwent TRANCE-MRI from 2017 to 2020 (IRB: 202001570B0). Among them, 53 with unilateral leg venous diseases underwent a QFlow scan and were classified into the reflux and non-reflux groups according to the status of the great saphenous veins. Results: The QFlow, namely stroke volume (SV), forward flow volume (FFV), mean flux (MF), stroke distance (SD), and mean velocity (MV) measured in the external iliac, femoral, popliteal, and great saphenous vein (GSV). The SV, FFV, SD, MF, SD, and MV in the GSV (morbid/non-morbid limbs) demonstrated a favorable ability to discriminate reflux from non-reflux in the ROC curve. The SD in the GSV and GSV/PV ratio (p = 0.049 and 0.047/cutoff = 86 and 117.1) and the MV in the EIV/FV ratio, GSV, and GSV/PV ratio (p = 0.035, 0.034, and 0.025/cutoff = 100.9, 86.1, and 122.9) exhibited the ability to discriminate between reflux and non-reflux group. The SD, MV, and FFV have better ability to discriminate a reflux from non-reflux group than the SV and MF. Conclusions: QFlow may be used to verify the reflux of superficial veins in the legs. An increasing GSV/PV ratio is a hallmark of reflux of superficial veins in the legs.

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The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum

Yearbook of Vascular Surgery ◽

10.1016/j.yvas.2012.04.081 ◽

2012 ◽

Vol 2012 ◽

pp. 317-318 ◽

Cited By ~ 1

Author(s):

M.A. Passman

Keyword(s):

Clinical Practice ◽

Vascular Surgery ◽

Clinical Practice Guidelines ◽

Practice Guidelines ◽

Varicose Veins ◽

Venous Diseases

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Association between Inguinal Hernia and Arterial Disease: A Preliminary Report

Biology ◽

10.3390/biology10080736 ◽

2021 ◽

Vol 10 (8) ◽

pp. 736

Author(s):

Raffaele Serra ◽

Umberto Marcello Bracale ◽

Rosy Conforto ◽

Arturo Roncone ◽

Nicola Ielapi ◽

...

Keyword(s):

Inguinal Hernia ◽

Old Age ◽

Wide Spectrum ◽

Smoking Habit ◽

Multivariable Analysis ◽

Arterial Disease ◽

Aortic Aneurysms ◽

Cross Sectional ◽

Matrix Deposition ◽

Venous Diseases

Background: Inguinal hernia (IH) is a major problem in general surgery and its prevalence is increasing. The presence of hernias has been associated with a wide spectrum of venous diseases, with the involvement of imbalances in collagen and extracellular matrix deposition and metalloproteinases dysfunction. We aimed to evaluate whether the association between IH and vascular diseases is also present with respect to arterial diseases. Methods: We designed a cross-sectional observational study enrolling consecutive patients undergoing surgical repair of IH. Arterial diseases (AD) considered were carotid stenosis, peripheral artery disease and abdominal aortic aneurysms. Results: Study population consisted of 70 patients. Mean age was 63.2 ± 4.7 years. Prevalence of AD was 42.9% in the whole cohort. AD patients were older (p = 0.015), and more frequently had hypertension (p = 0.001) and active smoking habits (p = 0.001) than the no-AD group. Albumin-to-creatinine ratio (ACR) was higher in AD than in no-AD patients (p < 0.001). At multivariable analysis, increased ACR (odds ratio, OR: 1.14, p < 0.001), old age (OR: 1.25, p = 0.001) and a smoking habit (OR: 3.20, p = 0.001) were significant correlates for the presence of AD. Conclusions: Prevalence of AD in patients with IH is non-negligible. Old age, a smoking habit and an abnormal excretion of urine albumin are associated with the presence of AD in these patients. Future studies are needed to gain more insights into the pathogenic mechanisms underlying this association, exploring also the specific role of metalloproteinases.

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