Does pelvic congestion syndrome influence symptoms of chronic venous disease of the lower extremities?

2019 ◽  
Vol 243 ◽  
pp. 83-86 ◽  
Author(s):  
S.G. Gavrilov ◽  
Ye.P. Moskalenko
Keyword(s):  
Lower Extremities ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

Updates in Magnetic Resonance Venous Imaging

2021 ◽  
Vol 38 (02) ◽  
pp. 202-208
Author(s):  
Pamela Lombardi ◽  
James C. Carr ◽  
Bradley D. Allen ◽  
Robert R. Edelman
Keyword(s):  
Magnetic Resonance ◽  
Recent Literature ◽  
Imaging Modality ◽  
Lower Extremities ◽  
Current Status ◽  
Venous Disease ◽  
Mr Venography ◽  
Imaging Parameters ◽  
Noncontrast Mra ◽  
Pelvic Congestion

AbstractFor years, magnetic resonance angiography (MRA) has been a leading imaging modality in the assessment of venous disease involving the pelvis and lower extremities. Current advancement in noncontrast MRA techniques enables imaging of a larger subset of patients previously excluded due to allergy or renal insufficiency, allowing for preintervention assessment and planning. In this article, the current status of MR venography, with a focus on current advancements, will be presented. Protocols and parameters for MR venographic imaging of the pelvis and lower extremities, including contrast and noncontrast enhanced techniques, will be reviewed based on a recent literature review of applied MR venographic techniques. Finally, several disease-specific entities, including pelvic congestion and compression syndromes, will be discussed with a focus on imaging parameters that may best characterize these disease processes and optimize anatomical planning prior to intervention.

Diagnostic imaging of pelvic congestive syndrome

2015 ◽  
Vol 30 (1_suppl) ◽  
pp. 67-72 ◽  
Author(s):  
CWKP Arnoldussen ◽  
MAF de Wolf ◽  
CHA Wittens
Keyword(s):  
Chronic Pelvic Pain ◽  
Lower Abdominal Pain ◽  
Clinical Suspicion ◽  
Venous Disease ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Vein ◽  
Interventional Imaging ◽  
Surgery Department ◽  
Vein Insufficiency ◽  
Pelvic Congestion

Many female patients are affected by chronic pelvic pain and a significant number of referrals to the gynecology department result in a clinical suspicion of pelvic congestion syndrome. Additionally, patients referred to the vascular surgery department for venous disease can also present with complaints of a persistent dull lower abdominal pain in addition to typically distributed leg varicosities (that extend from the leg through the pelvic floor) which should be evaluated for the presence of pelvic congestion syndrome. In this article, we focus on imaging pelvic vein insufficiency and related (extending) varicosities: how should we evaluate the pelvic veins, what are the signs to look for, and what are the currently established criteria for (pre-interventional) imaging.

Female pelvic venous disease (pelvic congestion syndrome)

2020 ◽  
Author(s):  
Pedro V. Staziaki, MD ◽  
Christina Alexandra LeBedis, MD ◽  
Michael J. Hsu, MD
Keyword(s):  
Venous Disease ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

scholarly journals Interrelation of venous and osteoarticular pathology in patients with Giacomini's vein

2021 ◽  
Author(s):  
G. V. Yarovenko ◽  
A. I. Zhdanova
Keyword(s):  
Soft Tissues ◽  
Lower Extremities ◽  
Chronic Venous Disease ◽  
Venous Stasis ◽  
Venous Disease ◽  
Pearson Criterion ◽  
The Third ◽  
Group I ◽  
Venous Diseases ◽  
The Relationship

Objective: To establish a possible relationship between the Giacomini vein and osteoarticular pathology of the lower extremities in chronic venous diseases (CVD).Materials and methods. In 115 examined patients (out of 321), we identified the Giacomini vein (92 women, 23 men). The average age of men was 44.82 ± 1.62 years; women – 45.36 ± 3.31 years. All patients were divided into 3 groups by anatomical randomization. The first group was without pathology, the second group of patients had only CVD, and the third group included patients with CVD and osteoarticular pathology. The criteria for inclusion in the groups were: the presence of Giacomini vein in patients, chronic venous disease and osteoarticular pathology on one or both lower extremities. Exclusion criteria: age of patients less than 18 years, the presence of CVD C5-C6 according to the CEAP classification, post-traumatic changes in the osteoarticular system, post-thrombotic transformation of the veins of the lower extremities. Using triplex angioscanning, the anatomical features of the structure of the venous system of the lower extremities were assessed. The study of the condition of the foot was carried out using the Friedland method.Results. Group I with an absolute norm of the venous and osteoarticular systems included 30 people (26 %). The second group consisted of 45 patients (39.22 %) with CVD C0-C4 according to CEAP, and the third group consisted of 40 patients (34.78 %) who, in addition to venous, osteoarticular pathology. Chronic venous diseases in patients of groups II and III were distributed as follows: C0 – 25.6 %; C1 – 16.4 %; C2 – 49.4 %; C3 – 4.3 %; C4 – 4.3 % on the CEAP scale. Among the osteoarticular pathology, the most numerous group consisted of changes in the configuration of the foot, non-traumatic deformities – 32 (27.81 %) cases. To confirm the relationship between venous and osteoarticular pathology, we used the Pearson criterion. We found a significant correlation in the presence of nontraumatic deformities of the foot in the group of patients with CVD (Pearson's criterion 0.749642; p < 0.22). A strong correlation was established between the age of patients and changes in the venous and osteoarticular systems of the lower extremities (Pearson's criterion 0.7677696; p < 0.22), which confirms the relationship between the development of nontraumatic changes in the foot and CVD in patients with Giacomini vein with age.Conclusion. It was found that the presence of an altered Giacomini vein leads to an aggravation of venous stasis in the lower extremities, which in turn increases the likelihood of developing venous pathology. Chronic diseases of the veins of the lower extremities contribute to dystrophic changes in soft tissues, most pronounced in the distal part of the extremity and, as a consequence, predispose to the development of osteoarticular pathology. 

Frequency of use of elastic compression stockings in patients with chronic venous disease of the lower extremities

2019 ◽  
Vol 34 (7) ◽  
pp. 481-485
Author(s):  
Marco Antonio Ayala-García ◽  
Jorge Sanchéz Reyes ◽  
Norberto Muñoz Montes ◽  
Eduardo Guaní-Guerra
Keyword(s):  
Analytical Study ◽  
Lower Extremities ◽  
Chronic Venous Disease ◽  
Sufficient Evidence ◽  
Medical Attention ◽  
Venous Disease ◽  
Compression Stocking ◽  
Compression Stockings ◽  
Elastic Compression ◽  
Frequency Of Use

Objective To determine the frequency of use of elastic compression stockings in patients with lower extremity chronic venous disease. Methods An explorational, prospective, transversal, observational, descriptive, analytical study including 168 patients was performed. We identified the proportion of patients using elastic compression stockings. The odds ratio (OR) was used to determine the relation between elastic compression stocking use and previous medical attention for chronic venous disease. Results Only 59 patients (35.1%) were using elastic compression stockings at the time of the study. We determined that the patients who had received previous medical attention to manage chronic venous disease in their lower extremities were >3 times more likely to use elastic compression stockings than patients who had not received previous medical attention (OR = 3.3, p < 0.0001). Conclusions Although there is sufficient evidence of the effectiveness of elastic compression stockings for treating chronic venous disease in the lower extremities, their use is relatively infrequent (35.1%).

scholarly journals Prospects for the implementation of the international classification of chronic diseases of the lower limbs veins (CEAP) (review of the references)

2014 ◽  
Vol 18 (3 (71)) ◽  
Author(s):  
M. M. Voloshyn
Keyword(s):  
Chronic Diseases ◽  
Scoring System ◽  
Lower Extremities ◽  
International Classification ◽  
Lower Limbs ◽  
Everyday Practice ◽  
Chronic Venous Disease ◽  
Venous Disease

This paper analyzes the international classification for chronic venous disease of the lower extremities (system CEAP) and delineates its potentialities for routine use in everyday practice of modern surgeons, with special attention to benefits and shortcomings of this scoring system. Using CEAP will allow researchers to integrate into the international scientific programs and practitioners - to unify approaches to the treatment of this disease.

scholarly journals Latent class analysis for exploring distribution patterns of primary superficial venous insufficiency

2020 ◽  
Vol 28 (3) ◽  
pp. 474-479
Author(s):  
Nurten Andaç Baltacıoğlu
Keyword(s):  
Latent Class Analysis ◽  
Saphenous Vein ◽  
Latent Class ◽  
Lower Extremities ◽  
Distribution Patterns ◽  
Latent Class Models ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Class Analysis ◽  
Saphenofemoral Junction

Background: This study aims to identify specific segmental distribution patterns of lower extremity chronic venous disease based on latent class analysis of Doppler mapping results. Methods: A total of 1,871 lower extremities of 1,218 treatment-naïve patients (536 males, 682 females; mean age 45.4 years; range, 21 to 87 years) with chronic venous disease referred for Doppler examination between September 2009 and August 2018 were included. Refluxing superficial venous segments of the lower extremities were mapped and recorded in database in 10 distinct anatomic locations as follows: saphenofemoral junction and proximal greater saphenous vein, mid and distal thigh greater saphenous vein, anterior and posterior accessory saphenous veins, proximal and distal calf greater saphenous vein, saphenopopliteal junction and proximal lesser saphenous vein, distal lesser saphenous vein, and intersaphenous veins including Giacomini’s vein. Repeated examinations were excluded. The latent class analysis was applied to identify any possible anatomic distribution patterns of chronic venous disease. Results: Bayesian information criteria revealed three latent class models fit for refluxing segment distribution as follows: 58.2% (n=1,089) were above-the-knee greater saphenous vein segments including saphenofemoral junction (pattern 1); 29.3% (n=548) were below-the-knee greater saphenous vein segments (pattern 2); and 12.5% (n=234) were lesser saphenous vein segments and intersaphenous veins including Giacomini’s vein (pattern 3). There was no age- or sex-specific differences in the chronic venous disease distribution patterns. Conclusion: The latent class analysis, by identifying previously unseen subgroups within the sampled population, provides a new approach to classification of reflux patterns in chronic venous disease. Identification of latent classes may provide understanding of different pathophysiological bases of venous reflux and more optimal planning for interventions.

Thermal Diagnostics in Chronic Venous Disease

2017 ◽  
pp. 34-54
Author(s):  
Armand Cholewka ◽  
Karolina Sieroń-Stołtny ◽  
Joanna Kajewska ◽  
Agnieszka Cholewka ◽  
Zofia Drzazga ◽  
...  
Keyword(s):  
Lower Limb ◽  
Thermal Imaging ◽  
Screening Method ◽  
Lower Extremities ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Venous Diseases ◽  
Diagnostic Usefulness ◽  
Thermovision Diagnostics ◽  
Thermal Diagnostics

The aim of the study was to determine the diagnostic usefulness of thermal imaging as tool to find quantitative parameters in lower-limb primary chronic venous diseases and insufficiency of superficial veins. There were significant differences obtained in thermal maps of lower extremities between patients and healthy. The correlations were obtained between temperature parameters counted from thermal imaging and duplex scanning. Such results also suggest that thermovision diagnostics may be useful as a complementary and first of all objective method that can be used in the diagnosis of chronic venous diseases in the lower extremities. It may suggest that thermovision may be used as a screening method or together with an ultrasound diagnosis in different superficial veins disorders.

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