scholarly journals Summary of evidence of effectiveness of primary chronic venous disease treatment

2010 ◽  
Vol 52 (5) ◽  
pp. 54S-58S ◽  
Author(s):  
William Marston
Keyword(s):  
Chronic Venous Disease ◽  
Venous Disease ◽  
Disease Treatment ◽  
Primary Chronic Venous Disease

CHIVA strategy in chronic venous disease treatment: instructions for users

2014 ◽  
Vol 30 (3) ◽  
pp. 157-171 ◽  
Author(s):  
S Gianesini ◽  
S Occhionorelli ◽  
E Menegatti ◽  
M Zuolo ◽  
M Tessari ◽  
...  
Keyword(s):  
Clinical Data ◽  
Therapeutic Option ◽  
Cochrane Review ◽  
Recurrence Risk ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Disease Treatment ◽  
Flow Restoration

Along the years, scientific clinical data have been collected concerning the possible saphenous flow restoration without any ablation and according with the CHIVA strategy. Moreover, in 2013 a Cochrane review highlighted the smaller recurrence risk following a CHIVA strategy rather than a saphenous stripping. Nevertheless, the saphenous sparing strategy surely remains a not-so-worldwide-spread and accepted therapeutic option, also because considered not so immediate and easy to perform. Aim of this paper is to provide an easily accessible guide to an everyday use of a saphenous sparing strategy for chronic venous disease, highlighting how even apparently too complicated reflux patterns classifications can be fastly and successfully managed and exploited for a hemodynamic correction.

scholarly journals Damage to Cranial Extension of the Small Saphenous Vein and Vein of Giacomini in Lower Limb Varicose Vein Disease

2016 ◽  
Vol 23 (3) ◽  
Author(s):  
Rostyslav Vasyliovych Sabadosh
Keyword(s):  
Saphenous Vein ◽  
Lower Limb ◽  
Great Saphenous Vein ◽  
Subsequent Development ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Results Of Treatment ◽  
Surgical Tactics ◽  
Primary Chronic Venous Disease ◽  
Antegrade Flow

Abstract. The vein of Giacomini is often identified with the cranial extension of the small saphenous vein despite the fact that according to the international interdisciplinary anatomical nomenclature they are distinguished from one another.The objective of the research was to improve the results of treatment of patients with lower limb primary chronic venous disease disease studying the variation in anatomy and pathology of the vein of Giacomini and the cranial extension of the small saphenous vein with subsequent development of differential surgical tactics.Materials and methods. 502 patients with primary chronic venous disease on 605 legs were examined and treated. Each patient underwent preoperative ultrasonographic triplex scanning of the lower limb venous system.Results. Varicose dilatation of the vein of Giacomini was observed in 3.8% of patients (95% CI 2.4-5.6 %), and the pathology of the cranial extension of the small saphenous vein was detected in 1.7% of patients (95% CI 0.8-3.0%). When the arch of the small saphenous vein was present the following variations in the pathology of the vein of Giacomini were observed: 1) the spread of reflux from the great saphenous vein to the vein of Giacomini; 2) reflux from the terminal valve of the small saphenous vein intensified the antegrade flow of blood within the vein of Giacomini resulting in reflux in the great saphenous vein distal to the point where the vein of Giacomini drained into the great saphenous vein. The causes of failure of the valves in the trunk of the cranial extension of the small saphenous vein included: 1) reflux from the ostium of the cranial extension of the small saphenous vein; 2) perforating vein reflux; 3) reflux from the terminal valve of the small saphenous vein.Conclusions.  The pathology of the vein of Giacomini and the cranial extension of the small saphenous vein is not homogeneous; therefore, surgical tactics in every patient has to be hemodynamically justified and differentiated depending on the pathways of pathological reflux spreading. 

Body Mass Index and Primary Chronic Venous Disease

2016 ◽  
Vol 28 (3) ◽  
pp. 85-89
Author(s):  
Selda DEMİR ◽  
Hakan ŞAHİN ◽  
Çağdaş BARAN ◽  
Murat İlkar GELİŞEN
Keyword(s):  
Body Mass Index ◽  
Body Mass ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Primary Chronic Venous Disease

Segmental saphenous ablation for chronic venous disease treatment

2020 ◽  
pp. 026835552094623
Author(s):  
Sergio Gianesini ◽  
Erica Menegatti ◽  
Savino Occhionorelli ◽  
Maria Grazia Sibilla ◽  
Marianna Mucignat ◽  
...  
Keyword(s):  
Clinical Severity ◽  
Chronic Venous Disease ◽  
Procedural Pain ◽  
Venous Disease ◽  
Disease Treatment ◽  
Endovenous Laser Ablation ◽  
Venous Clinical Severity Score ◽  
Endovenous Thermal Ablation ◽  
Occlusion Rate ◽  
Reflux Recurrence

Background Endovenous thermal ablation for chronic venous disease treatment is recommended over traditional surgery. The present investigation compares endovenous laser ablation (EVLA) with radiofrequency (RF) for segmental endovenous sapheno–femoral junction ablation. Methods This is a retrospective study in which 79 patients underwent a 6 cm great saphenous vein ablation by RF or by EVLA. Primary outcome was occlusion rate. Secondary outcomes included Venous Clinical Severity Score (VCSS), Aberdeen Varicose Vein Questionnaire (AVVQ) score, peri-procedural pain, aesthetic satisfaction. Results At 12 ± 1 months recanalization of shrunk tract was recorded in 5/85 (5.8%) cases (2 RF, 3 EVLA) [OR: 1.6; 95%CI: 0.2–10.4; P = 0.6689]. Two cases (1/44 RF group and 1/38 EVLA group) also showed reflux recurrence [OR: 1.0; 95%CI: 0.06–17.8; P = 1.0000]. No significant differences between groups were found in AVVQ, VCSS, peri-procedural pain, or aesthetic satisfaction. Conclusion Saphenous sparing is feasible and effective by means of both EVLA and RF, representing a possible alternative to surgery.

Compliance with compression therapy in primary chronic venous disease: Results from a tropical country

2018 ◽  
Vol 34 (4) ◽  
pp. 272-277 ◽  
Author(s):  
Álvaro Ayala ◽  
Jose D Guerra ◽  
Jorge H Ulloa ◽  
Lowell Kabnick
Keyword(s):  
Compression Therapy ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Tropical Country ◽  
Time Compression ◽  
Primary Chronic Venous Disease ◽  
Compression Type

Objectives To describe compliance rates of compression therapy in a cohort of patients with chronic venous disease and also to describe frequent causes of non-compliance. Methods A total of 889 patients with primary chronic venous disease were prescribed compression therapy after being evaluated by vascular surgeons. Subjects had a first visit during which time compression therapy was prescribed in addition to a follow-up visit. Strength of compression, type, prescription duration, and reasons of non-compliance were queried at follow-up. Results Only 31.8% of the patients reported wearing compression therapy as prescribed, 31.4% reported wearing compression most days, 28.3% reported wearing compression intermittently, and 8.5% of the patients reported not wearing compression at all. The main reasons of non-compliance were: uncomfortable (49.4%), too difficult to put on (34.5%), skin problems (itching) (21.5%), and unattractive (19.8%). Conclusions Compliance with compression therapy in chronic venous disease is still a subject of concern as most patients are not using compression therapy as prescribed.

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