Procedural training for the management of superficial venous insufficiency: A survey of Rouleaux Club members

2019 ◽  
Vol 35 (4) ◽  
pp. 247-254
Author(s):  
Lewis Meecham ◽  
Sandip Nandhra ◽  
Isaac K Nyamekye ◽  
Keyword(s):  
Vascular Surgery ◽  
Open Surgery ◽  
Venous Insufficiency ◽  
Potential Problem ◽  
Venous Intervention ◽  
Duplex Ultrasonography ◽  
Formal Training ◽  
Procedural Training ◽  
New Curriculum ◽  
Superficial Venous Insufficiency

Introduction In 2012, the Rouleaux Club published their survey claiming large deficits in venous training. Since then vascular surgery has become its own specialty with a dedicated section of the curriculum for superficial venous intervention. The aim of this study was to assess whether the introduction of the new curriculum has improved current Rouleaux Club members training in superficial venous intervention. Method A trainee designed survey was developed and distributed to UK vascular surgery trainees in summer 2017. Results We received 55 (41.0%) responses. Training in endovenous procedures was available to 100% of trainees, and open surgery was only available to 43.2% of trainees; 86.5% of centres used endovenous procedures as the default intervention Only 75.7% of respondents were timetabled for dedicated superficial venous intervention lists; 72.7% have not received any formal training in duplex ultrasonography. Higher self-reported procedural competence was associated with greater numbers of procedures rather than training grade seniority. Conclusion It seems that despite a separate curriculum there are still self-reported trainee deficits in competence and skills. Low respondent levels (41%) should be considered but there is a potential problem for future venous practice.

Patient injuries in the treatment of superficial venous insufficiency registered in Finland between 2004 and 2017

2020 ◽  
pp. 026835552096429
Author(s):  
Minna Laukkavirta ◽  
Karin Blomgren ◽  
Karoliina Halmesmäki ◽  
Veikko Nikulainen ◽  
Päivi Helmiö
Keyword(s):  
Vascular Surgery ◽  
Nerve Injury ◽  
Open Surgery ◽  
Venous Insufficiency ◽  
Necrotising Fasciitis ◽  
Surgical Removal ◽  
Finnish Patient ◽  
Deep Vein ◽  
Superficial Venous Insufficiency ◽  
Endovenous Treatment

Objectives This study aimed to identify the unintended incidents that led to patient injuries (PIs) in the treatment of superficial venous insufficiency (SVI). Methods PI claims filed with the Finnish Patient Insurance Centre between 2004 and 2017 involving SVI were reviewed. Factors contributing to PI were identified and classified. Results Eighteen (13.2%) of 136 compensated PIs in the specialty of vascular surgery were related to SVI. Only 4.7% of 383 SVI claims were compensated. The incidence of PIs was 9.9 per 100 000 patients. Fifteen patients had open surgery (83.3%) and three (16.7%) endovenous treatment. Two (11.1%) patients had necrotising fasciitis, four (22.1%) had deep vein injuries and two (11.1%) had a permanent nerve injury. Two (11.1%) patients had retained endovenous material that required surgical removal. Conclusions PIs were identifiable during all stages of care, perioperative injuries related to open surgery being the most common.

Venous intervention in chronic venous ulcer treatment and recurrence avoidance

Phlebologie ◽  
2016 ◽  
Vol 45 (03) ◽  
pp. 135-139
Author(s):  
N. Morrison
Keyword(s):  
Venous Insufficiency ◽  
Ulcer Patient ◽  
Venous Ulcer ◽  
Venous Intervention ◽  
Venous Disease ◽  
Leg Ulcers ◽  
Venous Leg Ulcer ◽  
Pump Failure ◽  
Venous Ulcers ◽  
Superficial Venous Insufficiency

SummaryIn this brief overview I will progress from superficial venous intervention for venous leg ulcers (VLU) to perforator intervention and finally to deep venous intervention. But first there are a number of concepts that must be accepted. We know that 70 % of patients with leg ulcers have a venous component (1), and in at least 40 % of those patients, ulcers will be caused by superficial venous insufficiency alone or in combination with perforator incompetence (2). Such patients will likely benefit from treatment of their superficial venous disease.One of the most important but often overlooked factors in venous ulcers is calf pump failure. Simka has reported that 45 % of patients with venous ulcers have calf pump failure (3).Thorough duplex evaluation of the venous leg ulcer patient is paramount for accurate diagnosis, the differentiation between arterial and venous components (purely arterial, venous, or mixed etiology), and the obstructive and/or incompetent nature and location of venous lesions. In obstructive venous lesions the degree of obstruction as well as how proximal the lesion extends must be known. For venous insufficiency the location (deep and/or superficial venous system) and the extent (segmental or axial) will help determine how much the incompetence contributes to the overall ulcer condition, and what lesions can be safely treated.

scholarly journals Physical Examination and Ultrasound Evaluation of Patients with Superficial Venous Disease

2021 ◽  
Vol 38 (02) ◽  
pp. 167-175
Author(s):  
Leigh C. Casadaban ◽  
John M. Moriarty ◽  
Cheryl H. Hoffman
Keyword(s):  
Physical Examination ◽  
Venous Insufficiency ◽  
Duplex Ultrasonography ◽  
Venous Disease ◽  
Venous Anatomy ◽  
Ultrasound Evaluation ◽  
Clinical Presentations ◽  
Ultrasound Assessment ◽  
Anatomic Variants ◽  
Tools And Techniques

AbstractSystematic and standardized evaluation of superficial venous disease, guided by knowledge of the various clinical presentations, venous anatomy, and pathophysiology of reflux, is essential for appropriate diagnosis and optimal treatment. Duplex ultrasonography is the standard for delineating venous anatomy, detecting anatomic variants, and identifying the origin of venous insufficiency. This article reviews tools and techniques essential for physical examination and ultrasound assessment of patients with superficial venous disease.

Experience of Using Shear Wave Elastography Imaging in Superficial Venous Insufficiency of the Lower Extremity

2018 ◽  
pp. 1
Author(s):  
Mehmet Sedat Durmaz ◽  
Serdar Arslan ◽  
Ahmet Nihat Baysal ◽  
Funda Gökgöz Durmaz ◽  
Mesut Sivri ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Shear Wave ◽  
Venous Insufficiency ◽  
Shear Wave Elastography ◽  
Superficial Venous Insufficiency

Postendarterectomy heparin-induced thrombocytopenia

1988 ◽  
Vol 69 (4) ◽  
pp. 632-634 ◽  
Author(s):  
Larry A. Rogers
Keyword(s):  
Platelet Count ◽  
Vascular Surgery ◽  
Carotid Endarterectomy ◽  
Potential Problem ◽  
Anticoagulation Therapy ◽  
Massive Bleeding ◽  
Drug Induced ◽  
Heparin Induced Thrombocytopenia ◽  
Content Type ◽  
Fine Print

✓ Two episodes of massive bleeding from a sutured arteriotomy were observed within 30 hours after carotid endarterectomy. The patient had received anticoagulation therapy with heparin for 72 hours prior to surgery. A platelet count of 93,000/cu mm was demonstrated following the second hemorrhage. The potential problem of drug-induced thrombocytopenia following vascular surgery is discussed.

scholarly journals Superficial venous insufficiency from the infernal to the endothermal

2014 ◽  
Vol 96 (1) ◽  
pp. 5-10 ◽  
Author(s):  
D Carradice
Keyword(s):  
Gold Standard ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Treatment Options ◽  
Resource Limitation ◽  
Skin Damage ◽  
The Common ◽  
Modern Treatment ◽  
The Cost ◽  
Superficial Venous Insufficiency

This review presents the common diseases associated with superficial venous insufficiency of the leg. These include varicose veins, swelling, skin damage and ulceration. The benefits and rationale behind treatment are discussed, followed by the historical advances from ancient mortality and prayer to the modern endovenous revolution. Finally, an overview of modern treatment options will discuss the evidence supporting the gold standard of endothermal ablation and the cost effectiveness of treatment at this time of challenging resource limitation.

Sign in / Sign up

Export Citation Format

Share Document