Embolization treatment of recurrent varices of pelvic origin

2006 ◽  
Vol 21 (1) ◽  
pp. 3-11 ◽  
Author(s):  
J Leal Monedero ◽  
S Zubicoa Ezpeleta ◽  
J Castro Castro ◽  
M Calderón Ortiz ◽  
G Sellers Fernández
Keyword(s):  
Lower Extremity ◽  
Varicose Veins ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Venous Stasis ◽  
High Incidence ◽  
Embolization Treatment ◽  
Clinical Signs And Symptoms ◽  
Collateral Vessels ◽  
Pelvic Venous Insufficiency

Objective: To present our experience with embolization of pelvic reflux routes in patients with recurrent varices after surgery (REVAS). Method: Single patient group study of patients with previous surgical treatment for varicose veins, with REVAS in Unidad de Angiología y Cirugía Vascular, Hospital Ruber Internacional, Madrid, España. Patients presenting with REVAS with pelvic venous insufficiency (PVI) documented per transvaginal colour duplex, undergoing selective pelvic venography, were treated with embolization of insufficient gonadal and hypogastric mainstem and collateral veins. Results: In all, 215 patients (89.9%) reported relief of pelvic pain and symptoms of lower extremity venous stasis six months postembolization; total relief in 120 (50.2%) and partial relief in 95 (39.7%). Conclusions: There is high incidence of PVI in patients with REVAS. Embolization of insufficient gonadal and hypogastric mainstem and collateral vessels is associated with significant relief of clinical signs and symptoms of pelvic and lower extremity venous stasis in patients with REVAS and PVI.

Injection Sclerotherapy and Ablation

2015 ◽  
Author(s):  
Mikel Sadek ◽  
Victoria Lee ◽  
Lowell S. Kabnick
Keyword(s):  
Varicose Veins ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Clinical Severity ◽  
Venous Stasis ◽  
High Ligation ◽  
Injection Sclerotherapy ◽  
Closure System ◽  
Tumescent Anesthesia ◽  
Venous Clinical Severity Score

Closure of incompetent superficial veins via endovenous techniques has become the standard of care for treatment of patients with chronic venous insufficiency and symptomatic varicose veins. The safety and efficacy of these procedures have been supported by the peer-reviewed literature, and these procedures have largely replaced the surgical treatments of high ligation and stripping. Three major developments have led to the current endovenous techniques: laser and radiofrequency catheters that deliver thermal energy, tumescent anesthesia, and duplex ultrasonography. This review covers relevant anatomy, pathophysiology, clinical signs and symptoms, diagnostics, treatment, tumescentless therapy, ClariVein (mechanochemical ablation), and the VenaSeal Closure System. Figures show telangiectasias, reticular veins, varicose veins, edema/swelling, hyperpigmentation, venous stasis ulcers, the ClosureFast Catheter, access using the great saphenous vein proximal to the popliteal region, application of tumescent anesthesia, segmental ablation using the ClosureFAST system, the NeverTouch Direct Procedure Kit by AngioDynamics, Varithena foam sclerosant, the ClariVein Occlusion Catheter, and the VenaSeal Sapheon Closure System. Tables list perforating veins of the lower extremity, Clinical, Anatomic, Etiologic, Pathophysiologic classification, and the Venous Clinical Severity Score. This review contains 12 figures, 3 tables, and 103 references

Groin-to-Knee Downward Stripping of the Long Saphenous Vein

1992 ◽  
Vol 7 (1) ◽  
pp. 20-22 ◽  
Author(s):  
P. Conrad
Keyword(s):  
Saphenous Vein ◽  
Varicose Veins ◽  
Neurological Complication ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Long Saphenous Vein ◽  
Aesthetic Results ◽  
Clinical Signs And Symptoms ◽  
Neurological Disturbance ◽  
Sydney Australia

Objective: To demonstrate the safety and efficacy of downward stripping of the long saphenous vein. Design: Retrospective study in a series of patients treated surgically by the author. Setting: Department of Surgery, Nepean Hospital, Sydney, Australia. Patients: Patients presenting with clinical signs and symptoms of varicose veins attributable to sapheno-femoral incompetence. Interventions: Patients underwent flush sapheno-femoral ligation with stripping of the long saphenous vein using a downward stripping of the long saphenous vein between the groin and knee. Main outcome measures: Cosmetic appearance of the limb and presence or absence of neurological disturbance suggestive of injury to the saphenous nerve. Results: Satisfactory healing of all wounds was found. Good aesthetic results and no neurological complication was encountered. Conclusion: Groin to knee downward stripping of the long saphenous vein provides a safe and effective method for managing varices of the long saphenous vein.

Predicted burden of venous disease

2016 ◽  
Vol 31 (1_suppl) ◽  
pp. 74-79 ◽  
Author(s):  
Sarah Onida ◽  
Alun Huw Davies
Keyword(s):  
Varicose Veins ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Venous Ulceration ◽  
Increased Risk ◽  
Future Burden ◽  
Clinical Signs And Symptoms

Chronic venous disease is a common condition with clinical signs and symptoms ranging from spider veins, to varicose veins, to active venous ulceration. Both superficial and deep venous dysfunction may be implicated in the development of this disease. Socio-economic factors are shaping our population, with increasing age and body mass index resulting in significant pressure on healthcare systems worldwide. These risk factors also lead to an increased risk of developing superficial and/or deep venous insufficiency, increasing disease prevalence and morbidity. In this chapter, the authors review the current and future burden of chronic venous disease from an epidemiological, quality of life and economic perspective.

Application of transcutaneus electroneurostimulation in complex therapy and rehabilitation of diabetic neuropathic pain

10.12737/7217 ◽  
2014 ◽  
Vol 8 (1) ◽  
pp. 0-0
Author(s):  
Аль-Замиль ◽  
M. Al-Zamil ◽  
Божко ◽  
S. Bozhko ◽  
Кудаева ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Lower Extremity ◽  
High Frequency ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Control Group ◽  
Control Groups ◽  
Clinical Signs And Symptoms ◽  
And Control ◽  
Low Amplitude

. In this article expediency of application of monophasic, high frequency and low amplitude transcutaneous neuroelectrostimulation in treatment of neuropathic pain in patients with diabetic distal polyneuropathy of lower extremity was proved. This study included 159 patients with acute distal neuropathic pain in lower extremity. In all patients di-abetic mellitus 2 type was diagnosed and clinical signs and symptoms of distal polyneuropathy were found. Comparative dynamics of clinical and electromyographic manifestations of diabetic distal polyneuropathy between basis and control groups were analyzed. 62 patients in control group undergone treatment by the Duloxetine 60 mg every day within 3 months. In basis group 97 patients in addition to the Duloxetine were treated by transcutaneous neuroelectrostimulation during 30 minutes per day after day for 15 days. This study showed that complex treatment by combination use of transcutaneous neuroelectrostimula-tion with central analgesic more effective than traditional analgesic therapy in treatment of neuropathic pain in patients with diabetic distal polyneuropathy.

scholarly journals Dementia and Major Neurocognitive Disorders: Some Lessons Learned One Century after the first Alois Alzheimer’s Clinical Notes

Geriatrics ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 5
Author(s):  
Donatella Rita Petretto ◽  
Gian Pietro Carrogu ◽  
Luca Gaviano ◽  
Lorenzo Pili ◽  
Roberto Pili
Keyword(s):  
Young Woman ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Neurocognitive Disorders ◽  
Lessons Learned ◽  
Alzheimer Dementia ◽  
Clinical Notes ◽  
Alois Alzheimer ◽  
Clinical Signs And Symptoms

Over 100 years ago, Alois Alzheimer presented the clinical signs and symptoms of what has been later called “Alzheimer Dementia” in a young woman whose name was Augustine Deter [...]

scholarly journals Correction to: Levoketoconazole improves clinical signs and symptoms and patient-reported outcomes in patients with Cushing’s syndrome

Pituitary ◽  
2020 ◽  
Author(s):  
Eliza B. Geer ◽  
Roberto Salvatori ◽  
Atanaska Elenkova ◽  
Maria Fleseriu ◽  
Rosario Pivonello ◽  
...  
Keyword(s):  
Cushing’S Syndrome ◽  
Patient Reported Outcomes ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
Cushing's Syndrome ◽  
Original Version ◽  
Patient Reported ◽  
Author Group ◽  
Clinical Signs And Symptoms

The original version of the article unfortunately contained an error in the first name and the surname of one of the authors in the author group. The last author name was incorrectly published as ‘F. Pecori Giraldi’ and the corrected name is ‘Francesca Pecori Giraldi’ (First name: Francesca; Surname: Pecori Giraldi).

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