Long-term results after the application of the high-frequency endovenous electric welding on the trombosed great saphenous veins of lower extremities according to morphological and ultrasonography data

The aim: To analyze and evaluate the efficacy of CDLLV treatment, using high-frequency endovascular welding (EVW), endovenous laser coagulation (EVLC) and catheter microfoam echosclerotherapy. Materials and methods: We have treated 329 patients with CDLLV C2-C6 functional classes according to the Clinical Etiological Anatomical Pathophysiology. Of these, 102 patients had vertical reflux eliminated by EVW, in 112 – by EVLC, and in 115 – by catheter microfoam echosclerotherapy. Results: In the EVW group 3 patients (2.94%) had a partial recanalization of coagulated veins 3 months after the procedure. In EVLC group 2 patients (1.79%) also had partial recanalization group after 6 months. In the group of catheter microfoam echosclerotherapy partial recanalization occurred in 3 patients during 3 months of observation, in the period of 6 months – in 2, in the period of 12 months – in 9, in total – in 14 patients (12.17%). The EVW and EVLC methods showed high efficacy of vertical reflux elimination on the great and small subcutaneous veins (GSV/SSV) in CDLLV and have no fundamental differences in the immediate and long-term results of treatment. Microfoam catheter echosclerotherapy leads to a greater number of recanalisations, compared with EVW and EVLC. Conclusions: High-frequency endovenous welding results in complete fibrotic GSV/SSV transformation in 97.06% of patients. Endovascular laser coagulation results in complete fibrotic GSV/SSV transformation in 98.21% of patients. Elimination of vertical reflux by microfoam echosclerotherapy results in complete fibrotic GSV/SSV transformation in 87.83% of patients.

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Long-term results of perivascular decompression of the great vessels of the lower extremities in the treatment of obliterating endarteritis

Kazan medical journal ◽

10.17816/kazmj62191 ◽

1985 ◽

Vol 66 (6) ◽

pp. 421-424

Author(s):

V. N. Medvedev ◽

V. N. Podolsky

Keyword(s):

Lower Extremities ◽

Long Term Results ◽

Great Vessels

There is an assumption that an important role in the occlusive process of the great arteries of the leg and foot in obliterating endarteritis is played by the factor of extravasal compression associated with pathological degeneration of paravasal tissue.

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Results of locally advanced laryngopharyngeal and cervical part of esophagus cancers treatment

Russian Journal of Oncology ◽

10.18821/1028-9984-2016-21-3-156-159 ◽

2016 ◽

Vol 21 (3) ◽

pp. 156-159

Author(s):

Andrey N. Rudyk ◽

E. I Sigal ◽

M. V Burmistrov

Keyword(s):

High Frequency ◽

Locally Advanced ◽

Survival Rates ◽

Pathological Process ◽

Chemoradiation Therapy ◽

Treatment Choice ◽

Long Term Results ◽

Surgical Method ◽

Methods Of Treatment

Issues of locally advanced cancers which involve into the pathological process laryngopharynx and cervical part of esophagus remain to be actual till the present time. Unsatisfactory long-term results lead to the absence of common approaches and clear guidelines on the methods of the treatment choice (radiotherapy, chemoradiation therapy, surgery). Many researchers suppose that the foremost decision is to include surgical component into the treatment schemes of such patients. Main surgical method of the treatment is laryngopharyngectomy or laryngopharyngoesophagectomy. It depends on the extension of cancer. Different kinds of grafts (gastric, jejunal and colon) are used for esophageal reconstrution. The high frequency of complications after surgery, low survival rates are main motives for the search of effective methods of treatment.

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Anatomic and surgical features of lower extremities blood vessels in case of major veins dysplasia in children with various type and severity of the disease according to data of contrast flebography

Pediatrician (St Petersburg) ◽

10.17816/ped11225-32 ◽

2020 ◽

Vol 11 (2) ◽

pp. 25-32

Author(s):

Mikhail V. Azarov ◽

Dmitry D. Kupatadze ◽

Viktor V. Nabokov ◽

Suren M. Kocharyan

Keyword(s):

Blood Vessels ◽

Soft Tissues ◽

Vascular Malformations ◽

Low Cost ◽

Lower Extremities ◽

Surgical Anatomy ◽

Long Term Results ◽

Severity Of The Disease ◽

Medical University

Dysplasia of the main veins (DMV) is known by the names of the authors who described this pathology as Klippel Trenone syndrome. The clinical picture of Klippel Trenone syndrome (CTS) in the classical version is characterized by a triad of symptoms: vascular spots, varicose atypical veins, hypertrophy of soft tissues and bones with an increase in the volume and length of the affected limb. The incidence of this defect from all vascular malformations is 49.6%. To diagnose a malformation, ultrasound is used Dopplerography, MRI and MSCT with contrast, ascending venography. Vasocontrast methods reveal various options for surgical anatomy of the veins of the affected limbs. To assess the anatomy of deep veins, we used upward contrasting, since we consider this species to be more accurate and low-cost. The study is based on the results of examination and treatment of 200 patients. Long-term results were analyzed in 108 patients with congenital malformations of the vessels of the lower extremities aged 1 year to 18 years, who were in the angiomicrosurgical department of the Pediatric Medical University from 2005 to 2015. Patients were divided into 2 groups: the embryonic type 70 people (of which 42 boys and 28 girls), and the fetal type 38 people (16 of them boys, 22 girls). In this paper, we analyze the results of ascending phlebography of the extremities, which is considered the gold standard for examining vein malformations. Contrast phlebography in 108 patients with dysplasia of the main veins, hypo- and dysplasia of segments of the deep and superficial veins were detected 63%; atypical location of superficial or deep veins with the presence of congenital pathways of the collateral outflow 30%, aplasia of the veins 7%. Conclusions: phlebography data accurately determine the surgical anatomy of blood vessels in patients with dysplasia of the main veins. The data obtained during the ascending phlebography, in almost 100% of cases coincide with intraoperative data thus allowing the development of optimal tactics of operations in the veins, and also scrutinize the pathology of musculoskeletal system.

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Long-term results of endovenous laser ablation of saphenous vein reflux: Up to nine years of follow-up

Phlebology The Journal of Venous Disease ◽

10.1177/0268355520939744 ◽

2020 ◽

pp. 026835552093974

Author(s):

Boutros Karam ◽

Moustafa Moussally ◽

Hussein Nassar ◽

Karim Ataya ◽

Rola Jaafar ◽

...

Keyword(s):

Laser Ablation ◽

Saphenous Vein ◽

Clinical Severity ◽

Long Term Results ◽

Endovenous Laser Ablation ◽

Saphenous Veins ◽

Venous Clinical Severity Score ◽

Vein Reflux

Introduction Endovenous laser ablation (EVLA) has become the gold standard for the treatment of saphenous vein reflux. We report the long-term clinical and ultrasound results of EVLA. Methods This study is a retrospective review of patients who underwent EVLA of saphenous vein over four years. Clinical results were assessed using venous clinical severity score (VCSS), and ultrasound results were classified according to Bush classification. Results Over a median follow-up time of 4.4 years, 168 EVLA-treated patients showed a drop in VCSS from 4.38 to 1.39. Ultrasound results of 140 treated great saphenous veins showed that 64% had one or more cause of recurrence. The presence of neovascularization correlated well with the lack of improvement of VCSS. Conclusion EVLA resulted in drop in VCSS from 4.38 to 1.39. Among 140 treated great saphenous veins, reflux in the anterior accessory saphenous vein was the primary cause (23.5%) of recurrence.

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VenaSeal for vertical veno-venous reflux elimination in patients with chronic venous disease

Ambulatornaya khirurgiya = Ambulatory Surgery (Russia) ◽

10.21518/1995-1477-2021-18-1-48-54 ◽

2021 ◽

Vol 18 (1) ◽

pp. 48-54

Author(s):

S. M. Belentsov

Keyword(s):

Quality Of Life ◽

Varicose Veins ◽

Pain Syndrome ◽

Chronic Venous Disease ◽

Long Term Results ◽

Venous Disease ◽

Open Label ◽

Saphenous Veins

Introduction. Chronic venous disease significantly reduces quality of life and often leads to complications. The only way to eliminate hemodynamically significant blood flow disorders is the surgical method, incl. its latest modification is the VenaSeal.Objective of the study. To study the immediate and long-term results of the use of VenaSeal adhesive technology to obliterate the incompetent major saphenous veins, as well as the potential benefits in special groups of patients based on three-year experience in using VenaSeal Glue Procedure.Materials and methods. Over a 3-year period, we have treated 104 patients with VenaSeal. The average age was 59.6 ± 14.97 years, the CEAP class was 3.2 ± 1.09. 101 patients had varicose veins, in three cases - post-thrombotic. The intervention was performed on 117 incompetent main veins: GSV – 107, SSV – 10.Results and discussion. Clinical evaluation and ultrasound imaging of veins immediately after the intervention of vein occlusion throughout the intervention. There was no pronounced pain syndrome after surgery. Complications occurred in 3 patients in the form of chemical phlebitis. Long-term results up to 3 years were studied clinically and using ultrasound in 72 patients (76 veins): recanalization was noted in 2 GSV (2.6%), which in one case was accompanied by the formation of a recurrent varicose veins. To study the effect of VenaSeal on the quality of life in a comparative aspect, a non-randomized, single-center, open-label study was carried out; it included patients, incl. with GSV occlusion using RFA and EVLT. In the group of patients after VenaSeal, the quality of life indicators were better values. In addition, the absence of the need for elastic compression made the surgical treatment of patients with chronic venous disease and concomitant lesions of the peripheral arterial bed. In groups of elderly and senile patients, patients with weeping eczema, with obesity, additional advantages were found in the form of a decrease in the invasiveness of the intervention and the possibility of correcting reflux as a hemodynamic basis for the development of trophic disorders with the aim of their faster and more effective relief.Conclusions. Non-thermal obliteration of incompetent major saphenous veins using VenaSeal in varicose veins and post-thrombotic disease is highly effective: the immediate results assessed with clinical methods and using ultrasound duplex scanning confirmed the occlusion of the target vein in all cases. The study of long-term results revealed recanalization of two veins out of 76, which accounted for 2.6%.

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SHORT-TERM RESULTS OF ENDOVASCULAR TREATMENT FOR OBLITERATING ATHEROSCLEROSIS OF THE LOWER EXTREMITIES ARTERIES IN PATIENTS OVER 70 YEARS OF AGE

Vestnik of Vitebsk State Medical University ◽

10.22263/2312-4156.2021.2.38 ◽

2021 ◽

Vol 20 (2) ◽

pp. 38-44

Author(s):

V.A. Yanushko ◽

◽

I.P. Klimchuk ◽

S.V. Mshar ◽

G.E. Kordzakhia ◽

...

Keyword(s):

Endovascular Treatment ◽

Cardiac Failure ◽

Lower Extremities ◽

Lower Limbs ◽

Long Term Results ◽

Technical Success ◽

Short Term ◽

Limb Preservation ◽

Early Results

Objectives. To analyze short-term results of endovascular treatment for obliterating atherosclerosis of the lower extremities arteries in patients over 70 years of age. Material and methods. From 2015 to 2019, 75 lower limbs were revascularized in 72 patients. Their mean age was 74.7±4.51 years. There were 67 (93%) patients with ischemia of the 3rd - the 4th degree according to Fontaine-Pokrovsky classification. Revascularization of the iliac segment was performed in 35 (48.6%) patients, of the iliofemoral segment - in 5 (7%), the femoral-popliteal segment - in 24 (33.4%), the tibial segment - in 8 (11%) patients. Results. Technical success was attained in 97.2% of cases. The limb preservation was achieved in 100% of cases. Thrombosis of the revascularized artery developed in 2 (2.7%) cases (it was repaired endovascularly). Two patients (2.77%) died of acute cardiac failure. Conclusions. Our study has shown good early results of endovascular treatment for obliterating atherosclerosis of the lower limbs arteries in patients over 70 years of age. High amputations were avoided in 100% of cases. However, an assessment of long-term results is required.

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