"ing. In such cases, there is an opportunity for an artificial venous valve to be used as a native valve. For decades, substitute valves have been studied experimentally, raising hope of bench-to-bedside transfer. This quest is reviewed with an emphasis on current clinical practice. Venous valves have been made entirely of non-autologous tissues: synthetics, xenografts, or allografts. Many have failed in early experimental evaluation, with some advancing to the clinical arena, but few remain in research and development. Valves constructed from autogenous cells, or from autogenous venous tissue,"

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"drome) are often found without an organic cause. These patients frequently suffer from psychic disturbances accompanied by a reduced quality of life. The discrepancy between symptoms and lack of objective findings leads to an ineffective therapy. In this article we discuss the problem of leg symptoms without varicose veins and present a survey of heavy leg syndrome and quality of life in phlebology practice. The feeling of heavy, tired, and occasionally swollen legs, particularly in the ankle region, is frequently a symptom of a chronic venous disease.1,2 In some patients, however, intensi"

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"r quality of life scores in the post-operative period. EVLA has been shown to correct or significantly improve hemodynamic abnormality in patients with chronic venous insufficiency (CVI) with superficial venous reflux. Early reports suggest that endovenous ablation techniques, in contrast to surgical stripping, are associated with a low incidence of neovascularization. A variety of wavelengths are being used to perform EVLA. While the initial chromophore is water or hemoglobin, depending on the wavelength used, carbon appears to be a secondary but key chromophore that is probably independen"

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"involve less risk of neovascularization. Steven Zimmet from Austin, Texas, the immediate Past President of the American College of Phlebology, gives a well-balanced overview of laser ablation, including the mechanisms of action, technical details, results, adverse sequelae, and complications. Using tumescent anesthesia, this procedure can be performed in-office without general anesthesia or surgical incisions. Michel R. Boisseau, Pharmacology Department of the University of Bordeaux, contributes an interesting basic research paper entitled “Recent findings in the pathogenesis of venous wa"

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"2007; 14 (2): 59 Daflon 500 mg and chronic venous insufficiency F. Pitsch - Phlebolymphology - 2007; 14 (2): 69 Subjective venous symptoms: review and presentation of a pilot study M. Kendler - Phlebolymphology - 2007; 14 (2): 74 Artificial venous valves: an ongoing quest to treat end-stage deep venous insufficiency M. C. Dalsing - Phlebolymphology - 2007; 14 (2): 80 BOOK REVIEW A Review by M. Cazaubon, M. Perrin "

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"tent repair R. J. Lane, J. A. Graiche - Phlebolymphology - 2008; 15 (1): 105 SERVIER FELLOWSHIP Exchanges between European and American physicians: the first American Venous Forum, Servier Traveling Fellowship C. E. Stonerock - Phlebolymphology - 2008; 15 (1): 116 LYMPHOLOGY Erysipelas and lymphedema L. Vaillant - Phlebolymphology - 2008; 15 (1): 120 PHLEBOLOGY Premenstrual symptoms in lower limbs and Duplex scan investigations J. G. Ninia - Phlebolymphology - 2008; 15 (1): 125 Quantification of microangiopathy in chronic venous disease E. Bouskela - Phlebolymphology - 20"

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"n and reflux in the deep venous system that cause postthrombotic syndrome. The discrepancy between the high incidence of the disease (3/1000 per year in the adult population) and the low number of surgical procedures reported in the literature raises the suspicion that there is still no ideal and standardized method that can be performed in a wide range of settings. However, superficial reflux may additionally contribute to the severity of signs and symptoms of postthrombotic syndrome. The authors underline that removal of a refluxing great saphenous vein is indicated in symptomatic patients i"

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"urgery Fellowship at Indiana University, Indianapolis, IN. I have been fortunate enough to have been awarded the Servier Traveling Fellowship for my work in Deep Venous Thrombosis Diagnosis last year and would like to give an update of my experiences, and how they have changed my current practice of medicine. The Servier Traveling Fellowship was established to promote better communication and understanding on the treatment of venous diseases between European and American physicians. The first leg of my journey was to attend and present at the European Venous Forum in London. After that insi"

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"ulatory changes in chronic venous disease (CVD) is challenging because we lack practical tools. The orthogonal polarization spectral (OPS) imaging technique used in the Cytoscan is less than ten years old and seems to be suitable for studying patients suffering from CVD. The Cytoscan has a small handheld probe which can be noninvasively applied to all body surfaces. CVD was studied using the OPS technique for the first time in the Laboratory for Research in Microcirculation at State University of Rio de Janeiro, Brazil. Five microcirculatory parameters were correlated with the clinical-etio"

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"n of lower extremitiy deep venous thrombosis (DVT). Its incidence is approximately 3/1000 per year in the adult population. A combination of reflux and obstruction is often seen in limbs with more advanced clinical disease than obstruction alone. A thorough workup of the patient with disabling PTS is necessary to identify patients amenable to open surgical or endovascular intervention. Duplex scanning is the gold standard for diagnosis of chronic venous disease. The superficial system should be addressed first, followed by or in conjunction with the perforator and deep systems. Chronically obs"

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