"iagnosis difficult, since a wide spectrum of various pathologies must be considered, sometimes occurring in addition to varicose veins or venous insufficiency. It is not surprising, therefore, that leg edema is a frequent finding, even in the general population. However, phlebologists, who are aware of the high incidence of varicose veins, may be surprised to learn that in a large population of more than 3000 individuals (not patients) leg edema was found nearly as frequently as varicose veins. In total, 13.4% of the population had manifest leg edema (CEAP C3) and 14.3% had large varico"

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"e American College of Chest Physicians (ACCP) guidelines recommending thrombus removal, including venous thrombectomy and catheter-based procedures designed to eliminate clots, in patients with iliofemoral DVT. Following venous thrombectomy, patients should receive the same intensity and duration of anticoagulation as those patients who are treated with anticoagulation alone (ACCP recommendation Grade 1 C). In the author’s opinion, catheter-directed thrombolysis is the preferred method of managing patients with iliofemoral DVT, but anticoagulation alone without thrombus removal is indicated "

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"preted or masked by another problem. The intensity and character of signs and symptoms depend on how fast the thrombotic process develops and on the location and extent of DVT. The sensitivity of DVT signs and symptoms is much lower in bed-ridden patients than in outpatients. During clinical probability assessment, not only signs and symptoms but also risk factors of DVT should be taken into consideration. Even iliocaval thrombi might be asymptomatic. Case reports have documented acute massive PE as well as severe PTS as a consequence of preceding undiagnosed DVT. However, larger studies have"

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"ease, particularly in developed countries, and its specificity to humans, which renders investigations on animal models impossible. The talk focused on primary venous disease, hence excluding postthrombotic syndrome, in which obstruction and valve destruction occurs. Venous hypertension plays a major role in the progression of the disease. It provokes vein dilatation and inflammation. Vein dilatation leads to distortion, leakage, and altered shear stress, which is responsible for inflammation. The inflammation may cause vein valve and wall changes responsible for the reflux, which further incr"

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"p. This was one of the reasons for designing the second part of this study. The Bonn Vein Study part II includes the same population and procedures as in the previous phase, with a follow-up of 6.6 years. The objectives of this study were to analyze the incidence of venous disorders in the general population, progression of chronic venous disease and risk factors related to CEAP classification. Chronic venous disease, like varicose veins and venous insufficiency, is one of the most frequent diseases in the Western population due to demographic changes, increase in body wei"

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"associations and the setting up of master degree programs in phlebology are increasing. For these reasons the Executive Committee of the UIP decided to establish a common platform to promote phlebology worldwide. The first steps in this direction were taken by means of the consensus papers of the UIP on anatomy, definition of terms in the CEAP classification, evidencebased compression treatment and duplex consensus documents. In a further step, a number of consensus groups worked hard over several months to prepare a curriculum in phlebology and to finish various cons"

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"ensus groups, working towards a worldwide curriculum of phlebology. The reinforcement of the UIP Fellowships with a new supportive sponsor is in line with the aim of the UIP to encourage studies and research on disorders of venous origin. In addition, the UIP started a big epidemiological project in cooperation with Servier, the Vein Consult Program, which will enable us to have a snapshot of chronic venous disease in many countries worldwide and to collect a huge database from nearly 80 000 patients. The only objective of these activities is to help towards more effective communication betwee"

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"o create a curriculum in venous disease for the new fellowship program in vascular surgery in collaboration with the program directors, • to introduce a national screening program for venous disease in collaboration with the American Vascular Association (AVA), • to organize a meeting of experts to draw up the guidelines for venous disease research and development over the next 5-10 years. Thanks to help from many AVF members, Joann Lohr submitted the venous curriculum to the program directors in early 2006. The screening program for venous disease started in the fall of 2005 through "

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" problem worldwide. Recent epidemiologic data indicate that there are nearly 300 000 VTE-related deaths in the USA and over 340 000 VTE-related deaths in the European Union, with approximately 60 000 fatal postoperative VTE events (1,2). In Asia, venographic studies reveal that the range of incidence of asymptomatic DVT is similar to that found in Western studies (3). The recently completed AIDA study conducted in Asia (including China, South Korea, Taiwan, Thailand, Malaysia, and the Philippines) found a 25%, 42%, and 58% incidence of venographic DVT in patients undergoing total hip replaceme"

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