Phlebolymphology N°52

Venous aneurysms

Michel PERRIN Vascular Surgery Chassieu, France INTRODUCTION Venous aneurysms are rare vascular disorders which have been described throughout the venous system and can be seen at any age.1,2 The lower extremities are the most frequently affected, the popliteal vein being the most common site, followed by aneurysms of the head and neck, abdominal veins, and thoracic veins. The definition of venous aneurysm remains controversial, and there is no precise size criterion in the literature to distinguish between venous dilatation and venous aneurysm. Aneurysms are described as saccular or fusiform, an important distinction not only for anatomical reasons but also in…

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Invasive treatment of post-thrombotic symptoms

Peter NEGLÉN Vascular Surgeon River Oaks Hospital, Flowood Mississippi, USA ABSTRACT The treatment of symptomatic postthrombotic syndrome is a difficult, evolving, and lifelong undertaking. This chronic disease is not only characterized by the possibility of leg ulcer formation, but more often disabling pain and swelling with minimal skin changes. The prevailing view that intervention, and thus an appropriate workup should only be performed after failure of conservative treatment may deprive patients of early substantial symptom relief. Early investigations of postthrombotic limbs to describe the anatomic distribution of reflux and obstruction are mandatory as the conservative treatment is started. Invasive and…

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TRIANGLE (TRIple Assessment linkiNg siGns, symptoms and quaLity of lifE in CVD): a screening program initiated by Servier: The TRIANGLE screening program and the Bulgarian results

RATIONALE OF TRIANGLE SURVEY TRIANGLE is an international observational research program developed to provide information on the prevalence of chronic venous disease (CVD) and to help achieve better understanding of the triangular relationship between symptoms, signs, and the quality of life in patients suffering from CVD. Chronic venous disease of the lower limb is characterized by symptoms or signs produced by venous hypertension as a result of structural or functional abnormalities of major veins and capillaries. As a result, CVD must be considered to be at stages C0 to C6 of the CEAP classification.1 From former studies, 2,3 we know…

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Chronic venous disease is highly prevalent in hospital employees

Sophie ZIEGLER Department of Angiology, Medical University of Vienna, Austria SUMMARY Chronic venous diseases (CVD) comprise primary/idiopathic abnormalities of the venous system and secondary sequels after deep venous thrombosis. Known risk factors include endogenous and environmental parameters. The aim of the present study was to prove the hypothesis that the development of CVD might also be triggered by occupation-related risk factors. We determined the prevalence and social relationship of CVD in a wide cross-section of a total of 209 hospital employees, including doctors, nurses, medical technicians, secretaries, scientific staff, cleaners, and general staff, all without predocumented CVD. In addition, the…

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Suspicion of deep vein thrombosis – diagnostic strategy at the interface of general practice and specialist care

Thomas FISCHER Department of General Medicine/Family Medicine, Georg-August-University Goettingen, Germany SUMMARY Aim: We describe the characteristics of patients with suspected deep vein thrombosis (DVT) referred to specialists by their general practitioner (GP) and the further management by the specialist. Patients and method: From August 2001 to April 2003, 114 patients (age 15 to 91, 72 women) with suspected symptoms of DVT were prospectively recruited from a specialist practice for vascular surgery/phlebology. Symptoms and clinical findings were documented by a standard procedure. Results: Forty percent of the patients received compression therapy and 18% anticoagulation with heparin by their GP. Pain (88%)…

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Phlebolymphology N°52 – Editorial

Dear Readers, Hospital staff have a high risk of developing venous leg problems, particularly in connection with long periods of standing. This is the main message from an interesting study by Dr Ziegler from Vienna. The highest prevalence of chronic venous disorders was found in general hospital staff and cleaners. It may be assumed that the number of surgeons in this study was too low to put them into the same risk group of predominantly standing occupation. Dr Fischer from Göttingen discusses in his paper the difficulties for a general practitioner in handling patients with symptoms suspicious of deep vein…

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Phlebolymphology N°52 (Vol 13 – N°3 – 2006)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2006; 13(3): 142 Suspicion of deep vein thrombosis – diagnostic strategy at the interface of general practice and specialist care T. Fischer – Phlebolymphology – 2006; 13 (3): 143 Chronic venous disease is highly prevalent in hospital employees S. Ziegler – Phlebolymphology – 2006; 13 (3): 150 REVIEW TRIANGLE (TRIple Assessment linkiNg siGns, symptoms and quaLity of lifE in CVD): a screening program initiated by Servier: The TRIANGLE screening program and the Bulgarian results T. Zahariev – Phlebolymphology – 2006; 13 (3): 156 Invasive treatment of post-thrombotic symptoms P. Neglén – Phlebolymphology –…

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