Phlebolymphology N°57 Archives - Servier - PhlebolymphologyServier

6 – Miscellaneous

The future management of acute and chronic venous disease: report from the American Venous Forum’s Hawaiian Summit in 2006 B. Eklof / Sweden At the American Venous Forum (AVF) in Washington DC in September 2004, three major goals were formulated: • to 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…

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5 – Treatments

Venous thrombosis Thromboprophylaxis Thromboprophylaxis with LMWH: an evidence-based approach for clinical practice A.C. Spyropoulos / USA This was a key-note lecture. The author emphasized that venous thromboembolism (VTE) is a major public healthcare 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…

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4 – Investigations

Venous obstruction Assessment of venous obstruction with air plethysmography and duplex ultrasound F. Lurie / USA This study combines air plethysmography (APG) and duplex ultrasound (US) in patients with deep venous obstruction. The study included 25 patients with deep vein obstruction (10 iliac and 15 femoral) and a control group of 25 healthy volunteers studied with both APS and US. The segmental distribution of the flow was defined as a fraction of the total volume outflow contributed by each of the three veins (superficial femoral vein SFV, profunda femoral vein [PFV], great saphenous vein [GSV]) expressed in percent. APG is…

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3 – Basics

5th SERVIER FELLOWSHIP. Presentation of the new winner’s project: Erythrocyte diapedesis during chronic venous insufficiency C. Rosi / Italy Chronic venous insufficiency (CVI) causes venular hypertension with erythrocyte diapedesis and cutaneous deposition of hemosiderin leading to lipodermatosclerosis and ulceration. In a preliminary study, the author evaluated skin samples from legs with CVI to assess the mechanism of dermal damage by means of histology, histochemistry, and immunohistochemistry data, and with drug administration of micronized purified flavonoid fraction (MPFF). Skin samples were from patients of CEAP classification C2, C3, C4a, C4b, C6. The erythrocyte diapedesis occurred only during active inflammatory phases of…

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2 – Epidemiology and risk factors

Chronic venous disease Beyond Epidemiology of severe stages of chronic venous insufficiency in the Bonn Vein Study E. Rabe / Germany The author presented the Bonn Vein Study, a population-based, cross-sectional, one-year study with participants from a single random sample out of population registers. The 3072 participants ranged in age from 18 to 79 years (43.9% male, 56.1% female). The response rate was 59%. The CEAP classification and duplex scanning were used. Chronic venous disorders are very common in the general population. The prevalence was 87.5% for telangiectases, 23% for varicose veins, 17% for chronic vein insufficiency (CVI) (C3-C6), and…

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1 – Highlights

The following highlights from the Asian Chapter of the Union Internationale de Phlébologie, June 18-20, 2007, Kyoto, Japan were published in International Venous Digest in July 2007. This document was produced by the members of the Medical Reporters’ Academy (see picture on page 144 of the present issue). Flow in the popliteal vein is markedly reduced (-40%) during sleep in the sitting position. This is partially ameliorated by standard foot exercises recommended by airlines. Blood flow is actually increased over and above baseline readings (+20%) with foot exercises against severe resistance. According to Fletcher’s study, the effect is short-lived and…

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Medical Reporters’ Academy (MRA)

The reports from the International Congress of Angiology were prepared by the following members of the MRA team: Vassilios PAPAVASSILIOU 1st Sismanogliou street 15126 Marousi GREECE Grzgorz BIOLIK Department of General & Vascular Surgery Medical Academy of Silesia SPSK Nr 7 GCM Ziolowa Street 47 40-635 Katowice POLAND Giuseppe CALANDRA Ospedale Israelitico Via Fulda 14 00148 Roma ITALY Vadim BOGACHEV 1-st Moscow City Hospital Department of Surgery 117049, Lenisky pr-t, 8-6 Moscow RUSSIA Chairman: Prof Andis NICOLAIDES Vascular Screening and Diagnostic Centre 2 Kyriacou Matsi Ayios Dhometios 2368 Nicosia CYPRUS Armando MANSILHA Vascular Surgery Department S. João University Hospital Alameda…

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