"ates the global landscape of vascular interventions and has become a catchphrase for determination of the acceptable standard. Its tools allow us to stratify disease and therapy. In his 1996 presidential address to the Society of Vascular Surgery, Rutherford stated: “The results of therapy for vascular diseases have little meaning if presented in isolation, no matter how uniform and valid the criteria used for reporting them. They are intended to be compared with something.”1 For vascular specialists who strive to find something better for their patients and are willing to change based on "

Full text

"on but potentially progressive. Despite this, it is acknowledged that CVD is usually overlooked both by doctors who underdiagnose the condition and by patients themselves who rarely consult spontaneously for venous leg problems except in the advanced stages.2 As a consequence, CVD is undertreated, particularly in the early stages. CVD may be associated with a wide range of lower limb symptoms, which may be present from the outset even before any visible signs of CVD have been identified. Therefore, patients’ queries about leg symptoms and their variability with position might be the best way"

Full text

"they limit investigation to color duplex scanning (CDS), which in this perspective is logical and reasonable. Compression, drugs, and lifestyle recommendations do not call for level III investigation according to the CEAP classification.1 Conservative treatment as far as etiology is concerned relies mainly on the signs and symptoms, independently of the location, extension of anatomical lesions, and pathophysiological abnormality. Conversely, when surgical or endovenous treatment is considered, the CEAP A and P descriptors must be defined precisely and the severity of PTS as a whole must be"

Full text

"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"

Full text

"ity, symptoms typically are a mix of cognitive and physical disturbances. Leg swelling and discomfort are one such physical symptom. The goal of the study is to define the clinical entity of a late luteal phase vasodilation syndrome in symptomatic patients. Methods: Duplex venous scans were performed in the standing position on 12 premenopausal women (age range 19-46 years) who described premenstrual symptoms of bilateral leg swelling, pressure, or pain. One scan was performed during the follicular phase (days 3-6) and one during the luteal phase (days 20-24). Great saphenous vein (GSV) dia"

Full text

"ficiency (PVI) in women to date has primarily involved its most familiar clinical presentation, ie, pelvic congestion syndrome (PCS) accurately described by Hobbs.1 For the last few years,2 more attention has focused on involvement of PVI in the pathogenesis of primary varicose veins or recurring varicosities of the lower limbs. This finding has been confirmed by a national epidemiologic survey that evaluated the potential incidence of pelvic pain of venous origin in a targeted population of women, and its possible association with lower limb varicosities.3 While advances in the recognition"

Full text

"is extremely important in Western countries because of its high prevalence, chronic nature, repercussions on quality of life, and complications.1-3 In Spain, there is a high incidence of CVD both in primary care and in vascular surgical departments. Consequently, CVD consumes a high percentage of available resources4 and a large part of the public health budget. A first step towards improving care for patients with CVD will be to improve our knowledge of different aspects of the management of CVD and to outline foreseeable developments between now and 2010. With this aim in mind, the Spanis"

Full text

"nd quaLity of lifE (TRIANGLE) Survey is a screening program initiated by Servier. TRIANGLE is an international observational research program designed 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. The Slovakian TRIANGLE program, which is reported in this paper, was professionally endorsed by the Slovakian Medical Association for Angiology. The program was focused mostly on the prevalence of symptoms and signs of C"

Full text