Phlebolymphology N°117 – Editorial

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Dear Readers,

The current issue of Phlebolymphology is dedicated to “venous compression syndromes.” These syndromes are not very common and may remain underdiagnosed. Besides their rarity, they may cause symptoms and sometimes debilitating complications such as deep vein thrombosis and postthrombotic syndrome. Thus, this issue aims to shed some light on these syndromes and to raise awareness, as well as to provide guidance for their diagnosis and management.

D. BACCELLIERI (Italy), F. B. A. VALENTE (Italy), V. ARDITA (Italy), and M. DUMANTEPE (Turkey) elaborate on the iliac vein compression syndrome known as May-Thurner or Cockett syndrome. They describe the currently available diagnostic imaging techniques as well as minimally invasive procedures for treatment.

A. S. GAWEESH (Egypt) and M. A. ELSABBAGH (Egypt, United Kingdom), present the pathophysiology, diagnosis, and management of thoracic outlet syndrome with venous involvement. This syndrome may also cause upper-limb vein thrombosis and postthrombotic syndrome that may affect the quality of life in young individuals. Early diagnosis and treatment remain the key points.

M. DUMANTEPE (Turkey), C. ÖZTÜRK (Turkey), V. ARDITA (Italy), F. B. A. VALENTE (Italy), D. BACCELLIERI (Italy), and A. RODRIGUEZ MORATA (Spain) provide a comprehensive review of the diagnosis and treatment of “nutcracker syndrome,” which despite its rarity may be the cause of significant pathology. They present the alarming symptomatology along with the diagnostic process to confirm the presence of this syndrome and also describe potential therapeutic interventions.

I. DROC (Romania), R. DANTIS (Romania), and R. MILLERET (France) describe “popliteal vein entrapment,” which is relatively rare and, in several cases, may exist in association with popliteal artery entrapment syndrome. It requires careful evaluation of the symptoms and appropriate selection of the diagnostic tools to confirm not only the diagnosis but also the causes, an important issue for decision-making about the appropriate treatment. I am confident that everyone will find in this issue important information regarding the “venous compression syndromes” and an update on their diagnosis and management.

Enjoy reading!

Co-Editor

Dr Athanasios Giannoukas