Phlebolymphology N°43

Phlebolymphology N°43 (2003)

EDITORIAL Editorial H. Partsch – Phlebolymphology – 2003 PHLEBOLOGY Current concepts of venous malformation (VM) B. B. LEE – Phlebolymphology – 2003; 197 Endovascular treatment of chronic Iliofemoral venous obstruction – A review P. NEGLÉN – Phlebolymphology – 2003; 204 REVIEW The pharmacological treatment at the UIP, San Diego: the American recognition Phlebolymphology – 2003; 212 PHLEBOLOGY Epidemiology of pulmonary embolism in Japan T. OGAWA, S. HOSHINO – Phlebolymphology – 2003; 216 LYMPHOLOGY Current use of microsurgery in lymphedema C. CAMPISI, F. BOCCARDO, A. MACCIÒ, A. ZILLI, F. SCHENONE – Phlebolymphology – 2003; 220

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Current use of microsurgery in lymphedema

Corradino CAMPISI Francesco BOCCARDO Alberto MACCIÒ Angelo ZILLI Francesco SCHENONE Department of Surgery-Unit of Lymphatic Surgery and Microsurgery S. Martino’s Hospital, University of Genoa, Italy SUMMARY The authors, after a short introduction on historical role of surgery and microsurgery in lymphatic vessel pathology, report their own 25-year experience in lymphatic microsurgery and lymphatic-venous-lymphatic anastomoses. In particular, the authors describe the derivative and reconstructive microsurgical techniques, pointing out the preoperative diagnostic, the indications and the obtained results concerning 798 patients affected by primary and secondary limb lymphedema. Keywords: Lymph – Lymphology – Lymphedema – Microsurgery – Lymphatic-Venous Anastomoses – Lymphaticvenous –…

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Epidemiology of pulmonary embolism in Japan

UIP SAN DIEGO, USA August 27-31, 2003 Tomohiro OGAWA MD, PhD; Shunichi HOSHINO MD, PhD Cardiovascular Disease Center, Fukushima Daiichi Hospital, Fukushima, Japan. INTRODUCTION Pulmonary thromboembolism (PTE) is a well-known fatal disease. It is estimated that the annual incidence of pulmonary embolism ranges from 20.8 to 210 per 100 000.1-3 In the USA, approximately 10 % of patients die within 1 hour after a PTE.3 In Japan, it is thought that the incidence of PTE is much lower than that of the USA and Europe.4 However, several studies show that the incidence of PTE in Japan is increasing.5-7 The increased…

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The pharmacological treatment

UIP SAN DIEGO, USA August 27-31, 2003 Dr D.T.S. SHEPHARD BSc. MBBS London, UK. INTRODUCTION For the first time ever, the organization of the world congress of the Union Internationale de Phlebology (UIP) in conjunction with the American College of Phlebology took place in the USA: San Diego, California, from August 27th to August 31st, 2003. This congress is the major event in this medical field and demonstrates the evolving approach of American specialists to venous disease. Chronic venous insufficiency* (CVI), at onset, classically presents with the symptoms of leg heaviness, pain, cramps, itchiness, sensation of swelling, and the sign…

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Endovascular treatment of chronic lliofemoral venous obstruction – A review

Peter NEGLÉN MD, PhD River Oaks Hospital, Flowood, Mississippi, USA SUMMARY The importance of venous outflow obstruction is increasingly recognized as an important contributing factor in chronic venous disease. Obstruction of the iliofemoral venous outflow appears particularly important, and results in more severe symptoms than does lower segmental blockage. Selection of patients for treatment is hampered by the lack of accurate noninvasive or invasive tests for evaluation of obstruction. In fact, it is not known precisely what degree of venous stenosis should be considered hemodynamically critical. It is presently impossible to detect potentially hemodynamically important borderline obstructions. The diagnosis must…

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Current concepts of venous malformation (VM)

Buyng-Boong LEE MD, PhD, FACS Sungkyunkwan University School of Medicine & Samsung Medical Center Seoul, Korea. SUMMARY Introduction. Venous malformation (VM) is one of the most common forms of congenital vascular malformations (CVM). The VM is further classified into extratruncular (ET) forms and truncular (T) forms, depending on the embryonic stage when the developmental arrest occurrs. This new classification provides critical information on clinico-anatomo-pathophysiology. Methods. Proper combination of the various noninvasive to minimally invasive diagnostic tests provided a precise diagnosis of the VM. Invasive studies were reserved mostly for differential diagnosis and/or for a treatment “road map.” Once the treatment…

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Phlebolymphology 43 – Editorial

Phlebolymphology is a fascinating field encompassing important clinical entities, which often are widely ignored or neglected in general medicine. The contributions in this issue of our journal, all written by top experts in their field, provide some very impressive examples. Together with lymphatic malformations, venous angiodysplasias are the most common form of congenital vascular malformations. B. B. Lee from Seoul, Korea, one of the world’s most experienced authorities in this field, presents his data on diagnosis and management of these congenital venous anomalies. The indication for active treatment depends on complications such as hemorrhage, pain, functional disability, or chronic venous…

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