Phlebolymphology N°111

Overcoming the diagnostic challenges in deep venous obstruction: the imperative integration of morphological and hemodynamic testing in clinical practice

Nicos Labropoulos, PhD Anisha Javvaji, BS Renaissance School of Medicine at Stony Brook University, Division of Vascular and Endovascular Surgery, Department of Surgery ABSTRACT Deep vein obstruction (DVO) in the lower limbs stems from a range of underlying causes, encompassing both thrombotic and nonthrombotic origins. In some cases, preexisting nonthrombotic obstructions may evolve into thrombotic ones, a phenomenon exemplified in rare conditions like iliac vein compression aplasia or hypoplasia. The complex nature of DVO leads to differences in its clinical presentation and hemodynamic impact. The diverse clinical manifestations of DVO, ranging from asymptomatic cases to venous ulcers, may present challenges…

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Current status of venous stenting and a look at where we need to go

Stephen Black, MD Professor of Venous Surgery and Consultant Vascular Surgeon, Guy’s and St Thomas’ Hospital and Kings College, London, UK ABSTRACT Venous stenting has rapidly advanced over the last 10 years as the emergence of dedicated venous stents and advancement in thrombectomy devices has renewed interest in this field. This rapid advancement has seen the introduction of several new devices, which have now gained market approval. Inevitably, the advancement of technology has outpaced the evidence to support the use of such devices, and complications have arisen as the number of patients treated has rapidly expanded. The lack of evidence…

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Management of chronic deep venous obstructive disease

Kush Rajesh Desai, MD, FSIR Northwestern University, Feinberg School of Medicine Division of Interventional Radiology, Chicago, IL, USA ABSTRACT Chronic deep venous obstructive disease occurs in both the lower and upper extremities. Although they share similar features, particularly with respect to pathophysiologic changes associated with postthrombotic obstruction, they are clinically and epidemiologically distinct processes. As a result, there are significant differences in disease course, clinical approach, and management. While conservative measures, including elastic compression, remain the mainstay for symptom management, endovascular treatment of obstruction has become a vital approach for persistent, debilitating symptoms in both entities. Permanent stent placement remains…

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Progress in the management of early thrombus removal

Efthymios Avgerinos MD, FACS, FEBVS Department of Vascular Surgery, Attikon Hospital, University of Athens, Greece Clinic of Vascular and Endovascular Surgery, Athens Medical Center, Greece Houman Jalaie, , MD, PhD European Venous Center, Department of Vascular Surgery, University Hospital RWTH Aachen, Germany ABSTRACT Deep venous thrombosis (DVT) is common and can be a source of morbidity by way of short-term disabling symptomatology and mid-long term postthrombotic syndrome (PTS). Randomized trials and prospective studies have demonstrated both early and late symptomatic benefit in early recanalization of the iliocaval system of selected patients. On the basis of emerging evidence, published guidelines recommend…

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Phlebolymphology N°111 – Editorial

Dear Readers, In this new issue of Phlebolymphology, you will find the articles as below: Deep vein obstruction associated with the lower limbs is common. N. LABROPOULOS and A. JAVVAJI (USA), discuss overcoming the diagnostic challenges in deep venous obstruction while addressing the integration of morphological and hemodynamic testing in clinical practice. Over the past 15 years, interventional therapies targeting early thrombus removal have evolved as a potentially better alternative for good-risk patients with iliofemoral deep venous thrombosis, aiming to decrease postthrombotic syndrome rates or severity and improve quality of life. E. AVGERINOS (Greece) and H. JALAIE (Germany) summarize current…

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Phlebolymphology N°111 (Vol 30 – N°3 – 2023)

Editorial PHLEBOLOGY Overcoming the diagnostic challenges in deep venous obstruction: the imperative integration of morphological and hemodynamic testing in clinical practice Nicos LABROPOULOS, Anisha JAVVAJI (USA) Phlebolymphology – 2023 ; 30 (3): 112 Progress in the management of early thrombus removal Efthymios AVGERINOS (Greece), Houman JALAIE (Germany) Phlebolymphology – 2023 ; 30 (3): 118 Management of chronic deep venous obstructive disease Kush Rajesh DESAI (USA) Phlebolymphology – 2023 ; 30 (3): 125 Current status of venous stenting and a look at where we need to go Stephen BLACK (UK) Phlebolymphology – 2023 ; 30 (3): 134

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