Phlebolymphology N°58 – Editorial

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Dear Readers

This new issue of Phlebolymphology includes contributions from world leaders in the field, and demonstrates once more the fascinating variety of our discipline. In this issue you will find:

Paolo PRANDONI from the University of Padua is one of the world’s top authorities in clinical research on venous thromboembolism, and he has published several landmark articles in this field. In his current article he discusses the ways in which recurrences of venous thromboembolism can be prevented. This is a problem of very high practical interest for doctors, as recurrent episodes of venous thrombosis are among the deciding risk factors in the development of postthrombotic syndrome.

Seshadri RAJU, from Jackson, Mississippi, is one of the great pioneers in the treatment of proximal outflow obstructions by venous stenting. He discusses the “permissive role” of pelvic obstructions in the development of venous reflux in the distal vein segments, which may lead to leg ulceration.

Edgar BALIAN and his team, from France, point to the connections between pelviperineal reflux and varicose veins of the limbs. Their article describes the clinical signs, imaging, and treatment options with interventional radiology.

An interesting review of the published data concerning skin defects after compression therapy comes from Michel PERRIN, Lyon. His article suggests that it may be assumed that such side effects occur more frequently than reported.

Olivier STÜCKER and his coworkers from the University in Paris provide an overview on the physiology and pathology of the lymphatic system, and discuss some important issues regarding pharmacologic effects, especially on lymphatic vasomotion.

A report from Reagan QUAN from the Walter Reed Army Medical Center in Washington DC, who won the last Servier-sponsored American Venous Forum fellowship, completes this issue of Phlebolymphology. He visited some colleagues working at some Paris-based institutions, and was not only impressed by the good food, but also by the fact that the French angiologists performed their own ultrasound.

Enjoy your reading!

Hugo Partsch, MD