Controversies In The Management Of Venous Disorders

Over recent years there has been an increased interest in veins and their disorders. The management of venous disorders can, however, be the subject of controversy and this book addresses those controversies and re-evaluates many of the accepted dogmas. In Scandinavia in this field, there has been a long tradition of emphasis on a thorough understanding of basic scientific principles and their applications to management. In this volume, phlebologists present their findings in a practical and readable style. Annotation copyrighted by Book News, Inc., Portland, OR

Varicose veins are a very common problem. The precise aetiology of primary varicose veins remains unclear. It seems likely from the available evidence that inherited structural weakness combined with haemodynamic or microcirculatory abnormalities eventually lead to reduced vein wall elasticity, dilatation and the formation of varicosities. Increasing age, female gender, parity and occupation may all promote the development of varicose veins in susceptible individuals. Further clinical and experimental studies are necessary if the relative contribution of each of these factors is to be fully elucidated. References 1. Editorial. The treatment of varicose veins. Lancet 1975;ii:311. 2. Prerovsky I. Diseases of the veins. World Health Organisation, internal communication, MHO-PA 10964. 3. Weddell JM. Varicose veins: pilot study. Br J Surg 1969;23:179-186. 4. Hobsley M. Pathways in surgical management. 2nd ed. London: Edward Arnold, 1986. 5. Browse NL, Burnand KG, Lea Thomas M. Diseases of the veins. London: Edward Arnold, 1988. 6. Logan WPD, Brooke EM. The survey of sickness. Studies on medical and population subjects no. 12. London: General Register Office, 1957. 7. The committee on the Danish national morbidity survey. The sickness survey of Denmark. Copenhagen, 1960. 8. US Department of Health. Education and welfare: national health survey 1935-1936. Washington, DC, 1938. 9. The Department of National Health and Welfare and the Dominion Bureau of Statistics. Illness and health care in Canada. Canadian Sickness Survey 1950-1951. Ottawa, 1960.

This text provides an overview of venous diseases and focuses on clinical evaluation and management. It is intended to guide the treating physician by summarizing the evidence, giving technical tips, and outlining algorithms for common conditions. A unique feature of this book is clinical pearls given by experts in the field that are highlighted in each chapter. The first section of the book describes the essential anatomy and physiology/pathophysiology. It also includes evaluation of common presentations of venous diseases such as extremity edema and lower extremity ulceration with a summary for work up that includes conditions that can mimic venous diseases. The organization of the book follows the basic pathophysiology of venous disorders with chapters addressing special conditions of common interest such as pelvic congestion syndrome, thoracic outlet syndrome, and May-Thurner syndrome. There is emphasis on novel treatment modalities and emerging technologies through dedicated chapters to anticoagulant agents, emerging modalities to treat superficial venous reflux and venous stent technology. Finally, this book is a melting pot for physicians who have shown dedication and passion to the care of patients with venous disease regardless of specialty and location.The authors are an international panel of vascular experts who trained in vascular surgery, interventional radiology, interventional cardiology, hematology, pulmonology and critical care medicine. Therefore, the book will be of great value to the physicians and trainees in those specialties and to any person interested in developing in depth knowledge of the management of venous diseases.

Chronic venous insufficiency, manifesting as disabling open leg ulcers, lipodermatosclerosis and severe cutaneous hyperpigmentation is thought to affect five percent of the population over age 80 and a significant proportion, probably greater than one percent, of Western populations under age 65. To date little has been known about how to treat this condition cost-effectively beyond supportive and palliative care. Thus, the most important feature of Chronic Venous Insufficiency is that it describes the interventions which markedly ameliorate, and in some cases cure, the condition. The authoritative text has been skilfully illustrated to show how new methods of endovascular and endoscopic interventions can be integrated with radiologic techniques to correct totally the abnormalities which produce chronic venous insufficiency. Taken as a whole this volume will enable general surgeons, vascular surgeons, dermatologists and interventional radiologists to treat a condition that was, until recently, thought to be untreatable.

Now in its third edition, the Handbook of Venous Disorders continues to provide comprehensive and up-to-date information on acute and chronic venous and lymphatic diseases and malformations and to discuss the latest knowledge on epidemiology, pathophysiology, clinical evaluation, diagnostic imaging, medical, endovascular and surgical management. This revised, updated and expanded edition takes account of all the recent developments in these areas. New chapters on, for example, foam sclerotherapathy, radiofrequency treatment, laser treatment and open surgical reconstructions are included, as well as useful diagnostic and treatment algorithms for the various conditions that are dealt with in the book. Clinical guidelines are provided in each chapter, together with evidence scores to help the reader assess the recommendations. The Handbook of Venous Disorders is written and edited by leaders and founding members of the American Venous Forum, a society dedicated to research, education and the clinical practice of venous and lymphatic diseases. The Handbook also includes several international authors, all of whom are experts in venous disease, most being regular or honorary members of the American Venous Forum.

Venous Disorders is s a compilation of presentations on topics relating to venous topics from the last five symposia sponsored by the Division of Vascular Surgery at the Feinberg School of Medicine, Northwestern University in Chicago, Illinois. 32 chapters in 9 different sections include general considerations, progress in treatment of varicose veins, acute deep-vein thrombosis. venous thromboembolism, venous valve repair, venous reconstructive surgery, endovenous interventional therapy, acute subclavian vein thrombosis, and chronic venous insufficiency. The Modern Trends in Vascular Surgery series brings together the best, current strategies for therapeutic and clinical practices. These books contain the latest discoveries, techniques, practice and out comes in vascular surgery. There are approximately 25 to 45 chapters in each book, classified under the following headings: cerebrovascular, ischemia, infrainguinal lesions, aortic aneurysm, thoracic aortic pathology, aorta and its major branches, upper extremity ischemia, venous disorders, hemodialysis access, endovascular technology, noninvasive test, and issues in vascular surgery. Each of the chapters contains valuable illustrations, tables, and a list of references to guide the reader through the chapter. This series of books is focused on specific topics in vascular surgery. For each title the editors will assume the responsibility of adding the latest information and new chapters and to update all of the content, thus making these books more cohesive and with newer, up-to-date information. The resulting product is a comprehensive review of current knowledge across all of vascular surgery, covering: Carotid Artery Diseases, Surgery of the Aorta, Venous Disorders, Endovascular technology and Ischemic Extremities.

A fully integrated view of the medical and surgical aspects of both vascular and cardiovascular disease. Covering the complete spectrum of angiology, from basic physiologic principles to phlebology, this is the only text of its kind, and will thus be a must for the libraries of cardiologists and cardiovascular surgeons alike.

Renowned as the essential reference for all venous specialists, phlebologists, vascular surgeons, and vascular medicine physicians, the fifth edition of the Handbook of Venous and Lymphatic Disorders: Guidelines of the American Venous Forum covers the investigation, prevention, evaluation, and treatment of venous and lymphatic disorders. The full spectrum of acute and chronic venous disorders, chronic lymphedema and chylous complications are included. New or entirely revised chapters discuss in detail basic considerations, diagnostic evaluation, management of acute venous thrombosis, and chronic venous disorders, including deep venous disease and venous ulcers. Medical treatments, including compression therapy, veno-active compounds, and new oral antithrombotic medications, are discussed. Minimally invasive endovascular techniques to treat deep vein thrombosis and pulmonary embolism with catheter-directed thrombolysis, pharmaco-mechanical, mechanical thrombectomy, and venous stenting are presented. Few areas in medicine have progressed as fast as minimally invasive outpatient treatment of chronic venous disease. Endovenous therapies include laser and radiofrequency ablation, liquid and foam sclerotherapy, minimally invasive surgery, cyanoacrylate embolization, mechanico-chemical or ultrasonic ablations, among others. Written by the world’s foremost venous experts, leaders of the American Venous Forum, and international authorities, the Handbook has become the most important reference for both day-to-day management and investigation of venous and lymphatic disorders.