Venous Disorders

A guide to diagnosis of today's venous statis disorders (venous telangiectasias, varicose veins, chronic venous statis disease), intended for vascular and general surgeons. Describes modern treatments of deep venous thrombosis and its manifestations of acute and chronic pulmonary embolization.

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.

New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.

Venous disorders are extremely common in clinical practice, and recent years have seen a number of changes in the treatment of these conditions. This book covers the advances in our understanding and the management of venous disorders – both superficial and deep. It includes up-to-date reviews on the hemodynamics of venous circulation in the lower limbs, deep venous reflux, novel biomarkers in deep vein thrombosis, post thrombotic syndrome, infra-popliteal DVT, relevance of wave length in laser treatment of varicose veins, pelvic congestion syndrome, May-Thurner syndrome, nut cracker syndrome, endothermal heat-induced thrombosis, recurrent varicose veins, and venous trauma. It also discusses important topics such as one-stop vein clinics, alternatives for venous ulcer treatment, venous anatomy, therapeutic options in lymphedema, nerve damage during endovenous thermal ablation, newer oral anticoagulants, compression therapy for venous ulcer, sclerotherapy for varicose veins and thrombolysis for DVT. Written by leading experts in their field, this book is a key resource for practicing vein physicians and surgeons, and postgraduates in surgery training programs, enabling them to incorporate the latest advances into their day-to-day practice.

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.

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.

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.

The Social Security Administration (SSA) uses a screening tool called the Listing of Impairments to identify claimants who are so severely impaired that they cannot work at all and thus immediately qualify for benefits. In this report, the IOM makes several recommendations for improving SSA's capacity to determine disability benefits more quickly and efficiently using the Listings.