Perioperative sclerotherapy. A survey of current practice by Italian phlebologically-active physicians.

Aim: To find out how and when Italian phlebologically-active physicians apply perioperative sclerotherapy.

Material And Methods: A questionnaire was e-mailed to the members of three different Italian Societies of Phlebology. The answers were collected in a database (SPSS19 for Windows) and statistically evaluated.

Endovenous laser treatment: is there a clinical difference between using a 1500 nm and a 980 nm diode laser? A multicenter randomised clinical trial.

Aim: We compared the use of two different laser wavelengths in the treatment of great saphenous vein (GSV) reflux: the 1500 nm versus the 980 nm diode laser. We studied the occlusion rates and noted possible side-effects.

Methods: In three centers 180 great saphenous veins were treated with endovenous laser ablation (EVLA).

[Thromboendarterectomy of the superficial femoral artery with a femoro-popliteal endoprosthesis. Technical note on a preliminary experience].

Background: The authors report an early experience with a new endovascular approach in the treatment of occlusive superficial femoral artery disease to evaluate the efficacy and the feasibility of the new technique.

Methods And Results: Four patients with disabling claudication or leg rest pain were treated for long segment occlusion of superficial femoral artery (SFA). A remote endarterectomy (EA) of SFAs has been performed using a single groin incision and a conventional Vollmar ring stripper to remove the entire atheroma core for a length of 20, 10, 9 and 8 cm.

[The predictiveness of the duplex scan method in monitoring a venous femoro-distal bypass].

The medium-term failure of femoro-distal revascularization using venous bypass is often preceded by the onset of intrinsic intraprosthetic lesions which, if not diagnosed, may develop and cause thrombosis in the venous prosthesis. The authors report their experience relating to the monitoring of these bypass operations using an echo-Doppler test which was found to be a sensitive and reliable method. In their opinion, frequent instrumental control may significantly reduce the number of occlusions in the venous prosthesis if a rapid surgical therapeutic approach is adopted towards those intraluminal lesions considered to represent a risk.