The authors describe herein a clinical case report regarding a 70-year-old woman presenting with lower-limb varicosity in the system of the great and small saphenous veins, aneurysmal dilatation of the proximal portion of the great saphenous vein, and an open trophic ulcer of the crus with concomitant hypertension and coronary artery disease. Given these factors, she was subjected to endovenous laser coagulation of the great and small saphenous veins, microfoam echosclerotherapy of the distal portion of the trunk of the great saphenous vein and an incompetent perforating vein of the crus, followed by complete obliteration thereof. On POD 7, she developed positive dynamics in the process of healing of the trophic ulcer, and on POD 50 the ulcer healed completely.
View Article and Find Full Text PDFThe purpose of the study was to evaluate efficacy of Diosmin (Phlebodia 600, Innothera, France) in treatment of patients presenting with class C0s-C3 chronic venous diseases (CVD) according to the CEAP classification. Presented herein are the results of a prospective observational study aimed at assessing the outcomes of two-month administration of Phlebodia 600 (600 mg diosmin) in patients suffering from class C0s-C3 CVD according to the CEAP classification. The study comprised a total of 868 patients, including 175 (20.
View Article and Find Full Text PDFObjective: to investigate criteria for selection of patients for radiofrequency ablation (RFA), as well as to assess the immediate and remote outcomes of comprehensive minimally invasive treatment of patients presenting with class C2-C6 chronic venous disease (CVD).
Material And Methods: we performed a total of 604 interventions in 512 patients (554 on the superior vena cava (diameter from 3 to 26 mm), 45 on the inferior vena cava (diameter from 3 to 14 mm), 5 on the anterior accessory veins (4-8 mm in diameter) The varicose veins were removed by means of compression sclerotherapy. The interventions were performed using tumescent anaesthesia in out-patient conditions.
Angiol Sosud Khir
November 2009
The article reviews the worldwide current literature devoted to one of the presently important problems, i. e., lowerlimb varicose disease, systematizing all available information concerning modern methods of examination and treatment of patients suffering from venous insufficiency, including operations, scler other apy, echo scler other apy, endovasal laser coagulation and radiofrequency ablation.
View Article and Find Full Text PDFThe paper presents the results of non-surgical outpatient treatment of 528 patients with lower limb varicose veins (C2-C6 CEAP classes) by echo-Foam-sclerotherapy and compression therapy. Patients were divided into 3 groups (1) patients with vertical veno-venous refluxes: total 315 echo-Foam-sclerotherapy procedures were fulfilled on 202 great saphenous veins (GSV) and 113 lesser saphenous veins (LSV) - occlusion was achieved in 305 cases (96.8%); (2) patients with recurrent varices or after crossectomy (separation of sapheno-popliteal junction): 265 echo-Foam-sclerotherapies on GSVs and/or LSVs - occlusion was achieved in 262 cases (98.
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