Guest Editor(s)

• Prof. Dr. med. René Gordon Holzheimer

  Day Surgery Clinic for Veins and Hernia Sauerlach, Ludwig-Maximilians-University München, Munich, Germany.

  Website | E-mail

Special Issue Introduction

Varicose veins, chronic venous disease, superficial thrombophlebitis and deep vein thrombosis/veinous thrombotic events have been subjected to changes in recognition of pathophysiology, diagnosis and treatment during the last 10-15 years. New endovenous techniques have awakened large expectations with regard to treatment success and the hope to be followed by fewer complications. The dark side of randomized controlled trials and meta-analysis is the heterogeneity of studies that do not allow a comparison. With this in mind, the scope of this special issue is to give an overview of the evidence of risk factors, diagnosis, and therapy of varicose veins including chronic venous disease, superficial thrombophlebitis and deep vein thrombosis/venous thrombotic events. The authors are especially encouraged to give pros and cons to their results and conclusions.

Keywords

Varicose veins, high ligation, vein stripping, endovenous laser therapy, radiofrequency ablation, foam sclerosing therapy, deep vein thrombosis, compression therapy

Submission Deadline

31 Jan 2021

Submission Information

For Author Instructions, please refer to http://vpjournal.net/pages/view/author_instructions
For Online Submission, please login at https://oaemesas.com/login?JournalId=vp&SpecialIssueId=510
Submission Deadline: 31 Jan 2021
Contacts: Grace Zheng, Assistant Editor, grace@vpjournal.net

Planned Papers

Type: Original Article

Title: Deep vein thrombosis and venous ulcers of lower limbs: the patients’ history and ultrasound findings

Authors: Alberto Garavello, Stefania Gilardi, Paola Fiamma, Massimo Tozzi

Affiliations: Department of Emergency, San Filippo Neri Hospital, Rome 00135, Itlay.

Abstract: Aim: Ulcers of lower limbs affect 1% of Western population. In most cases, ultrasound shows only insufficiency of superficial veins (SV), but in many patients there is also insufficiency of the deep veins (DV). It may be postphlebitic, but sometimes there is not a clear history of Deep Vein Thrombosis (DVT). In this paper, we focused on these patients to highlight possible causes of DV insufficiency leading to ulcers, in absence of a previous DVT.

Methods: 124 lower limbs of patients with varicose ulcer (50 males - 74 females, at the age of 29 to 91, with the average of 70.6), were examined in our institution, with reference to DVT history; 57 patients were DVT positive (DVT +), and 67 DVT negative (DVT-). All patients underwent an history-taking and physical examination, and then an echocolordoppler study was carried out.

Results: Insufficiency of SV was substantially overlapping between two groups, insufficiency of DV was greater in DVT +; however, in left limbs of DVT- patients, there was an unexpected insufficiency of popliteal vein in 8 patients. It is possible that the patient cases suffered a silent TVP after a stripping operation (in 5 of 8 patients), while in others it may be a primary insufficiency.

Discussion: Status of DV in ulcer patients is crucial for both surgical therapy and prognosis; primitive DV insufficiency or an unrecognized DVT must always be kept in mind also in TVP- patients.

Keywords: Ulcer, deep vein thrombosis, varicose veins

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