Acta Phlebologica

BACKGROUND: Incompetence at the Sapheno-femoral junction (SFj) is the most common cause (70%) of varicose veins. NICE guidelines recommended thermal ablation as the first line of treatment of varicose veins. Microwave ablation has all the advantages of radiofrequency ablation and the latest laser fibers. It does not become in contact with the vein wall and acts on the water within the cells of the vessel wall. The first case was performed in February 2019 by Mark Whitely in London. We started our study six months later. Proving the safety and efficacy of microwave catheter ablation in the treatment of varicose veins.METHODS: Ten patients admitted to Alexandria Military Hospital starting from August 1st 2019 to December 30th 2019 with primary varicose veins (C2-5). All were treated by microwave ablation of GSV.RESULTS: The age of participants was 35.6+0.2 years (M/F: 6/4). Dilated veins were on isolated left lower limb in6 patients and one patient on the right side while 3 patients had bilateral varicosities. The mean Vein diameter was +9.2 MM. (6-15 MM). All patients were treated by microwave catheter flush to the SFJ. With tumescent Anesthesia and showed absent reflux postablation. All patients ran a smooth postoperative course without major complications. Pain score dropped to 5.4, responded well to simple analgesia.CONCLUSIONS: Microwave catheter ablation is a safe and effective method in the treatment of varicose veins with an expected lower recurrence rate and fewer complications than laser or radiofrequency ablation of varicose veins.

Ayman M. FAKHRY

Sohiel A. NAGIB

Armia N. SARGIOUS

Endovenous microwave ablation of varicose veins: early Egyptian experience

静脉曲张的静脉内微波消融术：早期埃及经验

BACKGROUND: Typically, venous ulcers are recurrent in nature and with increased treatment cost leads to personal, social, mental and economic impact affecting Quality of Life (QoL). Generic tools are widely available in various languages have been frequently used to assess QoL. Among the various specific tools, Charing Cross Venous Leg Ulcer (CCVLU) Questionnaire showed high reliability, validity and responsiveness and shows good correlation with SF-36 in assessing HRQoL (Health related Quality of Life).METHODS: This study included 50 patients with venous ulcer and 56 limbs (six patients had bilateral ulcers). Quality of Life of venous ulcer patients was assessed by using SF-36 Questionnaire, The Charing Cross Venous Ulcer Questionnaire (CXVUQ) and Revised venous clinical severity score (VCSS), the changes in Quality of Life after treatment was compared to initial presentation in venous ulcer patients.RESULTS: After treatment, venous ulcer healed in all, except in 7 (12.5%) patients. Recurrence of venous ulcer was seen in 12 (21.43%) limbs. Quality of Life of patients prior to treatment and after the treatment by using SF-36 Questionnaire, Charing Cross Venous Ulcer Questionnaire, Revised Venous Clinical Severity Score showed that there was significant improvement in Quality of Life of patients after treatment with P value of <0.001.CONCLUSIONS: In our study, we found significant improvement in Quality of Life in patients of Venous ulcers after giving various modality of treatment which included Endovascular intervention and Four-layer dressing.

Satyendra K. TIWARY

Manoj KUMAR

Soumya KHANNA

Puneet KUMAR

Ajay K. KHANNA

Assessment of Quality of Life in venous ulcer

静脉溃疡生活质量评估

Daniela RADU

Training path for European phlebologists

欧洲静脉学家培训路径

Cestmir RECEK

The interplay of two sources refilling the venous volume ejected from the lower leg

下肢静脉射血容积补充的两源相互作用

BACKGROUND: We offer the method of endovenous welding, in which the ablation of incompetent saphenous trunks executed under the influence of high-frequency current in automatic mode with relatively low heating. The aim of this study was to analyze the results of elaboration and clinical application of the endovenous welding.METHODS: The impact of the endovenous welding was studied during the bench tests on remote segments of vena saphena magna with determination of electric parameters, temperature and morphological changes. The results of application of the method in 116 operations of 87 patients with chronic venous diseases C2-C3 (CEAP) were determined. Endovenous welding was executed in accordance with generally accepted methodology. Criteria for evaluating of the results: the intensity of postoperative pain, ultrasound data, complications.RESULTS: The welding in each of different areas of veins has been lasted for 12 seconds with heating to 55-80 °С, resulted in denaturation of the venous wall without damage of paravasal fatty tissue. The absence of postoperative pain was detected at 67 (57.7%) cases, moderate pain - at 49 (42.3%). After the 6-month fibrosis of target veins was detected in 116 (100%) cases. No complications were detected.CONCLUSIONS: Endovenous welding allows to perform the controlled ablation based on denaturation of the venous wall. The results of the application of method are encouraging fibrosis of the target veins during the observation period of 12 months were obtained in 100% of cases. The automatic mode of welding provides relatively low heating, eliminates the influence of subjective factors on the ablation results, which makes it possible to use method including patients with large diameter veins.

Larysa М. CHERNUKHA

Vladislav S. HORBOVETS

Мykhailo V. CHEKHLOV

Olena O. DYADYK

Valentin А. KHODOS

Hlib O. MELNYCHUK

Sophia V. HORBOVETS

Modern possibilities of usage of the endovenous welding in the treatment of patients with chronic venous diseases: method basics and applications results

慢性静脉疾病患者治疗中静脉内焊接的现代应用可能性：方法基础与应用结果

Christian BARALDI

Daniele BISSACCO

Mauro PINELLI

Michele RUGGIERO

Pier L. ANTIGNANI

Endovenous laser ablation in treating perforating veins: technical notes and 1-year outcomes

静脉内激光消融治疗穿通静脉的技术要点及1年疗效

Paolo TONDI

Roberto POLA

Anticoagulant therapy today: from DOACS to factor XI inhibitors

当今抗凝治疗：从直接口服抗凝剂到因子XI抑制剂

Fernando CONTRERAS CISNEROS

Fernando VEGA RASGADO

Javier SERRALDE GALLEGOS

Lourdes A. VEGA RASGADO

Francisco VILCHES DURÁN

Six years' experience in Mexico with the use of mechanical-ablative procedures

墨西哥六年机械消融手术应用经验

Sayed YOUNIS

Ahmed G. KARMOTA

Mahmoud SALAH

Ahmed ALGHITANY

Baker GHONEIM

Cutting balloon angioplasty in the treatment of failing arterio-venous fistula: efficacy and outcomes

切割球囊血管成形术在治疗失败的动静脉瘘中的疗效和结果

Vladislav O. POVAROV

Roman E. KALININ

Nina D. MZHAVANADZE

Olga N. ZHURINA

Igor A. SUCHKOV

Predictors of upper extremities veins obstruction in patients with permanent pacemakers

永久起搏器患者上肢静脉阻塞的预测因素

短名
Journal Impact	0.24
国际分区	PERIPHERAL VASCULAR DISEASE(Q4)

ISSN	1593-232X, 1827-1766
h-index	10

涉及主题	医学内科学外科心理学放射科生物精神科病理心脏病学
出版信息	出版商: Edizioni Minerva Medica S.p.A.，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2013，原创研究文献占比: 88.89%，自引率:50.00%， Gold OA占比: 2.00%

Acta Phlebologica

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