Classification and grading of chronic venous disease in the lower limbs. A consensus statement

Beebe, Hugh G.; Bergan, John J.; Bergqvist, David; Eklöf, Bo; Eriksson, I; Goldman, Mitchel P.; Greenfield, Lazar J.; Hobson, Robert W.; Juhan, C.; Kistner, Robert L.; Labropoulos, Nicos; Malouf, G. Mark; Menzoı́an, James O.; Moneta, Gregory L.; Myers, Kenneth A.; Neglén, Peter; Nicolaides, Andrew; O’Donnell, Thomas F.; Partsch, Hugo; Perrin, Michel; Porter, John M.; Raju, Seshadri; Rich, Norman M.; Richardson, Gavin D.; Schanzer, Harry; Smith, Philip C.; Strandness, D. Eugene; Sumner, David S.

doi:10.1016/s1078-5884(96)80019-0

Cited by 193 publications

(85 citation statements)

References 30 publications

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“…All patients had symptomatic varicose veins with documented great saphenous vein (GSV) incompetence which were classified according to the clinical, etiologic, anatomic, pathophysiologic (CEAP) classification. 9) The patency of the deep venous system and severity and extent of reflux in the superficial venous system were evaluated preoperatively with duplex ultrasonography scanning. All duplex scans were performed with a color duplex system in the radiology department.…”

Section: Methodsmentioning

confidence: 99%

Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients

Arun

Öç

Duman

et al. 2014

ATCS

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Section: Methodsmentioning

confidence: 99%

Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients

Arun

Öç

Duman

et al. 2014

ATCS

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“…The varicose veins were of the great saphenous type, small saphenous type, or non-saphenous type in 34, 11, and 3 legs, respectively. The grading of varicose veins according to the clinical classification 11) was C2, C3, C4, C5, and C6 in 11, 6, 22, 6, and 3 legs, respectively. The indication for surgery was determined following the physical examination.…”

Section: Subjectsmentioning

confidence: 99%

Three-dimensional CT Venography: A Diagnostic Modality for the Preoperative Assessment of Patients with Varicose Veins

Sato

Orihashi

Takahashi

et al. 2011

Annals of Vascular Diseases

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Objective: We preoperatively assessed varicose veins by means of computed tomography (CT) with contrast injection in the veins of the lower extremity (CT venography). This paper reports the procedures, results and implications of CT venography from the surgical aspect. Methods: A total of 48 legs in 39 patients were examined. Contrast medium was diluted ten-fold and injected into the lower extremity veins, often using a dual route of injection. The images were reconstructed with the volume-rendering method. Results: CT venography clearly visualized the veins with a small amount of contrast medium and facilitated the identification of anatomy that was not suitable for passing the stripper. In addition, CT venography helped identify unusual types of varicose veins or uncommon sites of inflow of small saphenous veins. Such information was helpful for avoiding unexpected vascular injury or for minimizing skin incision. Dual-route injection was beneficial to minimize the blind zones. Doppler ultrasound could be more focused on hemodynamic assessment and determination of incision sites. Conclusions: CT Venography is feasible in all cases of varicose veins. When performed in conjunction with ultrasonography, it appears to facilitate the safe and efficient treatment of various types of varicose veins.

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“…Para evitar a inclusão de pessoas portadoras de IVC dos MMII na amostra, (fator que poderia interferir na quantidade do volume de edema acumulado nos MMII), somente foram admitidos participantes com membros classificados nas categorias C0 e C1 da graduação CEAP do Consenso Protocolado do Comitê Internacional em Doença Venosa (no qual C = clínica, E = etiologia, A = segmento anatômico e P = fisiopatologia), onde C0 equivale à ausência de sinais e sintomas de insuficiência venosa e C1 à presença somente de telangiectasias [12][13][14] .…”

Section: Métodounclassified

Influência do turno laboral na formação de edema dos membros inferiores em indivíduos normais

et al. 2008

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ResumoContexto: A presença de edema vespertino nos membros inferiores de indivíduos normais, após jornada habitual de trabalho, foi demonstrada na literatura nacional e internacional. O ritmo de formação e o acúmulo desse edema variam de acordo com os distintos turnos laborais.Objetivo: O edema de membros inferiores tem sido descrito após jornadas habituais de trabalho e representa uma queixa freqüente na prática vascular. O objetivo deste estudo foi avaliar a evolução do edema em indivíduos normais durante os distintos turnos laborais. Método:Foram feitas avaliações volumétricas de ambos os membros inferiores em 20 profissionais da área da saúde do Hospital e Maternidade São Marcos de Maringá, no Paraná. A escolha dos participantes foi por ordem de chegada, e as volumetrias foram feitas por técnica de deslocamento de água às 7, 13 e 19 h. Para análise estatística foi utilizado o teste t de Student, considerando erro alfa de 5%.Resultado: Dos 20 participantes, 19 eram do sexo feminino e 1 do masculino, sem evidência de doença venosa nos membros inferiores e pertencentes a C0 e C1 da classificação CEAP (C = clínica, E = etiologia, A = segmento anatômico, P = fisiopatologia). As idades dos participantes variaram entre 20 e 53 anos. Detectou-se aumento significativo de volume nos membros inferiores entre os distintos períodos avaliados, com p = 0,0001 e 0,0001, respectivamente. A maior variação ocorreu no período da manhã, com média ± desvio padrão de 107,2±63,5 mL, enquanto que à tarde, a variação foi de 44,5±35,4 mL. Conclusão:O edema é uma constante durante atividades laborais, mesmo em pessoas sem doença venosa manifesta e sofre influência do turno laboral ao qual o trabalhador se encontra exposto.Palavras-chave: Edema, insuficiência venosa, fisiologia do trabalho, turno laboral. AbstractBackground: Presence of evening edema of lower limbs in normal individuals after a regular working shift has been shown in the national and international literature. Formation rhythm and accumulation of this type of edema vary according to different work shifts.

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Classification and grading of chronic venous disease in the lower limbs. A consensus statement

Cited by 193 publications

References 30 publications

Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients

Endovenous Laser Ablation under General Anesthesia for Day Surgery: Feasibility and Outcomes of the 300 Patients

Three-dimensional CT Venography: A Diagnostic Modality for the Preoperative Assessment of Patients with Varicose Veins

Influência do turno laboral na formação de edema dos membros inferiores em indivíduos normais

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