Phlebography of the lower limb

Halliday, Peter

doi:10.1002/bjs.1800550315

Cited by 13 publications

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References 9 publications

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“…Linton [6] described his method of management 50 years ago. This article is offered as a tribute to these 2 great surgeons as it is an attempt to enlarge on their observations and operative recommendations [7][8][9][10].…”

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Development of the postthrombotic syndrome: Its management at different stages

Halliday

1990

World j. surg.

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The postthrombotic syndrome consists of clinical features which follow thrombosis of deep venous return of the limb. Patterns of postthrombotic changes remain difficult to predict and once established, difficult to contain and reverse. Following a thrombotic event of the lower limb, 3 clinical stages can be observed which may be followed by intervening quiescent intervals. Stage I, or the early phase, is characterized by the residual obstructive process following acute venous occlusion. This can be manifested by either a bursting type of pain (venous claudication) or edema of the leg. A thrombotic process can involve the calf veins, thigh veins, pelvic veins, or any combination of the three. Specific clinical syndromes develop depending on the venous pump system involved. The venous pump system consists of the plantar calf pump and the thigh pump. These serve to propel blood upward. Involvement of any one or more of the 3 in the thrombotic processes can result in a relative obstruction with a specific pattern of clinical symptoms. Optimally, the venous thrombotic process should be treated during this early phase to prevent the subsequent events which may render the process irreversible. The second stage of the postthrombotic syndrome consists of the development of fat sclerosis. At this stage, the process becomes progressively irreversible as the extravasation of fibrin into the interstitial space results in progressive fibrosis and sclerosis. This results in damage to the skin and subcutaneous tissues which render the process irreversible. Specific treatment, while still introducible at this stage, can halt the progress of the syndrome, but rarely results in complete reversal.(ABSTRACT TRUNCATED AT 250 WORDS)

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confidence: 99%

Development of the postthrombotic syndrome: Its management at different stages

Halliday

1990

World j. surg.

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“…Ή τεχνική της ανιούσης καί της πυελικής φλεβογραφίας έχει περιγραφή υπό πολλών ερευνητών (Dow 1951, Gryspeerdt 1953, Greitz 1955, Gullmo 1956, Craig & Snell 1966, Halliday 1968, Rabinov & Paulin 1972καί Thomas 1972. Ή ημετέρα τεχνική της ανιούσης φλεβογραφίας έχει δοθή είς τό είδικόν μέρος.…”

Section: γ) κλινικη εικωνunclassified

“…Έπί ένδοοστικής ενέσεως τής σκιερας ουσίας π. χ. εις τό κάτω άκρον, αΰτη άπό του μυελού των οστών πορεύεται δια μέσου των φλεβών του περιο στέου είς τάς εν τφ βάθει φλέβας, άνευ τής εφαρμογής ελαστικών ταινιών περί τήν ποδοκνημικήν άρθρωσιν. (Halliday 1968).…”

Section: γ) κλινικη εικωνunclassified

Ανακαλυψις Θρομβων Εις Τας Εν Τω Βαθει Φλεβας Των Κατω Ακρων Και Της Πυελου Δι'αμφοτεροπλευρου Ενωσεως Ανθρωπινης Λευκωματινης Σεσημασμενης Δια 99-Τ-Cm Ως Προκαταρκτικη Εξετασις Δια Τον Σπινθηρογραφικον Ελεγχον Των Πνευμονων

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The place of subfascial ligation of perforating veins in the treatment of the post-phlebitic syndrome

Halliday

1971

Journal of British Surgery

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Subfascial ligation of incompetent perforating veins was employed in the treatment of 103 patients. The patients were selected on clinical grounds and the existence of perforating veins was established by phlebography. The description of the technique employed stresses details contributing to safe and rapid healing when a radical exploration is performed through skin and subcutaneous tissues of poor vitality. The role of subfascial ligation in the treatment of the post‐phlebitic syndrome is to control the disordered venous return consequent on obstruction of the calf‐muscle pump. As such, the procedure is one part of the treatment of the limb as a whole.

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Phlebography of the lower limb

Cited by 13 publications

References 9 publications

Development of the postthrombotic syndrome: Its management at different stages

Development of the postthrombotic syndrome: Its management at different stages

The place of subfascial ligation of perforating veins in the treatment of the post-phlebitic syndrome

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