Though popular, the beneficial hemodynamic and performance effects of stockings in sport are controversial. Some of the evidence is discussed below. OSWALDO T CASTILHO JR Compression stockings are the universal conservative treatment option for the majority of venous disorders. Their use has been extended in sporting activities where they are growing in popularity. This is… Read More »
Bi-planar contrast venography from a direct venous puncture is a common investigation in patients with suspected non-thrombotic iliac venous lesions (NIVLs). Some authors have proposed that intravascular ultrasound (IVUS), also via a direct venous puncture, should be used as the gold standard to identify and characterize iliac vein lesions prior to stenting. Recently, the requirement… Read More »
Pelvic congestion syndrome (PCS) can be defined as a prolonged pressurisation of the venous networks of the pelvis. The condition occurs predominantly in women, especially after childbirth. However, men can be affected because there is debate as to whether PCS is a significant contributor to haemorrhoidal disease. The haemodynamic pathophysiology includes obstruction or reflux of… Read More »
Quantifying success in varicose vein surgery is a daunting task. The black and white duplex ultrasound end-point of above knee saphenous occlusion/stripping has no scale, does not take into account perforating veins, disregards the state of the saphenous vein below the knee and ignores extra-saphenous sources of reflux. Air-plethysmography (APG) is a global assessment of… Read More »
Deep vein thrombosis (DVT) is a serious and relatively common thrombo-embolic event. Many remain undetected and a pulmonary embolism may be the first presentation of a silent DVT. Other mechanisms of resolution include spontaneous lysis, clot retraction, and organisation with partial recanalisation. Research into the mechanisms of lysis may unravel why some thrombi resolve spontaneously… Read More »
Combined modalities are gaining popularity for the treatment of varicose veins. The aim is to provide a more complete treatment at the primary procedure which may not be possible using a single technique. The commonest example is endothermal ablation with concurrent phlebectomies (varicose vein removal). In this set-up both the refluxing saphenous trunk is treated… Read More »