New Endovascular Techniques
Endovenous thermal ablation for refluxing great saphenous veins (GSVs) has become increasingly common in practice over the past decades and has proven safe and effective, 1, 2, 3 replacing traditional…
Sclerotherapy
Venous sclerotherapy is the targeted injection of a chemical irritant into the lumen of a vein to produce inflammation, occlusion, and eventual fibrosis. A small amount of damage to the…
Compression Therapy
Compression therapy has been used for thousands of years in the practical treatment of wounds and ulcers, with the earliest documentation of compression bandages dating back to the Neolithic Age…
Clinical Exam
The Society for Interventional Radiology, Cardiovascular Interventional Radiological Society of Europe, American College of Phlebology, Canadian Interventional Radiology Association, the Society for Vascular Surgery, and the American Venous Forum have…
Ambulatory Phlebectomy
Hippocrates is credited with performing the first phlebotomy to treat a varix circa 400 BC. 1 However, the surgical treatment of varicose veins was first described in detail by Aulus…
Safety, Quality, and Complications
Adverse events and complications related to interventional procedures can still occur despite the best efforts of the phlebologists. The culture of safety in health care has been extensively promoted and…
Hybrid Reconstruction for Post-thrombotic Iliofemoral Venous Obstruction
Fig. 39.1 Ascending phlebogram in prone position the day prior to the operative procedure. The sheath and catheter were accessed through the left popliteal vein. Note occlusion of the left…
Retrieval of Inferior Vena Cava Filters
Filter Maximal IVC diameter (mm) Material Mean duration of implantation (range)a Denali (Bard Peripheral Vascular, Tempe, AZ) 28 Nitinol 140 days (5–454 days) Günther-Tulip (Cook Medical Inc., Bloomington, IN) 30 Conichrome 11 days…
Surgical Management of Pulmonary Embolism
Age, race, gender Behavior Disorders Treatments Old > young Prolonged travel Cancer Surgery Blacks > whites Sedentary lifestyle Antiphospholipid antibody syndrome Chemotherapy Men > women – Polycythemia vera Hormone therapy – – Genetic mutations – Studies…
