Surgical Thrombectomy for Deep Vein Thrombosis
Fig. 26.1 Open thrombectomy of infrainguinal veins . The femoral veins (a) and the posterior tibial vein (c) are controlled via separate incisions. The Fogarty balloon is introduced from the…
Strategies to Treat Venous Reflux Disease
Fig. 15.1 Simplified treatment algorithm for chronic venous disease (CVD) Clinical Exam and Imaging A proper history should always include a review of previous ulcers, vein surgeries (for harvest or…
Venous Reconstruction in Oncologic Surgery
Fig. 41.1 The Neves and Zincke classification indicating cephalad extent of inferior vena cava tumor thrombus. Level I tumor thrombus is located and confined to <2 cm above renal vein….
Controversies in the Diagnosis and Management of Distal Deep Vein Thrombosis
Source, year Patients (n) Prevalence of DVT (%) Proportion of proximal DVTs detected by the second CUS % (95% CI) Three-month thromboembolic risk, % (95% CI)a Birdwell et al. [22],…
Wound Care Management for Venous Ulcers
C0: No visible or palpable signs of venous disease C1: Telangiectases or reticular veins C2: Varicose veins C3: Edema C4a: Pigmentation and eczema C4b: Lipodermatosclerosis and atrophie blanche C5: Healed…
Treatment of Incompetent Perforating Veins
Fig. 13.1 Endovenous thermal ablation of perforators. (a) Duplex image showing the perforating vein before EVLT; (b) The EVLA fiber placed into the perforator at the level of the fascia;…
Medical Management of Pulmonary Embolism
Fig. 29.1 Computed tomographic pulmonary angiogram demonstrating bilateral filling defects in the branches of the pulmonary arteries (white arrows), which are diagnostic of acute pulmonary embolism. (a) A “four-chamber view”…
Upper Extremity Deep Vein Thrombosis
Fig. 27.1 Deep veins that may be involved in upper extremity deep vein thrombosis (SVC, superior vena cava) In the absence of direct evidence, current treatment recommendations are largely extrapolated…
Cosmetic Approach to Varicose Veins: The ASVAL Technique
Fig. 14.1 Theory of anterograde evolution of the superficial venous insufficiency from the tributaries up to the saphenofemoral junction. The reflux starts in the tributaries (a). The saphenous vein is…
Anticoagulation for Proximal Deep Vein Thrombosis
Strong risk factors •Recent surgery •Recent trauma or fracture •Immobilization/bedbound >1 week Minor risk factors •Estrogen therapy •Pregnancy or within 3 months postpartum •Prolonged travel Adapted using information from [30, 49, 103]…
