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Xomed traitement varice
1.
THE FUNDAMENTALS OF
PHLEBOLOGY: Venous Disease for Clinicians Copyright © 2009 by American College of Phlebology An Introductory Lecture
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Copyright © 2009
by American College of Phlebology “ It is ironic that medical education does not cover three of the most common medical problems: back pain, hemorrhoids, and varicose veins.” P. Fujimura, MD Surgical Intern University of California School of Medicine
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The medical specialty
devoted to the diagnosis and treatment of patients with venous disorders Copyright © 2009 by American College of Phlebology PHLEBOLOGY
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THE SPECTRUM OF
CHRONIC VENOUS DISEASE Copyright © 2009 by American College of Phlebology lipodermatosclerosis telangiectasias varicose veins Superficial phlebitis venous ulceration
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Copyright © 2009
by American College of Phlebology Epidemiology: Who develops venous disease?
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The beginnings of
venous disease may be found as early as childhood Copyright © 2009 by American College of Phlebology Phlebologie. 1990 Nov-Dec;43(4):573-7. Weindorf N, Schultz-Ehrenburg U. 740 pts 10-12 y/o 518 pts 14-16 y/o 459 pts 18-20 y/o Diagnosable Vein disease 2.5% 12.3% 19.8% Actual Varicose Veins 0 1.7% 3.3%
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Varicose Veins are
3 times more common in women than men Copyright © 2009 by American College of Phlebology "Varicose veins." The Mayo Clinic. January 2007. http://www.mayoclinic.com
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Copyright © 2009
by American College of Phlebology Anatomy and Pathophysiology
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Copyright © 2009
by American College of Phlebology Illustration by Linda S. Nye
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Doppler exam: Normal
flow Copyright © 2009 by American College of Phlebology Illustration by Linda S. Nye
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Doppler: Reflux Copyright
© 2009 by American College of Phlebology Illustration by Linda S. Nye
26.
REFLUX : its
contribution to varicose veins Copyright © 2009 by American College of Phlebology Illustration by Linda S. Nye
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Copyright © 2009
by American College of Phlebology EVALUATION OF THE PATIENT WITH VENOUS DISEASE
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Skin changes suggestive
of chronic venous insufficiency Copyright © 2009 by American College of Phlebology Corona Phlebectatica (C1) Pigmentation (C4a) Atrophie blanche (C4b) Healed ulcer (C5)
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Venous ulceration Copyright
© 2009 by American College of Phlebology Impending ulceration Lipodermatosclerosis (C4a) Venous ulceration (C6)
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Copyright © 2009
by American College of Phlebology Conservative Treatment of Venous Disorders
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Copyright © 2009
by American College of Phlebology * Requires a prescription Compression Strength Indications 8-15mm Leg fatigue, mild swelling, stylish 15-20mm Mild aching, swelling, stylish 20-30mm Aching, pain, swelling, mild varicose veins 30-40mm * Aching, pain, swelling, varicose veins, post-ulcer 40-50, 50-60mm * Recurrent ulceration, lymphedema
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Copyright © 2009
by American College of Phlebology Current Approaches to the Treatment of Varicose Veins and Related
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Sclerotherapy of Telangiectasias:
Technique Copyright © 2009 by American College of Phlebology Injection of sclerosant solution causes damage to endothelium which leads to fibrosis of vein
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Sclerotherapy Results Copyright
© 2009 by American College of Phlebology Before After Photos courtesy of Steven Zimmet, MD, FACPh
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Sclerotherapy Results Copyright
© 2009 by American College of Phlebology Before After Ultrasound-guided sclerotherapy of the Great Saphenous Vein and sclerotherapy of branches Photos courtesy of Steven Zimmet, MD, FACPh
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Treatment Results Copyright
© 2009 by American College of Phlebology Before After Endovenous obliteration of the Great Saphenous Vein and phlebectomy of tributaries Photos courtesy of Steven Zimmet, MD, FACPh
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