ABVLM Exam Glossary (20160129)

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ABVLM Glossary of Abbreviations AAGSV Anterior Accessory Great Saphenous Vein EHIT Endovenous Heat-Induced Thrombus ABI Ankle-Brachial Index EKG Electrocardiogram ACCP American College of Chest Physicians EVA Endovenous Ablation AM Morning (Ante Meridiem) EVTA Endovenous Thermal Ablation AMA American Medical Association FDA Food & Drug Administration aPTT Activated Partial Thromboplastin Time FFP Fresh Frozen Plasma AV Arteriovenous GSV Great Saphenous Vein AVF American Venous Forum HIT Heparin-Induced Thrombocytopenia AVM Arteriovenous Malformation Hz Hertz AVP Ambulatory Venous Pressure IFU Indications for Use BP Blood Pressure INR International Normalized Ratio BMI Body Mass Index IVC Inferior Vena Cava CCSVI Chronic Cerebrospinal Venous Insufficiency IVUS Intravascular Ultrasound CHIVA Cure Conservative et Hémodynamique de J Joules l'Insuffiscense Veineuse en Ambulatoire kg Kilogram CDT Catheter-Directed Thrombolysis KTS Klippel-Trenaunay Syndrome CFA Common Femoral Artery LDS Lipodermatosclerosis CFV Common Femoral Vein LMWH Low Molecular Weight Heparin CHF Congestive Heart Failure LVEF Left Ventricular Ejection Fraction cm Centimeter µM Micron CT Computed Tomography mg Milligram CVA Cerebral Vascular Accident MHz Megahertz CVI Chronic Venous Insufficiency mL Milliliter DUS Duplex Ultrasound mm Millimeter DVT Deep Vein Thrombosis mmHg Millimeters of Mercury 2016 Glossary of Abbreviations | 1 of 2 Revised 1.29.2016 ABVLM Glossary of Abbreviations MRA Magnetic Resonance Angiography SEPS Subfascial Endoscopic Perforator Surgery MRI Magnetic Resonance Imaging SFJ Saphenofemoral Junction MRV Magnetic Resonance Venography SOB Shortness of Breath ms Millisecond SPJ Saphenopopliteal Junction nm Nanometer SSV Small Saphenous Vein NSAID Non-Steroidal Anti-Inflammatory Drug(s) STS Sodium Tetradecyl Sulfate OR Operating Room SVC Superior Vena Cava PAD Peripheral Arterial Disease SVS Society of Vascular Surgery PCC Prothrombin Complex Concentrate SVT Superficial Venous Thrombophlebitis PE Pulmonary Embolism TGF-α Transforming Growth Factor – Alpha PET Positron Emission Tomography TGF-β1 Transforming Growth Factor – Beta PICC Peripherally-Inserted Central Catheter TNF-α Tumor Necrosis Factor – Alpha PFO Patent Foramen Ovale TNF-β1 Tumor Necrosis Factor – Beta PMT Pharmacomechanical Thrombolysis TT Thrombin Time PPG Photoplethysmography UFH Unfractionated Heparin PRF Pulse Repetition Frequency UGFS Ultrasound-Guided Foam Sclerotherapy PT Prothrombin Time UGS Ultrasound-Guided Sclerotherapy PTS Post-Thrombotic Syndrome VCSS Venous Clinical Severity Score PTT Partial Thromboplastin Time VFI Venous Filling Index QoL Quality of Life VTE Venous Thromboembolism REVAS Recurrent Varices After Surgery Y/O Year Old RF Radiofrequency > Greater Than RFA Radiofrequency Ablation ≥ Greater Than or Equal to S Seconds < Less Than SC Subcutaneous ≤ Less Than or Equal To 2016 Glossary of Abbreviations | 2 of 2 Revised 1.29.2016 .

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Clinical Case: Post-Procedure Thrombophlebitis
Clinical Case: Post-procedure Thrombophlebitis A 46 year old female presented with long-standing history of right lower limb fatigue and aching with prolonged standing. Symptoms –Aching, cramping, heavy, tired right lower limb –Tenderness over bulging veins –Symptoms get worse at end of the day –She feels better with lower limb elevation and application of elastic compression stockings (ECS) History Medical and Surgical history: Sjogren syndrome, mixed connective tissue disease, GERD, IBS G2P2 with C-section x2, left breast biopsy No history of venous thrombosis Social history: non-smoker Family history: HTN, CAD Allergies: None Current medications: Pantoprazole Physical exam Both lower limbs were warm and well perfused Palpable distal pulses Motor and sensory were intact Prominent varicosities Right proximal posterior-lateral thigh and medial thigh No ulcers No edema Duplex ultrasound right lower limb GSV diameter was 6.4mm and had reflux from the SFJ to the distal thigh No deep venous reflux No deep vein thrombosis Duplex ultrasound right lower limb GSV tributary diameter 4.6mm Anterior thigh varicose veins diameter 1.5mm-2.6mm with reflux No superficial vein thrombosis What is the next step? –Conservative treatment – Phlebectomies –Sclerotherapy –Thermal ablation –Thermal ablation, phlebectomies and sclerotherapy Treatment Right GSV radiofrequency ablation Right leg ultrasound guided foam sclerotherapy with 0.5% sodium tetradecyl sulfate (STS) Right leg ambulatory phlebectomies x19 A compression dressing and ECS were applied to the right lower limb after the procedure. Follow-up 1 week post-procedure –The right limb was warm and well perfused –There was mild bruising, no infection and signs of mild thrombophlebitis –Right limb venous duplex revealed no deep vein thrombosis and the GSV was occluded 2 weeks post-procedure –Tender palpable cord was found in the right thigh extending into the calf with overlying hyperpigmentation.
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Study of Variation of Great Saphenous Veins and Its Surgical Significance (Original Study)
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 17, Issue 2 Ver. 10 February. (2018), PP 21-26 www.iosrjournals.org Study of Variation of Great Saphenous Veins and Its Surgical Significance (Original Study) Dr Surekha W. Meshram1, Dr. Yogesh Ganorkar2, Dr V.P. Rukhmode3, Dr. Tarkeshwar Golghate4 1(M.B.B.S,M.D) Associate Professor, Dept. of Anatomy Govt. Medical College Gondia, Maharashtra 2(M.B.B.S,M.D) Assistant Professor, Dept. of Anatomy Govt. Medical College Gondia, Maharashtra 3 (M.B.B.S, M.S) Professor and Head, Dept. of Anatomy Govt. Medical College Gondia, Maharashtra 4(M.B.B.S, M.D) Assiciate Professor, Dept. of Anatomy Govt. Medical College, Nagpur, Maharashtra Corresponding Author: Dr. Surekha W. Meshram Abstract Introduction: Veins of lower limbs are more involves for various venous disorders as compare to upper limbs. Most common venous disorders occurring in lower limbs are varicose veins, deep venous thrombosis and venous ulcers. Varicose veins are found in large population of world affecting both the males and females. Surgical operations are performed in all over the world to cure it. In the varicose vein surgery, surgeon successfully do the ligation as well as stripping of the great saphenous vein and its tributaries. Duplication of a great saphenous vein can be a potential cause for recurrent varicose veins after surgery as well as complications may occur during the surgery. Method: The present study was done by dissection method on 50 lower limbs of cadavers. Its aim was to identify the incidence and pattern of duplication of long saphenous vein in Indian population.
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Five-Year Results of a Merger Between Vascular Surgeons and Interventional Radiologists in a University Medical Center
From the Eastern Vascular Society Five-year results of a merger between vascular surgeons and interventional radiologists in a university medical center Richard M. Green, MD, and David Waldman, MD, PhD, for the Center for Vascular Disease* Rochester, NY Objectives: We examined economic and practice trends after 5 years of a merger between vascular surgeons and interventional radiologists. Methods: In 1998 a merger between the Division of Vascular Surgery and the Section of Interventional Radiology at the University of Rochester established the Center for Vascular Disease (CVD). Business activity was administered from the offices of the vascular surgeons. Results: In 1998 the CVD included five vascular surgeons and three interventional radiologists, who generated a total income of $5,789,311 (34% from vascular surgeons, 24% from interventional radiologists, 42% from vascular laborato- ries). Vascular surgeon participation in endoluminal therapy was limited to repair of abdominal aortic aneurysms (AAAs). Income was derived from 1011 major vascular procedures, 10,510 catheter-based procedures in 3286 patients, and 1 inpatient and 3 outpatient vascular laboratory tests. In 2002 there were six vascular surgeons (five, full-time equivalent) and four interventional radiologists, and total income was $6,550,463 despite significant reductions in unit value reimbursement over the 5 years, a 4% reduction in the number of major vascular procedures, and a 13% reduction in income from vascular laboratories. In 2002 the number of endoluminal procedures increased to 16,026 in 7131 patients, and contributions to CVD income increased from 24% in 1998 to 31% in 2002. Three of the six vascular surgeons performed endoluminal procedures in 634 patients in 2002, compared with none in 1998.
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Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins
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Spider Vein and Varicose Vein Treatments
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Our Vascular Surgery Capabilities Include Treatment for the Following
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Veins of the Lower Extremity USMLE, Limited Edition > Gross Anatomy > Gross Anatomy
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Persistent Below-Knee Great Saphenous Vein Reflux After Above
ORIGINAL ARTICLE Persistent below-knee great saphenous vein reflux after above-knee endovenous laser ablation with 1470-nm laser: a prospective study Persistência do refluxo da veia safena magna na perna após termoablação com laser 1470 nm na coxa: estudo prospectivo 1 1 1 1 Walter Junior Boim de Araujo *, Jorge Rufino Ribas Timi , Carlos Seme Nejm Junior , Fabiano Luiz Erzinger , Filipe Carlos Caron1 Abstract Background: In endovenous laser ablation (EVLA), the great saphenous vein (GSV) is usually ablated from the knee to the groin, with no treatment of the below-knee segment regardless of its reflux status. However, persistent below-knee GSV reflux appears to be responsible for residual varicosities and symptoms of venous disease. Objectives: To evaluate clinical and duplex ultrasound (DUS) outcomes of the below-knee segment of the GSV after above-knee EVLA associated with conventional surgical treatment of varicosities and incompetent perforating veins. Methods: Thirty-six patients (59 GSVs) were distributed into 2 groups, a control group (26 GSVs with normal below-knee flow on DUS) and a test group (33 GSVs with below-knee reflux). Above-knee EVLA was performed with a 1470-nm bare-fiber diode laser and supplemented with phlebectomies of varicose tributaries and insufficient perforating-communicating veins through mini-incisions. Follow-up DUS, clinical evaluation using the venous clinical severity score (VCSS), and evaluation of complications were performed at 3-5 days after the procedure and at 1, 6, and 12 months. Results: Mean patient age was 45 years, and 31 patients were women (86.12%). VCSS improved in both groups.
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An Anatomical Study on the Variations of Short Saphenous Vein and Its Termination
Available online at www.ijmrhs.com International Journal of Medical Research & ISSN No: 2319-5886 Health Sciences, 2016, 5, 3:28-33 An anatomical study on the variations of short saphenous vein and its termination *Anbumani T. L., Anthony Ammal S. and Thamarai Selvi A. Department of Anatomy, Karpaga Vinayaga Institute of Medical Sciences, Madurantagam, Tamil Nadu, India corresponding Email: [email protected] _____________________________________________________________________________________________ ABSTRACT The short saphenous vein represents the post axial vein of developing limb bud. It is the continuation of lateral marginal vein. The short saphenous vein terminates in the popliteal vein in the popliteal fossa. Short saphenous vein varicosities are common. Recurrence of varicose vein after surgery is a frequent cause of medico legal problems. A thorough analysis on the presence of variations in the short saphenous vein and its termination is mandatory. Hence, the present study is conducted to observe the variations of the short saphenous vein in cadavers, enlightening the clinical significance for a better therapeutic outcome. 50 lower limbs from 25 embalmed cadavers of both the sexes are used for this study. Conventional dissection method is followed. In the present study, 54% of short saphenous vein terminates only into the popliteal vein at the popliteal fossa, 30% short saphenous vein terminates into the great saphenous vein, 8% of short saphenous vein terminates into the inferior gluteal vein and 8% of short saphenous vein terminates into the femoral vein. A proper knowledge about the anatomy of the short saphenous vein and its communications with other veins and mode of termination of short saphenous vein is mandatory for a safe and successful intervention.
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