The purpose of this trial was to evaluate the clinical effect of Veinotonyl 75 in 42 women, 42 +/- 11 years old, with orthostatic cyclic edema. The main evaluation criterion was the result of a capillary filtration test with 99 mTc albumin which was performed at day 0 and at day 30 after treatment. At day 0, all the women had abnormal results ie an albumin retention > or = 8% (mean: 14.3% +/- 4.8%). At day 30, 75% of the patients were normalized in the Veinotonyl 75 group versus 38% in the placebo group (p < 0.02). The albumin retention in Veinotonyl 75 group was under the pathological level (mean: 5.2% +/- 4.8%) while it was over in the placebo group (mean: 9.4% +/- 7%). This study confirms the activity of Veinotonyl 75 on capillar protein hyperfiltration and on return venous circulation.
{"title":"[Effect of veinotonyl 75 on the capillary permeability test using technetium albumin in cyclic orthostatic edemas].","authors":"A Behar, P Nathan, M Lavieuville, F A Allaert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this trial was to evaluate the clinical effect of Veinotonyl 75 in 42 women, 42 +/- 11 years old, with orthostatic cyclic edema. The main evaluation criterion was the result of a capillary filtration test with 99 mTc albumin which was performed at day 0 and at day 30 after treatment. At day 0, all the women had abnormal results ie an albumin retention > or = 8% (mean: 14.3% +/- 4.8%). At day 30, 75% of the patients were normalized in the Veinotonyl 75 group versus 38% in the placebo group (p < 0.02). The albumin retention in Veinotonyl 75 group was under the pathological level (mean: 5.2% +/- 4.8%) while it was over in the placebo group (mean: 9.4% +/- 7%). This study confirms the activity of Veinotonyl 75 on capillar protein hyperfiltration and on return venous circulation.</p>","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 4","pages":"721-31"},"PeriodicalIF":0.3,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19107887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thanks to ultrasonography it is possible to obtain more precise therapeutic indications. Dynamic scintigraphy of varicose veins is the result of pulsated Doppler but almost of colour Doppler that completely modifies the understanding of phenomenons. The aim of this complete examination is to avoid either haemodynamic or anatomical tramps. If need be, pre-operative echo-marking will follow scintigraphy. To achieve scintigraphy the first imperative is to investigate the main "vanishing points" between deep and superficial systems. Then it is necessary to locate the main incontinent axis to erradicate. From this complete examination it is possible to infer a treatment adapted to every case. This new tactical approach of diagnostic and therapy is to strengthen relationship and dialogue between the angiologist practitioner and the surgeon.
{"title":"[Preoperative cartography of varices].","authors":"G Franco","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Thanks to ultrasonography it is possible to obtain more precise therapeutic indications. Dynamic scintigraphy of varicose veins is the result of pulsated Doppler but almost of colour Doppler that completely modifies the understanding of phenomenons. The aim of this complete examination is to avoid either haemodynamic or anatomical tramps. If need be, pre-operative echo-marking will follow scintigraphy. To achieve scintigraphy the first imperative is to investigate the main \"vanishing points\" between deep and superficial systems. Then it is necessary to locate the main incontinent axis to erradicate. From this complete examination it is possible to infer a treatment adapted to every case. This new tactical approach of diagnostic and therapy is to strengthen relationship and dialogue between the angiologist practitioner and the surgeon.</p>","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 4","pages":"621-8"},"PeriodicalIF":0.3,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19108053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D A Shields, S Andaz, S Sarin, J Farrah, K Sommerville, J H Scurr, P D Coleridge-Smith
{"title":"[Is duplex echography mandatory in cases of deep venous insufficiency?].","authors":"D A Shields, S Andaz, S Sarin, J Farrah, K Sommerville, J H Scurr, P D Coleridge-Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 4","pages":"685-6"},"PeriodicalIF":0.3,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19108061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Lesions of popliteal vein and other complications of superficial venous surgery in recurrence in the popliteal fossa].","authors":"J T Hobbs","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 4","pages":"591-5"},"PeriodicalIF":0.3,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19108109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D A Shields, S Andaz, S Sarin, S K Shami, J Farrah, K Sommerville, J H Scurr, P D Coleridge-Smith
{"title":"[Is duplex echography mandatory in cases of superficial venous insufficiency?].","authors":"D A Shields, S Andaz, S Sarin, S K Shami, J Farrah, K Sommerville, J H Scurr, P D Coleridge-Smith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 4","pages":"683-4"},"PeriodicalIF":0.3,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19108055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Vascular lesions of the groin after variceal surgery].","authors":"G Jantet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 4","pages":"559-61"},"PeriodicalIF":0.3,"publicationDate":"1993-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19108107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Venous disease, venous trauma and perspectives].","authors":"N M Rich","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 3","pages":"345-8"},"PeriodicalIF":0.3,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19237969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A Pieri, G Santoro, A Duranti, F Mori, A Vannuzzi, L Benelli
The AA. utilized temporary vena cava filters (16 Filcard and 8 Lysofilters) in 24 patients affected by deep venous thrombosis (DVT) of the lower limbs for the prevention of primary and recurrent pulmonary embolism (PE). The diagnosis of thromboembolic disease was always achieved by means of Ultrasounds (echo-color doppler) and was punctually confirmed by a retrograde cavagram during the insertion of the device. 19 patients presented large free-floating thrombi at inferior caval, iliac or common femoral vein level whereas 5 patients presented thrombi mostly of occlusive aspect. There was clinical or scintigraphic evidence of PE in 6 of the patients enrolled. 20 patients, without contraindications, were treated by fibrinolysis (F) with Urokinase (2-10 days) whereas 4 patients underwent surgical thrombectomy (T) because of short time relation with surgical intervention or trauma. All of them were protected by temporary vena cava filters and heparinized. All the filters were removed within 10 days. The results were considered "very good" (complete regression of floating thrombi) in 16 cases (14 F + 2 T), "good" (nearly complete regression of floating thrombi) in 3 cases (2 F + 1 T) and "poor" (unchanged) in the remaining 5 cases (4 F + 1 T). We didn't observe any new case or relapse of PE in the whole group and, furtherly, in 2 cases (1 F and 1 T) we demonstrated the capture of big emboli by the filter's basket. These clots were subsequently dissolved by fibrinolysis. To achieve the diagnosis of thromboembolic disease the following methods were used: 1--Screening: echo-color doppler of lower limbs extended to iliac and inferiora cava veins for detection of DVT and echocardio-color doppler for the detection of cardiac signs of PE. 2--DIAGNOSIS: pulmonary scintigram, retrograde cavogram and, rarely, angioCT scan. 3--FOLLOW-UP: echo-color doppler of lower limbs and pulmonary scintigram. The percutaneous insertion sites were the basilic vein (Filcard) and the right jugular vein (Lysofilter). Left jugular vein was used in 1 case with a big thyroid goitre. In the present experience we had no accidents during filters introduction or removal and no thrombosis at the insertion site (1 case of phlebitis of basilic vein). Indications and effectiveness: our results seem to be favorable to the use of inferior vena cava temporary filters for primary and recurrent pulmonary embolism prevention in the cases with floating thrombi both on fibrinolysis and embolectomy. In the cases of occlusive thrombotic diseases they proved to be effective to prevent PE during surgical embolectomy.(ABSTRACT TRUNCATED AT 400 WORDS)
AA。对24例下肢深静脉血栓(DVT)患者应用临时腔静脉滤器(Filcard 16例,Lysofilters 8例)预防原发性和复发性肺栓塞(PE)。血栓栓塞性疾病的诊断通常是通过超声(超声彩色多普勒)来实现的,并且在装置插入期间通过逆行cavagram及时确认。19例患者在下腔静脉、髂静脉或股总静脉水平出现大块自由漂浮血栓,5例患者出现血栓以闭塞性为主。6例入组患者有PE的临床或影像学证据。20例患者无禁忌症,采用尿激酶溶栓(F)治疗(2-10天),4例患者因手术干预或外伤时间短而行手术取栓(T)。所有小鼠均经临时腔静脉过滤器保护并肝素化。所有的过滤器都在10天内被移除。结果被认为是“很好”(浮动血栓的完整回归)16例(14 F + 2 T),“好”(近浮动血栓)的完整回归3例(2 F + 1 T)和“穷”(不变),其余5例(4 F + 1 T)。我们没有观察到任何新的体育在整个集团的案例或复发,,2例(1 F和1 T)我们演示了大栓子的捕捉过滤器的篮子里。这些凝块随后被纤溶溶解。为实现血栓栓塞性疾病的诊断,采用以下方法:1—筛查:下肢超声彩色多普勒延伸至髂静脉和腔下静脉检测DVT,超声彩色多普勒检测心脏PE征象。诊断:肺显像,逆行左旋显像,很少有血管oct扫描。3-随访:下肢超声彩色多普勒及肺显像。经皮插入部位为basilic静脉(Filcard)和右颈静脉(Lysofilter)。应用左颈静脉治疗甲状腺肿大1例。在目前的经验中,我们没有在过滤器的引入或移除过程中发生意外,也没有在插入部位形成血栓(1例基底静脉炎)。适应症和疗效:我们的研究结果似乎有利于使用下腔静脉临时过滤器来预防原发性和复发性肺栓塞,无论是在纤维蛋白溶解还是栓塞切除的情况下。在闭塞性血栓性疾病的病例中,它们被证明是有效的,可以在手术栓塞切除术中预防PE。(摘要删节为400字)
{"title":"[Temporary caval filters. Our experience. Preliminary analysis of 24 cases].","authors":"A Pieri, G Santoro, A Duranti, F Mori, A Vannuzzi, L Benelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The AA. utilized temporary vena cava filters (16 Filcard and 8 Lysofilters) in 24 patients affected by deep venous thrombosis (DVT) of the lower limbs for the prevention of primary and recurrent pulmonary embolism (PE). The diagnosis of thromboembolic disease was always achieved by means of Ultrasounds (echo-color doppler) and was punctually confirmed by a retrograde cavagram during the insertion of the device. 19 patients presented large free-floating thrombi at inferior caval, iliac or common femoral vein level whereas 5 patients presented thrombi mostly of occlusive aspect. There was clinical or scintigraphic evidence of PE in 6 of the patients enrolled. 20 patients, without contraindications, were treated by fibrinolysis (F) with Urokinase (2-10 days) whereas 4 patients underwent surgical thrombectomy (T) because of short time relation with surgical intervention or trauma. All of them were protected by temporary vena cava filters and heparinized. All the filters were removed within 10 days. The results were considered \"very good\" (complete regression of floating thrombi) in 16 cases (14 F + 2 T), \"good\" (nearly complete regression of floating thrombi) in 3 cases (2 F + 1 T) and \"poor\" (unchanged) in the remaining 5 cases (4 F + 1 T). We didn't observe any new case or relapse of PE in the whole group and, furtherly, in 2 cases (1 F and 1 T) we demonstrated the capture of big emboli by the filter's basket. These clots were subsequently dissolved by fibrinolysis. To achieve the diagnosis of thromboembolic disease the following methods were used: 1--Screening: echo-color doppler of lower limbs extended to iliac and inferiora cava veins for detection of DVT and echocardio-color doppler for the detection of cardiac signs of PE. 2--DIAGNOSIS: pulmonary scintigram, retrograde cavogram and, rarely, angioCT scan. 3--FOLLOW-UP: echo-color doppler of lower limbs and pulmonary scintigram. The percutaneous insertion sites were the basilic vein (Filcard) and the right jugular vein (Lysofilter). Left jugular vein was used in 1 case with a big thyroid goitre. In the present experience we had no accidents during filters introduction or removal and no thrombosis at the insertion site (1 case of phlebitis of basilic vein). Indications and effectiveness: our results seem to be favorable to the use of inferior vena cava temporary filters for primary and recurrent pulmonary embolism prevention in the cases with floating thrombi both on fibrinolysis and embolectomy. In the cases of occlusive thrombotic diseases they proved to be effective to prevent PE during surgical embolectomy.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 3","pages":"457-66"},"PeriodicalIF":0.3,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19236551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J M Jausseran, P Rubondy, G Caburol, M Ferdani, B Lalanne, B Chabert
Seven ombrelles percutaneous cava filters, now available, are tested on hydraulic testing ground. Measurements are concerned with the blocking function of filters and pressure changes induced in the cava flow and the cava track wall of the testing ground. A statistical analysis of the results (100 measurements per filter) shows homogeneous reactions of each filter when faced with different situations imposed by variations of the testing ground. Greenfield's filter, a reference, is compared with other models. This one and the L.G. filter show satisfactory filtering qualities. Two other filters, Cardial and Vascor, offer a highest filtering power. Other models give poor filtering results.
{"title":"[In vitro bench tests of caval umbrella filters].","authors":"J M Jausseran, P Rubondy, G Caburol, M Ferdani, B Lalanne, B Chabert","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Seven ombrelles percutaneous cava filters, now available, are tested on hydraulic testing ground. Measurements are concerned with the blocking function of filters and pressure changes induced in the cava flow and the cava track wall of the testing ground. A statistical analysis of the results (100 measurements per filter) shows homogeneous reactions of each filter when faced with different situations imposed by variations of the testing ground. Greenfield's filter, a reference, is compared with other models. This one and the L.G. filter show satisfactory filtering qualities. Two other filters, Cardial and Vascor, offer a highest filtering power. Other models give poor filtering results.</p>","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 3","pages":"429-40"},"PeriodicalIF":0.3,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19236553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Mellière, H Achrafi, J P Becquemin, M Fitoussi, F Lange
Venous leiomyosarcoma are rare malignant tumours that are usually revealed by an oedema of the lower limb, a sign of deep phlebitis. As the development is not linked with radiotherapy and chemotherapy, the prognosis depends mainly on a early diagnosis, which brings the best opportunities of complete surgical exeresis before the apparition of metastasis. The case reported below as well as ten other cases taken in the literature show the necessity to mention this diagnosis when confronted to any phlebitis appeared in the absence of usual precipitating factors. It is all the more necessary when mass is found by palpation, a small tumour is revealed by echography or when phlebography shows a lateral or circumferencial stricture that is different from usual pictures of phlebitis.
{"title":"[All venous obstructions is not necessarily due to phlebitis. Case report of an ilio-femoral venous leiomyosarcoma].","authors":"D Mellière, H Achrafi, J P Becquemin, M Fitoussi, F Lange","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Venous leiomyosarcoma are rare malignant tumours that are usually revealed by an oedema of the lower limb, a sign of deep phlebitis. As the development is not linked with radiotherapy and chemotherapy, the prognosis depends mainly on a early diagnosis, which brings the best opportunities of complete surgical exeresis before the apparition of metastasis. The case reported below as well as ten other cases taken in the literature show the necessity to mention this diagnosis when confronted to any phlebitis appeared in the absence of usual precipitating factors. It is all the more necessary when mass is found by palpation, a small tumour is revealed by echography or when phlebography shows a lateral or circumferencial stricture that is different from usual pictures of phlebitis.</p>","PeriodicalId":49701,"journal":{"name":"Phlebologie","volume":"46 3","pages":"513-9"},"PeriodicalIF":0.3,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19237149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}