LymphedemaV1, PascalFrancis, Corpus, bibRecord, 000424

Advances in the surgical treatment of postthrombotic syndrome

Identifieur interne : 000424 ( PascalFrancis/Corpus ); précédent : 000423; suivant : 000425

Advances in the surgical treatment of postthrombotic syndrome

Auteurs : Alessandra Puggioni ; Fedor Lurie

Source :

Phlebolymphology [ 1286-0107 ] ; 2007.

RBID : Pascal:08-0028054

Descripteurs français

Pascal (Inist)
- Lymphoedème, Varice, Thrombose profonde, Maladie chronique, Syndrome d'apnée du sommeil, Syndrome postthrombotique veineux, Chirurgie, Traitement, Technique, Etude cas, Ulcère, Mortalité, Complication, Incidence, Obstruction, Stade avancé, Homme, Voie endovasculaire, Diagnostic, Dérivation, Système autologue, Italien, Valvule veine, Voie percutanée.

English descriptors

KwdEn :
- Advanced stage, Autologous system, Bypass, Case study, Chronic disease, Complication, Deep vein thrombosis, Diagnosis, Endovascular route, Human, Incidence, Italian, Lymphedema, Mortality, Obstruction, Percutaneous route, Postphlebitic syndrome, Sleep apnea syndrome, Surgery, Technique, Treatment, Ulcer, Varix, Vein valve.

Abstract

Postthrombotic syndrome (PTS) is the late complication of lower extremitiy deep venous thrombosis (DVT). Its incidence is approximately 3/1000 per year in the adult population. A combination of reflux and obstruction is often seen in limbs with more advanced clinical disease than obstruction alone. A thorough workup of the patient with disabling PTS is necessary to identify patients amenable to open surgical or endovascular intervention. Duplex scanning is the gold standard for diagnosis of chronic venous disease. The superficial system should be addressed first, followed by or in conjunction with the perforator and deep systems. Chronically obstructed veins are amenable to endovascular interventions, sometimes in combination with disobliteration of the veins ("endophlebectomy"), bypasses or valvular repair. A novel autologous valve reconstruction (the Italian neo-valve) that involves the construction of a valve in postthrombotic veins by using an intimal flap has been performed with satisfactory results. A percutaneously-implantable, non-immunogenic venous valve that remains patent and competent is an attractive alternative to deep venous reconstructions. Results from animal studies with a bioprosthetic valve (the Portland valve) are encouraging.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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C01	`01`		`ENG`	@0 Postthrombotic syndrome (PTS) is the late complication of lower extremitiy deep venous thrombosis (DVT). Its incidence is approximately 3/1000 per year in the adult population. A combination of reflux and obstruction is often seen in limbs with more advanced clinical disease than obstruction alone. A thorough workup of the patient with disabling PTS is necessary to identify patients amenable to open surgical or endovascular intervention. Duplex scanning is the gold standard for diagnosis of chronic venous disease. The superficial system should be addressed first, followed by or in conjunction with the perforator and deep systems. Chronically obstructed veins are amenable to endovascular interventions, sometimes in combination with disobliteration of the veins ("endophlebectomy"), bypasses or valvular repair. A novel autologous valve reconstruction (the Italian neo-valve) that involves the construction of a valve in postthrombotic veins by using an intimal flap has been performed with satisfactory results. A percutaneously-implantable, non-immunogenic venous valve that remains patent and competent is an attractive alternative to deep venous reconstructions. Results from animal studies with a bioprosthetic valve (the Portland valve) are encouraging.
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Format Inist (serveur)

NO :	PASCAL 08-0028054 INIST
ET :	Advances in the surgical treatment of postthrombotic syndrome
AU :	PUGGIONI (Alessandra); LURIE (Fedor)
AF :	Department of Surgery, John A. Burns School of Medicine, University of Hawaii/Etats-Unis (1 aut., 2 aut.)
DT :	Publication en série; Niveau analytique
SO :	Phlebolymphology; ISSN 1286-0107; France; Da. 2007; Vol. 14; No. 3; Pp. 99-104; Bibl. 28 ref.
LA :	Anglais
EA :	Postthrombotic syndrome (PTS) is the late complication of lower extremitiy deep venous thrombosis (DVT). Its incidence is approximately 3/1000 per year in the adult population. A combination of reflux and obstruction is often seen in limbs with more advanced clinical disease than obstruction alone. A thorough workup of the patient with disabling PTS is necessary to identify patients amenable to open surgical or endovascular intervention. Duplex scanning is the gold standard for diagnosis of chronic venous disease. The superficial system should be addressed first, followed by or in conjunction with the perforator and deep systems. Chronically obstructed veins are amenable to endovascular interventions, sometimes in combination with disobliteration of the veins ("endophlebectomy"), bypasses or valvular repair. A novel autologous valve reconstruction (the Italian neo-valve) that involves the construction of a valve in postthrombotic veins by using an intimal flap has been performed with satisfactory results. A percutaneously-implantable, non-immunogenic venous valve that remains patent and competent is an attractive alternative to deep venous reconstructions. Results from animal studies with a bioprosthetic valve (the Portland valve) are encouraging.
CC :	002B12B04; 002B25F; 002B26E
FD :	Lymphoedème; Varice; Thrombose profonde; Maladie chronique; Syndrome d'apnée du sommeil; Syndrome postthrombotique veineux; Chirurgie; Traitement; Technique; Etude cas; Ulcère; Mortalité; Complication; Incidence; Obstruction; Stade avancé; Homme; Voie endovasculaire; Diagnostic; Dérivation; Système autologue; Italien; Valvule veine; Voie percutanée
FG :	Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Pathologie des vaisseaux sanguins; Pathologie des veines
ED :	Lymphedema; Varix; Deep vein thrombosis; Chronic disease; Sleep apnea syndrome; Postphlebitic syndrome; Surgery; Treatment; Technique; Case study; Ulcer; Mortality; Complication; Incidence; Obstruction; Advanced stage; Human; Endovascular route; Diagnosis; Bypass; Autologous system; Italian; Vein valve; Percutaneous route
EG :	Cardiovascular disease; Lymphatic vessel disease; Vascular disease; Venous disease
SD :	Linfedema; Varices; Trombosis venosa profunda; Enfermedad crónica; Apnea sueno síndrome; Postflebitis síndrome; Cirugía; Tratamiento; Técnica; Estudio caso; Ulcera; Mortalidad; Complicación; Incidencia; Obstrucción; Estadio avanzado; Hombre; Vía endovascular; Diagnóstico; Derivación; Sistema autólogo; Italiano; Válvula vena; Vía percutánea
LO :	INIST-27793.354000162422740010
ID :	08-0028054

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Pascal:08-0028054

Le document en format XML

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<front><div type="abstract" xml:lang="en">Postthrombotic syndrome (PTS) is the late complication of lower extremitiy deep venous thrombosis (DVT). Its incidence is approximately 3/1000 per year in the adult population. A combination of reflux and obstruction is often seen in limbs with more advanced clinical disease than obstruction alone. A thorough workup of the patient with disabling PTS is necessary to identify patients amenable to open surgical or endovascular intervention. Duplex scanning is the gold standard for diagnosis of chronic venous disease. The superficial system should be addressed first, followed by or in conjunction with the perforator and deep systems. Chronically obstructed veins are amenable to endovascular interventions, sometimes in combination with disobliteration of the veins ("endophlebectomy"), bypasses or valvular repair. A novel autologous valve reconstruction (the Italian neo-valve) that involves the construction of a valve in postthrombotic veins by using an intimal flap has been performed with satisfactory results. A percutaneously-implantable, non-immunogenic venous valve that remains patent and competent is an attractive alternative to deep venous reconstructions. Results from animal studies with a bioprosthetic valve (the Portland valve) are encouraging.</div>
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<s5>04</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE"><s0>Syndrome d'apnée du sommeil</s0>
<s2>NM</s2>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG"><s0>Sleep apnea syndrome</s0>
<s2>NM</s2>
<s5>05</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA"><s0>Apnea sueno síndrome</s0>
<s2>NM</s2>
<s5>05</s5>
</fC03>
<fC03 i1="06" i2="X" l="FRE"><s0>Syndrome postthrombotique veineux</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG"><s0>Postphlebitic syndrome</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA"><s0>Postflebitis síndrome</s0>
<s5>06</s5>
</fC03>
<fC03 i1="07" i2="X" l="FRE"><s0>Chirurgie</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="ENG"><s0>Surgery</s0>
<s5>09</s5>
</fC03>
<fC03 i1="07" i2="X" l="SPA"><s0>Cirugía</s0>
<s5>09</s5>
</fC03>
<fC03 i1="08" i2="X" l="FRE"><s0>Traitement</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG"><s0>Treatment</s0>
<s5>10</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA"><s0>Tratamiento</s0>
<s5>10</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE"><s0>Technique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG"><s0>Technique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA"><s0>Técnica</s0>
<s5>11</s5>
</fC03>
<fC03 i1="10" i2="X" l="FRE"><s0>Etude cas</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG"><s0>Case study</s0>
<s5>12</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA"><s0>Estudio caso</s0>
<s5>12</s5>
</fC03>
<fC03 i1="11" i2="X" l="FRE"><s0>Ulcère</s0>
<s5>13</s5>
</fC03>
<fC03 i1="11" i2="X" l="ENG"><s0>Ulcer</s0>
<s5>13</s5>
</fC03>
<fC03 i1="11" i2="X" l="SPA"><s0>Ulcera</s0>
<s5>13</s5>
</fC03>
<fC03 i1="12" i2="X" l="FRE"><s0>Mortalité</s0>
<s5>14</s5>
</fC03>
<fC03 i1="12" i2="X" l="ENG"><s0>Mortality</s0>
<s5>14</s5>
</fC03>
<fC03 i1="12" i2="X" l="SPA"><s0>Mortalidad</s0>
<s5>14</s5>
</fC03>
<fC03 i1="13" i2="X" l="FRE"><s0>Complication</s0>
<s5>16</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG"><s0>Complication</s0>
<s5>16</s5>
</fC03>
<fC03 i1="13" i2="X" l="SPA"><s0>Complicación</s0>
<s5>16</s5>
</fC03>
<fC03 i1="14" i2="X" l="FRE"><s0>Incidence</s0>
<s5>17</s5>
</fC03>
<fC03 i1="14" i2="X" l="ENG"><s0>Incidence</s0>
<s5>17</s5>
</fC03>
<fC03 i1="14" i2="X" l="SPA"><s0>Incidencia</s0>
<s5>17</s5>
</fC03>
<fC03 i1="15" i2="X" l="FRE"><s0>Obstruction</s0>
<s5>18</s5>
</fC03>
<fC03 i1="15" i2="X" l="ENG"><s0>Obstruction</s0>
<s5>18</s5>
</fC03>
<fC03 i1="15" i2="X" l="SPA"><s0>Obstrucción</s0>
<s5>18</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE"><s0>Stade avancé</s0>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG"><s0>Advanced stage</s0>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA"><s0>Estadio avanzado</s0>
<s5>19</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE"><s0>Homme</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG"><s0>Human</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA"><s0>Hombre</s0>
<s5>20</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE"><s0>Voie endovasculaire</s0>
<s5>21</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG"><s0>Endovascular route</s0>
<s5>21</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA"><s0>Vía endovascular</s0>
<s5>21</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE"><s0>Diagnostic</s0>
<s5>22</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG"><s0>Diagnosis</s0>
<s5>22</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA"><s0>Diagnóstico</s0>
<s5>22</s5>
</fC03>
<fC03 i1="20" i2="X" l="FRE"><s0>Dérivation</s0>
<s5>23</s5>
</fC03>
<fC03 i1="20" i2="X" l="ENG"><s0>Bypass</s0>
<s5>23</s5>
</fC03>
<fC03 i1="20" i2="X" l="SPA"><s0>Derivación</s0>
<s5>23</s5>
</fC03>
<fC03 i1="21" i2="X" l="FRE"><s0>Système autologue</s0>
<s5>24</s5>
</fC03>
<fC03 i1="21" i2="X" l="ENG"><s0>Autologous system</s0>
<s5>24</s5>
</fC03>
<fC03 i1="21" i2="X" l="SPA"><s0>Sistema autólogo</s0>
<s5>24</s5>
</fC03>
<fC03 i1="22" i2="X" l="FRE"><s0>Italien</s0>
<s5>25</s5>
</fC03>
<fC03 i1="22" i2="X" l="ENG"><s0>Italian</s0>
<s5>25</s5>
</fC03>
<fC03 i1="22" i2="X" l="SPA"><s0>Italiano</s0>
<s5>25</s5>
</fC03>
<fC03 i1="23" i2="X" l="FRE"><s0>Valvule veine</s0>
<s5>26</s5>
</fC03>
<fC03 i1="23" i2="X" l="ENG"><s0>Vein valve</s0>
<s5>26</s5>
</fC03>
<fC03 i1="23" i2="X" l="SPA"><s0>Válvula vena</s0>
<s5>26</s5>
</fC03>
<fC03 i1="24" i2="X" l="FRE"><s0>Voie percutanée</s0>
<s5>27</s5>
</fC03>
<fC03 i1="24" i2="X" l="ENG"><s0>Percutaneous route</s0>
<s5>27</s5>
</fC03>
<fC03 i1="24" i2="X" l="SPA"><s0>Vía percutánea</s0>
<s5>27</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE"><s0>Pathologie de l'appareil circulatoire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG"><s0>Cardiovascular disease</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE"><s0>Pathologie des vaisseaux lymphatiques</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA"><s0>Linfático patología</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE"><s0>Pathologie des vaisseaux sanguins</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG"><s0>Vascular disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA"><s0>Vaso sanguíneo patología</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE"><s0>Pathologie des veines</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG"><s0>Venous disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA"><s0>Vena patología</s0>
<s5>40</s5>
</fC07>
<fN21><s1>052</s1>
</fN21>
</pA>
</standard>
<server><NO>PASCAL 08-0028054 INIST</NO>
<ET>Advances in the surgical treatment of postthrombotic syndrome</ET>
<AU>PUGGIONI (Alessandra); LURIE (Fedor)</AU>
<AF>Department of Surgery, John A. Burns School of Medicine, University of Hawaii/Etats-Unis (1 aut., 2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Phlebolymphology; ISSN 1286-0107; France; Da. 2007; Vol. 14; No. 3; Pp. 99-104; Bibl. 28 ref.</SO>
<LA>Anglais</LA>
<EA>Postthrombotic syndrome (PTS) is the late complication of lower extremitiy deep venous thrombosis (DVT). Its incidence is approximately 3/1000 per year in the adult population. A combination of reflux and obstruction is often seen in limbs with more advanced clinical disease than obstruction alone. A thorough workup of the patient with disabling PTS is necessary to identify patients amenable to open surgical or endovascular intervention. Duplex scanning is the gold standard for diagnosis of chronic venous disease. The superficial system should be addressed first, followed by or in conjunction with the perforator and deep systems. Chronically obstructed veins are amenable to endovascular interventions, sometimes in combination with disobliteration of the veins ("endophlebectomy"), bypasses or valvular repair. A novel autologous valve reconstruction (the Italian neo-valve) that involves the construction of a valve in postthrombotic veins by using an intimal flap has been performed with satisfactory results. A percutaneously-implantable, non-immunogenic venous valve that remains patent and competent is an attractive alternative to deep venous reconstructions. Results from animal studies with a bioprosthetic valve (the Portland valve) are encouraging.</EA>
<CC>002B12B04; 002B25F; 002B26E</CC>
<FD>Lymphoedème; Varice; Thrombose profonde; Maladie chronique; Syndrome d'apnée du sommeil; Syndrome postthrombotique veineux; Chirurgie; Traitement; Technique; Etude cas; Ulcère; Mortalité; Complication; Incidence; Obstruction; Stade avancé; Homme; Voie endovasculaire; Diagnostic; Dérivation; Système autologue; Italien; Valvule veine; Voie percutanée</FD>
<FG>Pathologie de l'appareil circulatoire; Pathologie des vaisseaux lymphatiques; Pathologie des vaisseaux sanguins; Pathologie des veines</FG>
<ED>Lymphedema; Varix; Deep vein thrombosis; Chronic disease; Sleep apnea syndrome; Postphlebitic syndrome; Surgery; Treatment; Technique; Case study; Ulcer; Mortality; Complication; Incidence; Obstruction; Advanced stage; Human; Endovascular route; Diagnosis; Bypass; Autologous system; Italian; Vein valve; Percutaneous route</ED>
<EG>Cardiovascular disease; Lymphatic vessel disease; Vascular disease; Venous disease</EG>
<SD>Linfedema; Varices; Trombosis venosa profunda; Enfermedad crónica; Apnea sueno síndrome; Postflebitis síndrome; Cirugía; Tratamiento; Técnica; Estudio caso; Ulcera; Mortalidad; Complicación; Incidencia; Obstrucción; Estadio avanzado; Hombre; Vía endovascular; Diagnóstico; Derivación; Sistema autólogo; Italiano; Válvula vena; Vía percutánea</SD>
<LO>INIST-27793.354000162422740010</LO>
<ID>08-0028054</ID>
</server>
</inist>
</record>

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Advances in the surgical treatment of postthrombotic syndrome

Advances in the surgical treatment of postthrombotic syndrome

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