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  • Review ArticleDecember 31, 2022

    0 102 188

    The “C0s” Patient, What Do We Have to Know?

    HaengJin Ohe, M.D., Ph.D.

    Ann Phlebology 2022; 20(2): 78-80
    Abstract
    Functional chronic venous disease (FCVD; C0 category of clinical manifestation, etiology, anatomic distribution, and pathophysiology classifications) is an underestimated syndrome that affects up to 20% of the general population. FCVD is based on the presence of venous symptoms without instrumental evidence of anatomical or morphological changes. The prevalence of FCVD is underestimated owing to a lack of awareness in Western countries. Given the inflammatory nature of FCVD, we speculate that noninvasive treatments including vasoactive drugs and elastic stockings would easily relieve C0 symptoms.
  • Original ArticleDecember 31, 2022

    0 502 225

    Change of Venous Return after Diaphragmatic Deep Breathing

    Kwangjin Lee, M.D., Hyangkyoung Kim, M.D., Ph.D,, Sungsin Cho, M.D., Ph.D. and Jin Hyun Joh, M.D., Ph.D.

    Ann Phlebology 2022; 20(2): 95-99
    Abstract
    Objective: We evaluated the effects of diaphragmatic deep breathing (DB) on venous return in symptomatic patients.
    Methods: A prospective study was conducted on volunteers with venous symptoms. After ultrasound confirmation of deep vein patency, the blood flow velocity (peak systolic velocity, PSV) and volume in the common femoral vein (CFV) with duplex ultrasound and wash-out time of 99Technetium-macroaggregated albumin (99Tc-MAA) with radioisotope (RI) venography were measured in supine and standing positions. After practicing DB for a month, the blood flow volume, velocity, and wash-out time of 99Tc-MAA were rechecked.
    Results: In the supine position, the PSV of both CFVs and the flow volume of the right CFV were significantly increased after DB (p=0.043, all), while the flow volume of the left CFV did not show a significant change after DB (p=0.138). In the standing position, the PSV of the left CFV significantly increased (p=0.029). The time-to-peak and wash-out times of 99Tc-MAA for both CFVs were significantly shorter with DB than with normal breathing (all, p<0.05).
    Conclusion: DB may have a beneficial effect on venous return in patients with symptomatic chronic venous disease. Further research is required to evaluate whether this could be an alternative therapeutic approach.
  • Review ArticleDecember 31, 2023

    0 187 180

    Chronic Venous Disease is a Progressive Disease that Requires Early Intervention

    Sangchul Yun, MD, PhD, RPVI, RVT

    Ann Phlebology 2023; 21(2): 80-84
    Abstract
    Chronic venous disease is a progressive condition, and long-term follow-up is essential for a comprehensive understanding. In clinical practice, conducting extended follow-ups of patients is realistically challenging, and there is still much to learn about the clinical course of varicose veins. Given the gradual progression of chronic venous disease, gaining a precise understanding is crucial for guiding patient treatment. Chronic venous disease is progressive, and early interventions such as lifestyle modifications, medication, compression stockings, or surgery help slow and prevent the progression of the disease. Our objective is to review existing long-term follow-up studies to enhance the treatment approach for patients with varicose veins.
AP
Vol.22 No.1 Jun 30, 2024, pp. 1~77

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