Annals of Phlebology

Management of Pelvic Vein Disorders

Pelvic vein disorder (PeVD) encompasses symptoms originating from the pelvic veins. It significantly impacts quality of life despite not always being life-threatening, necessitating accurate diagnosis and effective management. PeVD may result from pelvic vein incompetence (PVI), or conditions like left common iliac vein compression or Nutcracker syndrome can contribute to PeVD. Chronic pelvic pain, lasting over six months, is a common symptom, affecting various aspects of health and often linked to lower urinary tract, sexual function, and gynecological issues. Diagnosis involves ultrasound, c...

Ann Phlebology 2024; 22(1): 1-5

Extended Management of the Great Saphenous Vein Insufficiency Below the Knee

Although varicose veins are known to have a very high prevalence, there are many different treatment methods available. The optimal extent of treatment for the incompetent great saphenous vein has not yet been clearly established. Recent guidelines recommend the proper extent and method of treatment based on expert opinion. Considering complications and subjective data, such as symptoms and quality of life, above-the-knee treatment could be suggested. However, in terms of recurrence and objective data, below-the-knee treatment might be preferred. It would be better to approach treatment on a c...

Ann Phlebology 2024; 22(1): 6-8

Size Matters for the Treatment of Varicose Veins

Varicose veins are consistent with physically dilated superficial veins ≥3 mm. Physiologically, chronic venous insufficiency is an advanced chronic venous disease with functional abnormalities. Essentially, the shape of the vein is directly influenced by hydrostatic pressure. Ambulatory venous pressure is increased as shunt formation and vein will be dilated by the connection with deep venous refluxes. Hydrostatic parodox in varicose veins is that the ambulatory venous pressure is not directly related with vein diameter but with shunt formation with valve insufficiency. Mean ambulatory venou...

Ann Phlebology 2024; 22(1): 9-13

Impact of the Variations in the Termination of Small Saphenous Vein on Small Saphenous Vein Incompetence

Objective To determine whether variations in the termination of the small saphenous vein predict small saphenous vein incompetence.Methods We conducted a prospective observational study, evaluating 133 patients diagnosed with either an isolated small saphenous vein incompetence (study group, n=47) or an isolated great saphenous vein incompetence (control group, n=86) between December 2014 and June 2015. The variations in the termination of the small saphenous vein were assessed using color Doppler ultrasound and classified according to the modified Kosinski’s classification. Data were compar...

Ann Phlebology 2024; 22(1): 14-19

Venous Hemodynamic Outcomes in Patients with Primary Varicose Vein Treated with High Ligation with Stripping, Endovenous Laser Ablation, and Radio Frequency Ablation

Objective To determine hemodynamic changes after surgical treatment for great saphenous vein (GSV) incompetence. Methods According to clinical, etiological, anatomical, and pathophysiological classification, all patients were classified as C2EpAsPr. A total of 976 limbs of 900 patients with primary varicose veins who underwent surgical treatment at the Samsung Medical Center were retrospectively reviewed. Surgical modalities were high ligation (HL) with stripping, endovenous laser ablation (EVLA), and radiofrequency ablation (RFA) of GSV. Hemodynamic changes were measured using air plethysmogr...

Ann Phlebology 2024; 22(1): 20-26

Early Midterm Results of Laser Assisted Sclerotherapy

Objective This study aims to evaluate the effect of treatment for great saphenous vein incompetence with a fourth-generation 1940 nm laser with radial fiber and catheter directed foam sclerotherapy (CDFS) without a tumescent simultaneously. The procedure was termed laser assisted sclerotherapy (LAST). It is a kind of thermochemical ablation. Methods From January 1 to June 30, 2023, 86 GSV cases from 50 patients who underwent LAST at Cheongmac hospital were enrolled in this retrospective study. Endogenous laser ablation (EVLA) was performed in the order of accessary vein, tributaries and trunca...

Ann Phlebology 2024; 22(1): 27-31

Left-Sided Inferior Vena Cava Associated with Abdominal Aortic Aneurysm

Left-sided inferior vena cava (IVC) is a congenital venous anomaly variant with an incidence of 0.2%–0.5%. Furthermore case of abdominal aortic aneurysm with left-sided IVC is very rare. We reported our experience with two cases of left-sided IVC during open repair of the abdominal aortic aneurysm.

Ann Phlebology 2024; 22(1): 32-35

My Experience and Comprehension of Flebogrif^®, a New Modality of Mechanochemical Ablation for Incompetent Saphenous Veins – What’s Different from ClariVein^®?

Flebogrif® is a new modality of mechanochemical ablation for incompetent saphenous vein treatment. With our experiences, it offers advantages such as reduced sclerosant dosage, shorter procedure times, lower catheter costs and in terms of closure rate as well. However, the potential for increased pain and thrombophlebitis due to more potent mechanical injury is apparent.

Ann Phlebology 2024; 22(1): 36-38

Current Issue Volume 22, Number 1, June 2024

Review Article

Management of Pelvic Vein Disorders

Young Jun Park, M.D., Ph.D.

Ann Phlebology 2024; 22(1): 1-5

https://doi.org/10.37923/phle.2024.22.1.1

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Review Article

Extended Management of the Great Saphenous Vein Insufficiency Below the Knee

Tae Sik Kim, M.D., Ph.D.

Ann Phlebology 2024; 22(1): 6-8

https://doi.org/10.37923/phle.2024.22.1.6

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Review Article

Size Matters for the Treatment of Varicose Veins

Sangchul Yun, M.D., Ph.D., Mi-Ok Hwang, RVT

Ann Phlebology 2024; 22(1): 9-13

https://doi.org/10.37923/phle.2024.22.1.9

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Original Article

Impact of the Variations in the Termination of Small Saphenous Vein on Small Saphenous Vein Incompetence

Arif Selcuk, M.D., Alper Ucak, M.D.

Ann Phlebology 2024; 22(1): 14-19

https://doi.org/10.37923/phle.2024.22.1.14

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About the Journal

Aims and Scope

Annals of Phlebology (Ann Phlebology) is a peer-reviewed journal which publishes scientific articles regarding all aspects of venous pathology, including clinical practice, experimental and applied research, and education. The ANN PHLEBOLOGY is the official journal of the Korean Society for Phlebology (KSP) and is published bi-annually on the last days of June and December. The ANN PHLEBOLOGY aims to promote active communication among not only members of the Korean Society for Phlebology but also to the various professionals with interest in venous pathology. To achieve this, we publish original articles, review articles, brief communications including case reports, letters to the editor, and commentaries or opinion on the topics of importance to venous pathology.