Comparación de cambios clínicos y hemodinámicos en pacientes con insuficiencia venosa mixta según tipo de manejo.


Autoria(s): Escobar Diaz, Alejandro
Contribuinte(s)

Naranjo Galvez, Julio

Hernández Rodríguez, Oscar Geovanni

Montenegro Salcedo, Edison

Data(s)

22/09/2015

Resumo

Existen varias causas de la insuficiencia venosa profunda, la insuficiencia venosa superficial es una de ellas; por tal motivo, una intervención activa de la insuficiencia superficial ya sea cirugía convencional, esclerosis o radiofrecuencia mejora el reflujo del sistema venoso profundo. En nuestro medio no se acostumbra a intervenir los pacientes con insuficiencia venosa mixta bajo la creencia de exacerbar la enfermedad o generar complicaciones. Se pretende documentar los cambios clínicos y hemodinámicos en pacientes con insuficiencia venosa mixta según tipo de manejo, médico vs quirúrgico

There are several causes of deep venous insufficiency, superficial venous insufficiency is one of them; for that reason, an active intervention of this venous system either way by a conventional surgery, or by sclerosis or radiofrequency improves the reflux of the deep venous system. In our country it is not usual to intervene patients with mixed venous insufficiency because of the belief of generating or exacerbating the disease or its complications. The aim of this study is to document the clinical and hemodynamic changes in patients with mixed venous insufficiency, classified by type of management, medical vs surgical

Formato

application/pdf

Identificador

http://repository.urosario.edu.co/handle/10336/11496

Idioma(s)

spa

Publicador

Facultad de Medicina

Direitos

info:eu-repo/semantics/openAccess

Fonte

instname:Universidad del Rosario

reponame:Repositorio Institucional EdocUR

1.a Eberhardt RT, Raffetto JD. Chronic venous insufficiency. Circulation. 2014;130(4):333-346. doi:10.1161/CIRCULATIONAHA.113.006898.

2.a Pascarella L, Shortell CK. Medical Management of Venous Ulcers. Semin Vasc Surg. 2015;28(1):21-28. doi:10.1053/j.semvascsurg.2015.06.001.

3. a Hardy SC, Riding G, Abidia a. Surgery for deep venous incompetence. Cochrane Database Syst Rev. 2015;(3):CD001097. doi:10.1002/14651858.CD001097.pub2.

4. a Julieta D, Botero D, Juliana D, Jaramillo B. DESÓRDENES VENOSOS CRÓNICOS. 2014

1. Alexander CJ. The epidemiology of varicose veins. Med J Aust 1972;1:215– 8.

2. Schultz-Ehrenbuegh U, Weindorf N, von Uslar D, Hirsch H. Prospektic epidemiologische studie uber die entstehunsweise der krampfadern bei kindern und jegendichen (Bochumer Studie I und II). Phlebol Proktol 1989;18:10 –25.

3. Ahmad I, Ahmad W, Dingui M. Prevention or reversal of deep venous insufficiency by aggressive tratment of superficial venous disease, The American Journal of Surgery 191 (2006) 33–38.

4. Coon WW, Willis PW, Keller JB. Venous thromboembolism and other venous disease in Tecumseh community health study. Circulation 1973;48:839–46.

5. Nicolaides AN, Kakkar VV, Field ES, Fish P. Venous stasis and deep-vein thrombosis. Br J Surg 1972;59:713–7.

6. Kaplan RM, Criqui MH, Denenberg JO, et al. Quality of life in patients with chronic venous disease: San Diego population study. J Vasc Surg 2003;37:1047–53.

7. Walsh JC, Bergan JJ, Beeman S, Comes TP. Femoral venous reflux abolished by greater saphenous vein stripping. Ann Vasc Surg 1994; 8:566 –70.

8. Sales CM, Bilof ML, Petrillo KA, Luka NL. Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg 1996;10:186 –9.

9. Kistner R, Eklof B, Masuda E. Chronic Venous Insufficiency: Natural History and Classification. Hobson/Wilson/Veith: Vascular Surgery: Principles and Practice, Third Edition 2004 chap 64 : 979

10. Abenhaim, L., Kurz, X., Norgren, L., Clement, D., and the VEINES Task Force. The Management of Chronic Venous Disorder of the Leg. An Evidence-Based Report of an International Task Force. McGill University, Sir Mortimer B. Davis—Jewish General Hospital, 1997;27–40.

11. Rose, S.S.; Ahmed, A. Some Thoughts on the Aetiology of Varicose Veins. J. Cardiovasc. Surg. 1986, 27 (5), 534–543.

12. Travers, J.P.; Brookes, C.E.; Evans, J.; Baker, D.M.; Kent, C.; Makin, G.S.; Mayhew, T.M. Assessment of Wall Structure and Composition of Varicose Veins with Reference to Collagen Elastin and Smooth Muscle Content. Eur. J. Vasc. Endovasc. Surg. 1996, 11 (2), 230–237.

13. Meissner, M.H.; Manzo, R.A.; Bergelin, M.S.; Markel, A.; Strandness, D.E.J. Deep Venous Insufficiency: The Relationship Between Lysis and Subsequent Reflux. J. Vasc. Surg. 1993, 18 (4), 596–605.

14. Homans, J. Operative Treatment of Varicose Veins and Ulcers Based upon a Classification of These Lesions. Surg. Gynecol. Obstet. 1916, 22, 143–158.

15. Classification and Grading of Chronic Venous Disease. A Consensus Statement. J. Vasc. Surg. 1995, 21, 635–645.

16. Lafrati M, O´donnell, Varicose veins, Haimovici's Vascular Surgery 5th edition 2004 chap 87, 1065.

17. Ludbrook J. Valvular defect in primary varicose veins: cause or effect? Lancet 1963; 2:1289-1292.

18. T.H. Teruya, J.L. Ballard New approaches for the treatment of varicose veins Surg Clin N Am 84 (2004) 1397–1417

19. Smith PD. Micronized purified flavonoid fraction and the treatment of chronic venous insufficiency: microcirculatory mechanisms. Microcirculation 2000; 7:S35-40.

20. Lofgren EP, Lofgren KA. Recurrence of varicose veins after the stripping operation. Arch Surg 2001;102:111–4.

21. McMullin GM, Coleridge Smith PD, Scurr JH. Objective assessment of high ligation without stripping the long saphenous vein. Br J Surg 1991;78:1139–42.

22. Munn SR, Morton JB, MacBeth WAAG, et al. To strip or not to strip the long saphenous vein? A varicose veins trial. Br J Surg 1981;68:426–8.

23. Woodyer, A.B.; Reddy, P.J.; Dormandy, J.A. Should We Strip the Long Saphenous Vein? John Libbey & Co.:London, 1986; 151–154.

24. Bergan J; Bundens W. Clinical Application of Objective Testing in venous insufficiency. Haimovici's Vascular Surgery 5th edition 2004 chap 86, 1055.

25. Adam D, Bello M, Role of Superficial Venous Surgery in Patients with Combined Superficial and Segmental Deep Venous Reflux, Eur J Vasc Endovasc Surg 25, 469-472 (2003)

26. Puggioni A, Lurie F, Kistner R, How often is deep venous reflux eliminated after saphenous vein ablation?, J Vasc Surg 2003;38:517-21.)

27. MacKenzie R, Allan P, The Effect of Long Saphenous Vein Stripping on Deep Venous Reflux, Eur J Vasc Endovasc Surg 28, 104–107 (2004).

28. Villavicencio J,Gillespie D, Noninvasive Diagnosis of Venous Disease, Hobson/Wilson/Veith: Vascular Surgery: Principles and Practice, Third Edition 2004 chap 9 : 165.

29. O´Donell. The present status of surgery of the superficial venous system in the management of venous ulcer and the evidence for the role of perforator interruption. J Vasc Surg 2008;48:1044-52.)

TEME

Palavras-Chave #Venas - enfermedades #Cirugía vascular #617.413 #Insuficiencia Venosa #Manejo de Atención al Paciente - comparación #vein insufficiency, saphenous vein surgery, duplex study, varicose ulcer. #Vein insufficiency #Saphenous vein surgery #Duplex study #Varicose ulcer
Tipo

info:eu-repo/semantics/bachelorThesis

info:eu-repo/semantics/acceptedVersion