Role of saphenous vein wall in the pathogenesis of primary varicose veins

UNLABELLED: Varicose veins may be due to weakness of the vein wall as a result of structural problems. There are conflicting findings in the literature about these problems especially concerning collagen, elastin and smooth muscle cells content. The aim of this study was to look at the structural abnormalities of varicose veins (with and without valvular incompetence).

MATERIALS AND METHODS: We studied 70 specimens of long saphenous veins from 35 patients (24 with varicose and 11 with normal veins). Two specimens were taken from each vein approximately 3-4 cm from the saphenofemoral junction. Vein specimens were processed for histological and electron microscopic studies. Both qualitative and quantitative analyses were performed to assess the degree of wall changes. Using the image analyzer, contents of collagen, elastin and smooth muscle cells, in addition to intimal and medial thickness, were measured.

RESULTS: Light microscopy revealed significant increase in intimal and medial thickness and collagen content of media and significant decrease in elastin content in varicose veins compared with normal veins. There was no statistical significant difference between varicose veins with and without saphenofemoral valve incompetence. Electron microscopy showed marked degenerative changes in intima and media of varicose veins.

CONCLUSION: The findings in our study supported the theory of primary weakness of the vein wall as a cause of varicosity. This weakness is due to intimal changes, disturbance in the connective tissue components and smooth muscle cells.

Ink in His Veins: Editor in Chief Kevin Convey is bullish on the rough and tumble--and haiku--of tabloid newspapers

New York Daily News Editor in Chief Kevin Convey ’77 is bullish on tabloid newspapers—print and online.

The mineralizing fluid in the Piaba gold deposit, São Luís cratonic fragment (NW-Maranhão, Brazil) based on fluid inclusion studies in quartz veins

O depósito aurífero de Piaba tornou-se a primeira mina em operação no fragmento cratônico São Luís, noroeste do Maranhão. Seu ambiente geológico compreende rochas metavulcanossedimentares do Grupo Aurizona e granitoides da Suíte Tromaí, entre outras unidades menores, formadas em ambiente de arcos de ilhas entre 2240 e 2150 Ma, juntamente com outras unidades menores. A mineralização é caracterizada por uma trama stockwork de veios e vênulas de quartzo com seus halos de alteração (clorita + muscovita + carbonato + pirita + calcopirita e ouro) hospedada em um granodiorito granofírico fino (Granófiro Piaba) e em rocha subvulcânica andesítica do Grupo Aurizona. O corpo mineralizado é espacialmente limitado à zona de cisalhamento ENE-WSW rúptil-dúctil (Falha Piaba). Estudos petrográficos, microtermométricos e por espectroscopia microRaman no quartzo definiram inclusões aquo-carbônicas bifásicas e trifásicas, produzidas por aprisionamento heterogêneo durante separação de fases, e fluidos aquosos tardios. A solução mineralizadora corresponde a um fluido aquo-carbônico composto por CO₂ (5 - 24 mol%, densidade de 0,96 - 0,99 g/cm³), H₂O (74 - 93 mol%), N₂ (< 1 mol%), CH₄ (<1mol%) e 5,5 % em peso NaCl equivalente. O minério depositou a 267 - 302ºC e 1,25 - 2,08 kbar, correspondendo a profundidades de 4 a 7 km, em consonância com o regime estrutural. A composição e o intervalo de P-T do fluido mineralizador, combinados com o caráter redutor (log ƒ_O2 -31,3 a -34,3) e a sulfetação da rocha hospedeira, sugerem que o ouro foi transportado como um complexo sulfetado. O minério foi depositado em consequência da separação de fase, redução da atividade de enxofre e da ƒO₂ pela interação fluido-rocha.

Exercise reduces angiotensin II responses in rat femoral veins

The control of blood flow during exercise involves different mechanisms, one of which is the activation of the renin-angiotensin system, which contributes to exercise-induced blood flow redistribution. Moreover, although angiotensin II (Ang II) is considered a potent venoconstrictor agonist, little is known about its effects on the venous bed during exercise. Therefore, the present study aimed to assess the Ang II responses in thefemoral vein taken from sedentary and trained rats at rest or subjected to a single bout of exercise immediately before organ bath experiments. Isolated preparations of femoral veins taken from resting-sedentary, exercised-sedentary, resting-trained and exercised-trained animals were studied in an organ bath. In parallel, the mRNA expression of prepro-endothelin-1 (ppET-1), as well as the ETA and ETB receptors, was quantified by real-time PCR in this tissue. The results show that, in the presence of L-NAME, Ang II responses in resting-sedentary animals were higher compared to the other groups. However, this difference disappeared after co-treatment with indomethacin, BQ-123 or BQ-788. Moreover, exercise reduced ppET-1 mRNA expression. These reductions in mRNA expression were more evident in resting-trained animals. In conclusion, either acute or repeated exercise adapts the rat femoral veins, thereby reducing the Ang II responses. This adaptation is masked by the action of locally produced nitric oxide and involves, at least partially, the ETB- mediated release of vasodilator prostanoids. Reductions in endothelin-1 production may also be involved in these exercise-induced modifications of Ang II responses in the femoral vein.

Polidocanol versus hypertonic glucose for sclerotherapy treatment of reticular veins of the lower limbs: study protocol for a randomized controlled trial

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)