Clinical Relevance of Neovascularisation on Duplex Ultrasound in the Long-Term Follow-up After Varicose Vein Operation

1999 ◽  
Vol 14 (3) ◽  
pp. 118 ◽  
Author(s):  
M. G. De Maeseneer ◽  
I. F. Tielliu ◽  
P. E. Van Schil ◽  
S. G. De Hert ◽  
E. J. Eyskens
Keyword(s):  
Varicose Vein ◽  
Clinical Relevance ◽  
Duplex Ultrasound ◽  
Varicose Vein Operation ◽  
Long Term Follow Up

Clinical Relevance of Neovascularisation on Duplex Ultrasound in the Long-Term Follow-up after Varicose Vein Operation

1999 ◽  
Vol 14 (3) ◽  
pp. 118-122 ◽  
Author(s):  
M. G. De Maeseneer ◽  
I. F. Tielliu ◽  
P. E. Van Schil ◽  
S. G. De Hert ◽  
E. J. Eyskens
Keyword(s):  
Varicose Vein ◽  
Clinical Relevance ◽  
Varicose Veins ◽  
University Hospital ◽  
Duplex Scanning ◽  
Recurrent Varicose Veins ◽  
Varicose Vein Operation ◽  
Long Term Follow Up

Objective: To evaluate the clinical relevance of neovascularisation at the saphenous ligation site. Design: Long-term follow-up after previous varicose vein surgery in a single patient group. Setting: Vascular clinic of a university hospital. Patients: Eighty-two patients (106 limbs) with a mean follow-up period of 56 months after correct saphenous ligation were submitted to duplex scanning. Intervention: Clinical assessment and colour duplex scanning of all the operated limbs. Reintervention in 15 limbs with perioperative evaluation of recurrent veins. Main outcome measures: Limbs with and without recurrent varicose veins were classified according to the degree of neovascularisation: grade 0 = no new communicating veins, grade 1 = tiny new vein with diameter <4 mm, grade 2 = new communicating vein with diameter >4 mm and pathological reflux. On reintervention the presence of neovascular veins at the site of the previous ligation was checked. Results: In 68 limbs without recurrent varicose veins, grade 0 was observed in 50 limbs (74%), grade 1 in 12 limbs (18%) and grade 2 in six limbs (9%). In 38 limbs with recurrent varicose veins, grade 0 was diagnosed in eight limbs (21%), grade 1 in four limbs (11%) and grade 2 in 26 limbs (68%). In 15 limbs with recurrent varicose veins and grade 2 neovascularisation, reintervention confirmed the duplex findings. Conclusions: The presence of grade 2 neovascularisation was associated with the recurrence of varicose veins, suggesting a causal relationship.

Detection of varicose vein recurrence by duplex ultrasound: intra- and interobserver reproducibility

2013 ◽  
Vol 28 (2) ◽  
pp. 109-111
Author(s):  
S A Gauw ◽  
P Pronk ◽  
M C Mooij ◽  
M T W Gaastra ◽  
J A Lawson ◽  
...  
Keyword(s):  
Varicose Vein ◽  
Varicose Veins ◽  
Duplex Ultrasound ◽  
Interobserver Reproducibility ◽  
Endovenous Laser Ablation ◽  
Follow Up Study ◽  
Kappa Test ◽  
Long Term Follow Up

In a long-term follow-up study comparing saphenofemoral ligation and stripping with endovenous laser ablation, the groin is examined yearly by duplex ultrasound (DUS) to detect postoperative varicose vein recurrence. Clear criteria are needed for the uniformity of DUS observations. Physicians taking care of the follow-up were evaluated by an intra- and interobserver analysis. DUS films of 22 patients with no recurrence and 22 patients with recurrence of varicose veins were twice interpreted in two sessions. Observations were analysed by a kappa test. Interpretations of DUS by experienced observers show a kappa >7. Improved kappa results were measured over time in our physician in training. In conclusion, the reproducibility of DUS studies performed by the experienced observers of the study is excellent.

Peri-implant disease part 1: diagnosis and assessment parameters

Dental Update ◽  
2019 ◽  
Vol 46 (10) ◽  
pp. 978-985
Author(s):  
Alex Daly ◽  
Giles McCracken
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Dental Implants ◽  
Clinical Relevance ◽  
Assessment Criteria ◽  
Maintenance Care ◽  
Long Term Follow Up

Where suitable, dental implants are praised as a method of providing fixed solutions with good longevity, and providing greatly improved retention for removable prostheses, resulting in increased levels of patient satisfaction and quality of life. However, with increasing evidence of long-term follow-up, there is a growing recognition of the susceptibility of dental implants to peri-implant diseases; peri-mucositis and peri-implantitis. This paper discusses the features of peri-implant disease and important aspects of assessment criteria. CPD/Clinical Relevance: This paper highlights the importance of supportive maintenance care for patients with dental implants, as well as the features and assessment of peri-implant disease.

High-risk HPV testing in women with borderline and mild dyskaryosis: long-term follow-up data and clinical relevance

2001 ◽  
Vol 195 (3) ◽  
pp. 300-306 ◽  
Author(s):  
G. Denise Zielinski ◽  
Peter J. F. Snijders ◽  
Lawrence Rozendaal ◽  
Feja J. Voorhorst ◽  
Arnold P. Runsink ◽  
...  
Keyword(s):  
High Risk ◽  
Clinical Relevance ◽  
Hpv Testing ◽  
Long Term Follow Up ◽  
High Risk Hpv

Endovenous Laser Ablation for Incompetent Saphenous Vein Combined With Fluoroscopy-Guided Endovenous Foam Sclerotherapy in Varicose Tributaries: Long-Term Follow-up Results

2016 ◽  
Vol 101 (11-12) ◽  
pp. 590-597
Author(s):  
Song Am Lee ◽  
Sang Woo Park ◽  
Ik Jin Yun ◽  
Jae Joon Hwang ◽  
Jun Seok Kim ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Saphenous Vein ◽  
Duplex Ultrasound ◽  
Long Term Results ◽  
Foam Sclerotherapy ◽  
Endovenous Laser Ablation ◽  
Percutaneous Sclerotherapy ◽  
Long Term Follow Up

The aim of this study is to describe the long-term results of 980-nm endovenous laser ablation (EVLA) combined with fluoroscopy-guided endovenous foam sclerotherapy using a microcatheter into varicose tributaries. This report reviewed experiences with fluoroscopy-guided endovenous foam sclerotherapy using a microcatheter followed by EVLA, from July 2005 to November 2007. The sclerosing foam was injected through the microcatheter using 1% polidocanol or sodium tetradecyl sulfate. Patients were evaluated clinically and with duplex ultrasound from 1 week to 3 years to assess treatment efficacy and adverse reactions. Technical success was seen in 460 of 461 limbs (99.8%). Continued closure of the saphenous veins and complete sclerosis of varicose tributaries were noted in 351 of 408 limbs (86%) at 1-month follow-up, all 328 limbs at 3-month follow-up, all 299 limbs at 6-month follow-up, all 146 limbs at 1-year follow-up, all 94 limbs at 2-year follow-up, and all 32 limbs at 3-year follow-up. No serious complications were noted. Bruising was noted in 79.0%, and pain or tightness was noted in 68.4%. Hyperpigmentation was noted in 54.2%. EVLA for incompetent saphenous vein combined with endovenous foam sclerotherapy appears to offer the obvious benefits of less additional percutaneous sclerotherapy. However, many problems, like long-lasting pain and hyperpigmentation, can lessen the value of this procedure.

Direct Resin Composite Restorations in Vital Versus Root-filled Posterior Teeth: A Controlled Comparative Long-term Follow-up

2007 ◽  
Vol 32 (5) ◽  
pp. 437-442 ◽  
Author(s):  
G. Adolphi ◽  
M. Zehnder ◽  
L. M. Bachmann ◽  
T. N. Göhring
Keyword(s):  
Clinical Relevance ◽  
Resin Composite ◽  
Posterior Teeth ◽  
Composite Restorations ◽  
Long Term Follow Up

Clinical Relevance In endodontically-treated posterior teeth, minimal direct composite restorations had a tendency to fail more often than their counterparts in vital teeth.

Sign in / Sign up

Export Citation Format

Share Document