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ACTA PHLEBOLOGICA

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Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2014 April;15(1):25-30

language: English

The venous hemodynamics map to compare the results of chronic venous disease treatments: preliminary results

Orsini A. 1, Di Cello P. 1, Pelle F. 1, De Paolo D. 1, Venosi S. 2, D’Alessandro A. 3, Mandolesi S. 4, Galeandro A. I. 5, Allegra C. 6

1 Unit of Vascular Surgery, Department of General Surgery, Hospital of Sora, Sora, Frosinone, Italy;
2 “Paride Stefanini” Department of Vascular Surgery, La Sapienza University, Rome, Italy;
3 Ospedale “T. Masselli-Mascia”, San Severo Hospita l, San Severo, Foggia, Italy;
4 Department of Cardiovascular and Respiratory Sciences, La Sapienza University, Rome, Italy;
5 University of Bari, Bari, Italy;
6 Unit of Vascular Disease, S. Giovanni Hospital, Rome, Italy


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AIM: Varicose veins are not just a cosmetic problem of the legs but also a major component in the pathogenesis of lower limb chronic venous insufficiency (CVI). The venous hemodynamic map (MEVec) is a software application that enables users to record and collect clinical and diagnostic data on hemodynamic disorders underlying CVI. Map-assisted reporting allows for more uniform comparison of outcomes after CVI treatments. In so doing, MEVec may facilitate consultation between phlebologists working in various different specialties, including vascular surgery, angiology, dermatology, primary care, cosmetic plastic surgery, radiology, and cardiology among others. Because specialists speak different languages when talking about veins, they don’t understand each other. The demonstration of this phlebologic Tower of Babel is the extreme variability in the long-term results of a myriad of methods and the inevitably ensuing low scientific reliability.
METHODS: We analyzed patients affected by internal saphenous varicose veins caused by incontinence of the saphenous-femoral junction without other refluxes. Doppler ultrasound assessment and interventions were performed by experienced doctors, all teachers at the School of Excellence in Phlebology (SEF), of the Italian Society of Clinical and Experimental Phlebology (SIFCS) study group on MEVeC.
RESULTS AND CONCLUSIONS: Currently, there exists no uniform standard for analysis of outcomes after treatment for chronic venous disease (CVD). With the use of MEVec, however, comparable clinical pictures can be reproduced, independently of the treatment method applied to the disorder. MEVeC can be used to create an objective hemodynamic database of CVI and to retrieve clinical and diagnostic data for standardized comparison of the outcomes of treatments for CVD.

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