Pulsatile Varicose Veins Secondary to Severe Tricuspid Regurgitation: Report of a Case Successfully Managed by Endovenous Laser Treatment
We report a case of pulsatile varicose veins successfully managed by endovenous laser treatment (EVLT) of the great saphenous vein (GSV). A 77-year-old woman taking an anticoagulant was transferred to our hospital for pulsatile varicose veins complicated with repeated venous bleeding from an ulcer o...
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| Veröffentlicht in: | Annals of vascular surgery 2017-02, Vol.39, p.286.e11-286.e14 |
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| container_end_page | 286.e14 |
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| container_title | Annals of vascular surgery |
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| creator | Chihara, Shingo Sawada, Kentaro Tomoeda, Hiroshi Aoyagi, Shigeaki |
| description | We report a case of pulsatile varicose veins successfully managed by endovenous laser treatment (EVLT) of the great saphenous vein (GSV). A 77-year-old woman taking an anticoagulant was transferred to our hospital for pulsatile varicose veins complicated with repeated venous bleeding from an ulcer of her left lower leg. Doppler echocardiography showed severe tricuspid regurgitation, and duplex ultrasonography revealed an arterial-like pulsating flow in the saphenofemoral junction and along the GSV, but an arteriovenous fistula, obstruction of the deep veins, and the distal incompetent perforators were not detected. Because of a significant bleeding risk due to elevated venous pressure and anticoagulant therapy, EVLT was performed for the GSV, which resulted in the complete occlusion of the GSV and healing of the ulcer. EVLT presents a safe and useful therapeutic technique for pulsatile varicose veins in the limbs. |
| doi_str_mv | 10.1016/j.avsg.2016.06.026 |
| format | Article |
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A 77-year-old woman taking an anticoagulant was transferred to our hospital for pulsatile varicose veins complicated with repeated venous bleeding from an ulcer of her left lower leg. Doppler echocardiography showed severe tricuspid regurgitation, and duplex ultrasonography revealed an arterial-like pulsating flow in the saphenofemoral junction and along the GSV, but an arteriovenous fistula, obstruction of the deep veins, and the distal incompetent perforators were not detected. Because of a significant bleeding risk due to elevated venous pressure and anticoagulant therapy, EVLT was performed for the GSV, which resulted in the complete occlusion of the GSV and healing of the ulcer. EVLT presents a safe and useful therapeutic technique for pulsatile varicose veins in the limbs.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2016.06.026</identifier><identifier>PMID: 27666801</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Echocardiography, Doppler ; Female ; Humans ; Laser Therapy ; Pulsatile Flow ; Regional Blood Flow ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - physiopathology ; Saphenous Vein - surgery ; Severity of Illness Index ; Surgery ; Treatment Outcome ; Tricuspid Valve Insufficiency - complications ; Tricuspid Valve Insufficiency - diagnostic imaging ; Tricuspid Valve Insufficiency - physiopathology ; Ultrasonography, Doppler, Duplex ; Varicose Veins - diagnostic imaging ; Varicose Veins - etiology ; Varicose Veins - physiopathology ; Varicose Veins - surgery ; Wound Healing</subject><ispartof>Annals of vascular surgery, 2017-02, Vol.39, p.286.e11-286.e14</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-5b5d994071e3b44851657fa752ef9c7967d5420d6b2a9e234388cfd6e43c027a3</citedby><cites>FETCH-LOGICAL-c411t-5b5d994071e3b44851657fa752ef9c7967d5420d6b2a9e234388cfd6e43c027a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0890509616308299$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27666801$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chihara, Shingo</creatorcontrib><creatorcontrib>Sawada, Kentaro</creatorcontrib><creatorcontrib>Tomoeda, Hiroshi</creatorcontrib><creatorcontrib>Aoyagi, Shigeaki</creatorcontrib><title>Pulsatile Varicose Veins Secondary to Severe Tricuspid Regurgitation: Report of a Case Successfully Managed by Endovenous Laser Treatment</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>We report a case of pulsatile varicose veins successfully managed by endovenous laser treatment (EVLT) of the great saphenous vein (GSV). A 77-year-old woman taking an anticoagulant was transferred to our hospital for pulsatile varicose veins complicated with repeated venous bleeding from an ulcer of her left lower leg. Doppler echocardiography showed severe tricuspid regurgitation, and duplex ultrasonography revealed an arterial-like pulsating flow in the saphenofemoral junction and along the GSV, but an arteriovenous fistula, obstruction of the deep veins, and the distal incompetent perforators were not detected. Because of a significant bleeding risk due to elevated venous pressure and anticoagulant therapy, EVLT was performed for the GSV, which resulted in the complete occlusion of the GSV and healing of the ulcer. EVLT presents a safe and useful therapeutic technique for pulsatile varicose veins in the limbs.</description><subject>Aged</subject><subject>Echocardiography, Doppler</subject><subject>Female</subject><subject>Humans</subject><subject>Laser Therapy</subject><subject>Pulsatile Flow</subject><subject>Regional Blood Flow</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - physiopathology</subject><subject>Saphenous Vein - surgery</subject><subject>Severity of Illness Index</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Tricuspid Valve Insufficiency - complications</subject><subject>Tricuspid Valve Insufficiency - diagnostic imaging</subject><subject>Tricuspid Valve Insufficiency - physiopathology</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Varicose Veins - diagnostic imaging</subject><subject>Varicose Veins - etiology</subject><subject>Varicose Veins - physiopathology</subject><subject>Varicose Veins - surgery</subject><subject>Wound Healing</subject><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9Ul2rEzEQDaJ469U_4IPk0ZetSXaT3YgIUq4fUFHs1deQJrMldZv0JruF_gT_tbP06oMPwkBm4JzD5Jwh5DlnS864erVf2lPZLQX2S4Yl1AOy4IrLSuqmfUgWrNOskkyrK_KklD1jXHRN95hciVYp1TG-IL--TkOxYxiA_rA5uFSwgRAL3YBL0dt8pmPC4QQZ6C0ipnIMnn6D3ZR3YURqiq9xPKY80tRTS1cWNTaTc1BKPw3DmX620e7A0-2Z3kSfThDTVOgacRklwY4HiONT8qi3Q4Fn9-81-f7-5nb1sVp_-fBp9W5duYbzsZJb6bVuWMuh3jZNJ7mSbW9bKaDXrtWq9bIRzKutsBpE3dRd53qvoKkdE62tr8nLi-4xp7sJymgOoTgYBhsB1zK8qyW6w3iNUHGBupxKydCbYw4HtMRwZuYIzN7MEZg5AsOwhELSi3v9aXsA_5fyx3MEvLkAAH95CpBNcQGiAx8yuNH4FP6v__YfuhtCDM4OP-EMZZ-mHNE_w00RhpnNfATzDXBVs05oXf8GwKquGA</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Chihara, Shingo</creator><creator>Sawada, Kentaro</creator><creator>Tomoeda, Hiroshi</creator><creator>Aoyagi, Shigeaki</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Pulsatile Varicose Veins Secondary to Severe Tricuspid Regurgitation: Report of a Case Successfully Managed by Endovenous Laser Treatment</title><author>Chihara, Shingo ; Sawada, Kentaro ; Tomoeda, Hiroshi ; Aoyagi, Shigeaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-5b5d994071e3b44851657fa752ef9c7967d5420d6b2a9e234388cfd6e43c027a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Echocardiography, Doppler</topic><topic>Female</topic><topic>Humans</topic><topic>Laser Therapy</topic><topic>Pulsatile Flow</topic><topic>Regional Blood Flow</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - physiopathology</topic><topic>Saphenous Vein - surgery</topic><topic>Severity of Illness Index</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Tricuspid Valve Insufficiency - complications</topic><topic>Tricuspid Valve Insufficiency - diagnostic imaging</topic><topic>Tricuspid Valve Insufficiency - physiopathology</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Varicose Veins - diagnostic imaging</topic><topic>Varicose Veins - etiology</topic><topic>Varicose Veins - physiopathology</topic><topic>Varicose Veins - surgery</topic><topic>Wound Healing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chihara, Shingo</creatorcontrib><creatorcontrib>Sawada, Kentaro</creatorcontrib><creatorcontrib>Tomoeda, Hiroshi</creatorcontrib><creatorcontrib>Aoyagi, Shigeaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chihara, Shingo</au><au>Sawada, Kentaro</au><au>Tomoeda, Hiroshi</au><au>Aoyagi, Shigeaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pulsatile Varicose Veins Secondary to Severe Tricuspid Regurgitation: Report of a Case Successfully Managed by Endovenous Laser Treatment</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2017-02-01</date><risdate>2017</risdate><volume>39</volume><spage>286.e11</spage><epage>286.e14</epage><pages>286.e11-286.e14</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>We report a case of pulsatile varicose veins successfully managed by endovenous laser treatment (EVLT) of the great saphenous vein (GSV). A 77-year-old woman taking an anticoagulant was transferred to our hospital for pulsatile varicose veins complicated with repeated venous bleeding from an ulcer of her left lower leg. Doppler echocardiography showed severe tricuspid regurgitation, and duplex ultrasonography revealed an arterial-like pulsating flow in the saphenofemoral junction and along the GSV, but an arteriovenous fistula, obstruction of the deep veins, and the distal incompetent perforators were not detected. Because of a significant bleeding risk due to elevated venous pressure and anticoagulant therapy, EVLT was performed for the GSV, which resulted in the complete occlusion of the GSV and healing of the ulcer. EVLT presents a safe and useful therapeutic technique for pulsatile varicose veins in the limbs.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>27666801</pmid><doi>10.1016/j.avsg.2016.06.026</doi></addata></record> |
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| subjects | Aged Echocardiography, Doppler Female Humans Laser Therapy Pulsatile Flow Regional Blood Flow Saphenous Vein - diagnostic imaging Saphenous Vein - physiopathology Saphenous Vein - surgery Severity of Illness Index Surgery Treatment Outcome Tricuspid Valve Insufficiency - complications Tricuspid Valve Insufficiency - diagnostic imaging Tricuspid Valve Insufficiency - physiopathology Ultrasonography, Doppler, Duplex Varicose Veins - diagnostic imaging Varicose Veins - etiology Varicose Veins - physiopathology Varicose Veins - surgery Wound Healing |
| title | Pulsatile Varicose Veins Secondary to Severe Tricuspid Regurgitation: Report of a Case Successfully Managed by Endovenous Laser Treatment |
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