The VEIN Handbook
A Layman's Version of Venous Disorders
Chapter 1:
Normal Venous Circulation
Vein Anatomy
Venous Return
Components of Venous Circulation
Peripheral Muscle Pump Mechanism
Calf Pump
Thigh and Foot Contributions to the Venous Pump
Compensations
Frequently Asked Questions
Chapter 2: Acute Deep Venous
Thrombosis and Its Complications
What is Acute Deep Venous Thrombosis?
Risk Factors
Complications of DVT
Pulmonary Embolism
Post-Thrombotic Syndrome
Determinants of Post-Thrombotic Syndrome
Frequently Asked Questions
Chapter 3: Hypercoagulable
States in Venous Disease
Normal Hemostatic Mechanisms
Fibrinolysis and Anticoagulant Pathways
Hypercoagulable States
Protein C Deficiency
Protein S Deficiency
Antithrombin III Deficiency
Prothrombin Defects
Fibrinolytic System Defects
Heparin-induced Thrombocytopenia
Antiphospholipid Antibodies
Activated Protein C Resistance
Hyperhomocysteinemia
Frequently Asked Questions
Chapter 4: Medical Treatment of
Acute Deep Venous Thrombosis
Treatment Objectives
Heparin Therapy
Complications
Low Molecular Weight Heparin
Oral Anticoagulant Therapy
Monitoring
Long-term Treatment of Venous Thromboembolism
Duration of Oral Anticoagulant Therapy in
Patients After a First DVT Episode
Duration of Oral Anticoagulant Therapy in
Patients with Recurrent DVT
Adverse Effects of Oral Anticoagulants
Treatment of Patients on Long-term
Anticoagulants Who Require Surgery
Upper Extremity DVT and Superficial Venous
Thrombophlebitis
Frequently Asked Questions
Chapter 5: Catheter-directed Thrombolysis for Acute Deep Venous
Thrombosis
What is Thrombolysis?
• Treating Stenosis
Complications of Thrombolysis
Thrombectomy and Anticoagulation
Conclusion
Frequently Asked Questions
Chapter 6: Surgery for Acute
Iliofemoral Deep Venous Thrombosis
Treatment Objectives
What Happens in Thrombectomy
Special Circumstances
Complications
Pulmonary Embolism
Early Re-thrombosis
Follow-up
Frequently Asked Questions
Chapter 7: Superficial Venous Thrombophlebitis
• Superficial Venous Thrombophlebitis
Causes of SVT
Trauma
Suppurative (Pus-producing)
Thrombopyhlebitis
Migratory Thrombophlebitis
Lesser Saphenous Vein Thrombophlebitis
Varicose Veins
Diagnosis
Treatment
Frequently Asked Questions
Chapter 8: Treatment of
Acute Axillary-Subclavian Venous Thrombosis
Diagnosis
Testing
Treatment
Anticoagulation
Thrombolysis
Treatment of Vein Narrowing from Within
the Vein
Surgery for Vein Compression
Frequently Asked Questions
Chapter 9: Pulmonary Embolism
What is Pulmonary Embolism?
Symptoms and Signs
Diagnostic Testing
More on Diagnostic Testing
Treatment
Frequently Asked Questions
Chapter 10: Prevention of Deep Venous Thrombosis
Risk Factors for Venous Thromboembolism
Preventive Methods and Regimens
Nonpharmacologic Prevention
Pharmacologic Prevention
Specific Recommendations
General Surgery
Vascular Surgery
Other Types of Surgery
Frequently Asked Questions
Chapter 11: Indications and
Techniques of Inferior Vena Cava Interruption
What is Vena Cava Interruption?
Filter Placement Procedure
Common Indications for Inferior Vena Cava Interruption
Patient Follow-up
Frequently Asked Questions
Chapter 12: Sclerotherapy
What is Sclerotherapy?
Diagnosis
Indications for Sclerotherapy
Contraindications for Sclerotherapy
Treatment
Compression
Complications
Frequently Asked Questions
Chapter 13: Complications of Sclerotherapy
Hyperpigmentation
Telangiectatic Matting
Cutaneous Necrosis
Allergic Reaction
Superficial Thrombophlebitis
Injection into an Artery
Deep Venous Thrombosis and Pulmonary Embolism
Frequently Asked Questions
Chapter 14: Surgery for Varicose Veins
What are Varicose Veins?
Causes of Varicose Veins
Indications for Treatment
Options in Treatment
Results of Intervention
Recurrent Varicose Veins
Frequently Asked Questions
Chapter 15: Compression Treatment for Chronic Venous Insufficiency
What is Chronic Venous Insufficiency?
Elastic Compression Stockings
Treatment Plan
Paste Gauze Boots
Other Forms of Compression
Adjunctive Compression Devices
Frequently Asked Questions
Chapter 16: Surgical Repair of Incompetent Venous Valves
What are Incompetent Venous Valves?
Causes
Diagnosis
Treatment
Frequently Asked Questions
Chapter 17: Venous Valve Transplantation and Vein Segment Transfer for Valvular Incompetence of
Deep Veins
Indications for Deep Venous Reconstruction
Contraindications for Deep Venous Reconstruction
Diagnosis
Treatment
Results
Frequently Asked Questions
Chapter 18: Endovascular Reconstruction for Chronic Iliac Vein and Inferior Vena Cava Obstruction
Techniques of Endovascular Reconstruction
Thrombolysis and Balloon Angioplasty
Metallic Stents
Anticoagulation
Chronic Iliac Vein Thrombosis
May-Thurner Syndrome
Complications
Inferior Vena Caval Occlusion
Cause and Manifestations
Treatment
Frequently Asked Questions
Chapter 19: Subfascial Endoscopic Perforating Vein Surgery
What are Incompetent Perforating Veins?
Indications for Perforator Interruption
Contraindications and Relative Contraindications to SEPS
Preoperative Evaluation
Surgery
Results
Frequently Asked Questions
Chapter 20: Lymphedema
The Lymphatic System
Fundamental Causes of Lymphedema
Symptoms and Course
Diagnostic Aids
• Frequently Asked Questions
Chapter 21: Treatment of Lymphedema
Why Treat Lymphedema?
Step 1: Get a proper diagnosis
Step 2: Decide whether to have treatment
Step 3: Choose goals of treatment
Step 4: Reduce the swelling
Step 5: Prevent fluid re-accumulation
Step 6: Maintain with diet, medications, and follow-up
Counseling
Frequently Asked Questions
Next: Normal Venous Circulation
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