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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