Venous hemodynamic changes in lower limb venous disease: the UIP consensus according to scientific evidence.

作者：B.B. Lee, Andrew N Nicolaides, Kenneth A. Myers, Mark H. Meissner, Evi Kalodiki, Claudio Allegra, Pier Luigi Antignani, Niels Bækgaard, Kirk W. Beach, Giovanni Vincent Belcaro, Stephen Alan Black, Lena Blomgren, Eliete Bouskela, Massimo Cappelli, Joseph A. Caprini, P. Carpentier, Attilio Cavezzi, Sylvain Chastanet, Jan T. Christenson, D. Christopoulos, Heather F. Clarke, Alun Huw Davies, Marianne Demaeseneer, Bo Eklöf, Stefano Ermini, Fidel Rivero Fernández, Claude Franceschi, Antonios P. Gasparis, George Geroulakos, Sergio Gianesini, Athanasios D. Giannoukas, Péter Gloviczki, Ying Chieh Huang, Veronica Ibegbuna, Stavros K. Kakkos, Robert L. Kistner, Tilo Kölbel, Ralph L.M. Kurstjens, Nicos Labropoulos, James Laredo, Christopher Richard Lattimer, Marzia Lugli, Fedor Lurie, Oscar Maleti, Jovan N. Markovic, Erika Mendoza, Javier Monedero, Gregory L. Moneta, Hayley M. Moore, Nick Morrison, Giovanni Battista Mosti, Olle Nelzén, Alfred Obermayer, Tomohiro Ogawa, Kurosh Parsi, Hugo Partsch, Fausto Passariello, Michel L Perrin, Paul Pittaluga, Seshadri L. Raju, Stefano Ricci, Antonio Rosales, Angelo Scuderi, Carl-Erik Slagsvold, Anders Thurin, Tomasz Urbanek, André M. van Rij, Michael A. Vasquez, C.H.A. Wittens, Paolo Zamboni, Steven E. Zimmet, Santiago Zubicoa Ezpeleta · 发表于：PubMed · 年份：2016 · 被引用次数：127 · 研究领域：Diagnosis and Treatment of Venous Diseases、Venous Thromboembolism Diagnosis and Management、Peripheral Artery Disease Management

There are excellent guidelines for clinicians to manage venous diseases but few reviews to assess their hemodynamic background. Hemodynamic concepts that evolved in the past have largely remained unchallenged in recent decades, perhaps due to their often complicated nature and in part due to emergence of new diagnostic techniques. Duplex ultrasound scanning and other imaging techniques which evolved in the latter part of the 20th century have dominated investigation. They have greatly improved our understanding of the anatomical patterns of venous reflux and obstruction. However, they do not provide the physiological basis for understanding the hemodynamics of flow, pressure, compliance and resistance. Hemodynamic investigations appear to provide a better correlation with post-treatment clinical outcome and quality of life than ultrasound findings. There is a far better prospect for understanding the complete picture of the patient's disability and response to management by combining ultrasound with hemodynamic studies. Accordingly, at the instigation of Dr Angelo Scuderi, the Union Internationale de Phlebologie (UIP) executive board commissioned a large number of experts to assess all aspects of management for venous disease by evidence-based principles. These included experts from various member societies including the European Venous Forum (EVF), American Venous Forum (AVF), American College of Phlebology (ACP) and Cardiovascular Disease Educational and Research Trust (CDE...