Navegando por Palavras-chave "venous insufficiency"
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- ItemAcesso aberto (Open Access)Implementação financeira e o impacto do mutirão de cirurgias de varizes, após a criação do Fundo de Ações Estratégias e Compensação (FAEC)(Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2011-12-01) Souza, Maira Oliveira; Miranda Júnior, Fausto [UNIFESP]; Poli de Figueiredo, Luiz Francisco [UNIFESP]; Pitta, Guilherme Benjamin Brandão; Aragão, José Aderval [UNIFESP]; Sociedade Brasileira de Angiologia e de Cirurgia Vascular; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP); UNCISAL; Universidade Tiradentes Faculdade de MedicinaBACKGROUND: In spite of the fact that the number of surgeries presented by the elective surgery task force did not entirely reflect the reality, it is possible to declare that the financial implementation of the Brazilian Ministry of Health has been significative, as well as the increasing number of varicose vein surgeries, especially after the creation of the Strategic Actions and Compensation Fund (FAEC). OBJECTIVE: To evaluate the application of financial investment in the Ministry of Health campaign for varicose vein surgery. METHODS: A transversal study of retrospective nature has been conducted, using information available at the Data Processing Department of the National Healthcare System database (DATASUS). All the authorization of hospital internment from the inferior member varicose vein surgeries, financed by the Brazilian Ministry of Health from January 1998 to December 2004, have been included in the research. RESULTS: In 1998, before the implementation of the elective surgery task force, 23,531 varicose vein surgeries have been performed, and R$ 5,819,033.27 invested. After the creation of the FAEC, 457,026 inferior member varicose vein surgeries have been performed from 1999 to 2004, and R$ 187,760,196.81 were invested with an average of R$ 31,293,336.13 per year. CONCLUSION: Thus, it is possible to conclude that the bigger investment from the Brazilian Ministry of Health, represented by the implementation of the elective surgery task forces by the FAEC, has been responsible for increasing the number of varicose vein surgeries all around Brazil.
- ItemAcesso aberto (Open Access)Perfil clínico e sociodemográfico dos portadores de doença venosa crônica atendidos em centros de saúde de Maceió (AL)(Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2012-06-01) Costa, Larissa Maranhão; Higino, Wesley J.f.; Leal, Flávia de Jesus [UNIFESP]; Couto, Renata Cardoso [UNIFESP]; FAL curso de Fisioterapia; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual de Ciências da Saúde de AlagoasBACKGROUND: Chronic venous disease (CVD) is to change the system causing a venous valvular incompetence associated with obstruction of flow or not. It affects 10 to 20% of world population, with higher prevalence in females. It presents as the most common symptoms and pain and swelling in advanced form, venous ulcer, and brings functional limitations, social isolation, affecting quality of life. OBJECTIVE: Profiling of patients with CVD, the survey data indicate that clinical and socio-demographic characteristics that may contribute to possible change of habit in the life, who for reasons of work, lack of knowledge and/or instructions had affected their routine by the disease, with consequent decline in their quality of life. METHODS: A descriptive, observational, cross-sectional study that evaluated patients with CVD treated at health centers in Maceió (AL) Brazil, applying a form for collecting data, such as CEAP, Brazil Criterion of Economic Classification Questionnaire and SF-36. RESULTS: The sample consisted of 66 patients with CVD, 83% were female and 17% male. The patients had predominantly aged between 50 and 60 years who were sedentary, assuming prolonged standing, low educational level and economic status, severe clinical disease (symptomatic C6), and quality of life variable. CONCLUSION: The results showed a predominance of females, 50 to 60 years old, with triggering factors and/or aggravating factors for development of CVD as lack of physical activity, low education and low economic income, affecting quality of life.
- ItemAcesso aberto (Open Access)Tratamento combinado da cirurgia de varizes com a escleroterapia de telangiectasias dos membros inferiores no mesmo ato(Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2006-03-01) Gaspar, Ricardo José [UNIFESP]; Medeiros, Charles Angotti Furtado de; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual de Campinas (UNICAMP)OBJECTIVES: Chemical sclerotherapy is the most traditional treatment to eliminate telangiectasias. For several decades, it has been carried out in the office, although it has a high index of treatment dropout for being a painful, long and, therefore, little efficient treatment. Most of these patients also present insufficient varicose veins, which require phlebectomy and are candidates for surgery. The aim of this paper is to describe the combined treatment including varicose vein surgery and sclerotherapy for telangiectasias at the same procedure. METHODS: From January 1998 to March 2002, 213 patients (426 lower limbs) with telangiectasias were treated by means of hypertonic glucose infusion during the varicose vein surgery. RESULTS: More than 90% of the patients reported high indices of aesthetic satisfaction. The complementary sclerotherapy was necessary in 165 patients to have full aesthetic satisfaction during follow-up. Any cases of superficial thrombophlebitis or of deep venous thrombosis were reported. There were no serious complications either. In 10% of cases, small drainage of residual microthrombus was necessary. The index of hyperchromic spots did not exceed 3%. Only one patient developed a small ulcer in the back of the foot (0.2%), which spontaneously healed. CONCLUSIONS: Combined treatment including surgery with sclerotherapy for varicose veins and lower extremity telangiectasias is an alternative for patients who desire faster and painless results. Multiple session sclerotherapy with hypertonic glucose is a safe and efficient procedure.
- ItemAcesso aberto (Open Access)Válvulas da veia braquial comum: estudo anatômico(Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2007-03-01) Santos, Carlos Adriano Silva dos; Poli de Figueiredo, Luiz Francisco [UNIFESP]; Gusmão, Luiz Carlos Buarque de; Pitta, Guilherme Benjamin Brandão; Miranda Junior, Fausto [UNIFESP]; Universidade Estadual de Ciências da Saúde de Alagoas Hospital-Escola Dr. José Carneiro; Universidade Federal de São Paulo (UNIFESP); Universidade Federal de Alagoas Departamento de Morfologia; UNCISAL Departamento de CirurgiaBACKGROUND: A great part of venous insufficiencies is due to valve incompetence. Valved venous grafts in the insufficient segment are a surgical alternative. OBJECTIVE: To describe the anatomy of the common brachial vein valves. METHODS: We used 30 male corpses of varied races with their upper limbs articulated to the trunk. They were preserved in formol and fixed in a 10% formol solution. Exclusion criteria were presence of disarticulation in one limb or deforming alterations in the topography of assessed structures. RESULTS: The total number of identified valves was 28 in the right arm and 33 in the left arm, 15 of them in the right proximal segment and 21 in the left proximal segment. More than 91% of the valves were bicuspid and parietal. CONCLUSION: We conclude that the common brachial vein often presents bicuspid and parietal valves.
- ItemAcesso aberto (Open Access)A variabilidade hemodinâmica venosa detectada pelos parâmetros da pletismografia a ar nas classes clínicas da classificação CEAP(Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2007-12-01) Oliveira, Ricardo De Ávila; Barros Junior, Newton de [UNIFESP]; Miranda Junior, Fausto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)BACKGROUND: The hemodynamic variability of air plethysmography is known in the literature, but the clinical significance of this event has not been investigated yet, and there may be some unexplored clinical meaning. There is known superpositioning of CEAP clinical classes (C0-C6) and even in lower limbs of the same clinical classes. OBJECTIVE: To evaluate hemodynamic variability of air plethysmography parameters in CEAP clinical classes. METHODS: This retrospective study compares lower limb varicose disease between C0 and C6 CEAP clinical classes with venous hemodynamic parameters obtained by air plethysmography. Data were tabled and analyzed according to their clinical classes by Kruskal-Wallys and Barllet variance tests. RESULTS: A total of 310 examinations were performed in 230 patients, aged between 19-81 years (mean = 46.2 years). Venous filling index and functional venous volume increased hemodynamic variability when compared with CEAP C0. This was demonstrated by the variability coefficient, which was 28.12% for venous filling index in C0 and higher than 57% between clinical classes C2 and C6. Ejection fraction and residual venous fraction had no increase in variability when compared with CEAP C0. CONCLUSION: Venous filling index is the best parameter for assessment and screening patients with chronic venous insufficiency, but has great variability in C2 to C6 CEAP clinical classes.