Perspectives on Chronic Venous Insufficiency

Chronic Venous Insufficiency (CVI), or Chronic Venous Disease (CVD), is a condition characterized by impaired venous blood flow in the legs. It occurs when the valves within the leg veins become damaged or weakened, leading to blood pooling and symptoms such as leg swelling, pain, and skin changes. Risk factors include genetics, obesity, prolonged sitting or standing, and previous blood clots. Management options for CVI encompass lifestyle modifications, compression therapy, medications, and surgical interventions when necessary. Accurate diagnosis and appropriate treatment are crucial for effectively addressing chronic venous insufficiency in patients.

Descifrando claves: El impacto de la compresión en la IVC y la diferenciación de lipedema, linfedema y lipohypertrofia
MOH Talks

Descifrando claves: El impacto de la compresión en la IVC y la diferenciación de lipedema, linfedema y lipohypertrofia

Únase en un viaje internacional en el que nos adentraremos en el mundo de la insuficiencia venosa y del lipedema
Unlocking the hidden suffering: understanding pelvic venous disorders (PT)
MOH Talks

Unlocking the hidden suffering: understanding pelvic venous disorders (PT)

Explore the complex world of pelvic venous disorders with us – medical conditions that often linger in the shadows.
The time factor: Healing venous leg ulcers with compression
MOH Talks / Podcast

The time factor: Healing venous leg ulcers with compression

Time plays a crucial role in the management of venous leg ulcers. Learn more in this podcast with Prof Nair and Mr Aviles, moderated by Dr Shamsian.
A scientific preview on the ESVM congress
MOH Talks

A scientific preview on the ESVM congress

Together with the presidents of the ESVM, Professor Mazzolai and Professor Madaric, we are pleased to provide a preview into the exciting program of the ESVM 2023 within this MOH Talk. The ESVM 2023 is the place where vascular/angiology physicians and researchers get together to share their knowledge and experience, construct collaborations and exchanges. Be part of the preview session where selected venous/lymphatics and arteries opinion leaders will give a preview of what to expect at ESVM!
Int. consensus on indications and contraindications of compression
MOH Talks

Int. consensus on indications and contraindications of compression

Chronic venous disease is a medical condition that tends to worsen with age. It is made up of a variety of signs and symptoms that impact patients’ quality of life. This web seminar discusses the role of medical compression stockings in treating chronic venous disease.

Risk and contraindication medical compression treatment (Part 1)
MOH Summary

Risk and contraindication medical compression treatment (Part 1)

Compression therapy is the use of compression socks, stockings, boots, or bandages to apply gentle pressure to the legs. Doctors prescribed compression therapy for thousands of years. Modern science continues to discover new benefits of compression therapy. Dr. Christopher started by introducing compression classification and its importance as he discussed tension devices, and not pure pressure devices because we believe the tension is the root of most of the complications and the law of Laplace; they can be divided into two elastic compression devices, which have sustained pressure and a rise in tissue pressure, and inelastic compression, which have rapid elevations in tissue pressure.
Indications for Medical Compression Stocking in Chronic Venous Diseases
MOH Summary

Indications for Medical Compression Stocking in Chronic Venous Diseases

Dr. Eberhard Rabe started his presentation with studies showing improvement in using medical compression stockings. He said that 51 new pieces of evidence recommend using these stockings for various diseases. In this presentation, the objectives are to provide update of the recommendations in the 2008 consensus statement, fill gaps identified in the earlier consensus statement and provide graded recommendations for the clinical goal of treatment using medical compression stockings (MCS).
Risk and contraindication medical compression treatment
MOH Summary

Risk and contraindication medical compression treatment

Dr. Tomasz Urbanek starts the speech by the general recommendation: "We recommend that every patient receiving compression therapy should be screened for conditions that increase the risk of complications and every compression device should be checked for appropriate fit and application."
Risks and complications of compression therapy
MOH Summary

Risks and complications of compression therapy

Dr Tobias Hirsch presented topics about oedema drainage and cardiac insufficiency as well borderline indications.

The effect of leg elevation on local inflammatory biomarkers in healthy subjects & CVI patients
MOH Focus

The effect of leg elevation on local inflammatory biomarkers in healthy subjects & CVI patients

This MOH Focus reviews the effects of medical compression stockings and leg elevation on local inflammation. This paper is also available in French, German, Italian, Polish, Portuguese, and Spanish.
Compression hosiery in the elderly reduces falls and is easily donned...
MOH Focus

Compression hosiery in the elderly reduces falls and is easily donned...

This MOH Focus presents the promising findings of two studies that will motivate elderly people and their caregivers to use compression therapy. This paper is available to download in English, Chinese, French, German, Italian, Polish and Spanish.

MOH Bulletin 43

MOH Bulletin 43

Elastic compression stockings for prevention of the post-thrombotic syndrome in patients with and without residual vein thrombosis and/or popliteal valve reflux // The comparative efficacy of conventional short-stretch multilayer bandages and velcro adjustable compression wraps in active treatment phase of patients with lower limb lymphedema // Editor’s choice – European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs
MOH Bulletin 42

MOH Bulletin 42

Compression therapy is not contraindicated in diabetic patients with venous or mixed leg ulcer // Is compression therapy contraindicated in lower leg erysipelas? Results of a retrospective analysis. // Occupational leg edema - use of compression stockings
MOH Bulletin 40

MOH Bulletin 40

Risks and Contraindications of Medical Compression Treatment – A Critical Reappraisal. An International Consensus Statement.
MOH Bulletin 39

MOH Bulletin 39

Better wearing comfort of knee-length elastic compression stockings with an interface pressure of 18–21 mmHg compared to 23–32 mmHg in elderly people after a one day trial – Influence on foot deformities, rheumatism and arthritis. // High tolerance of progressive elastic compression in peripheral arterial disease. // Effect of lower leg compression during caesarean section on post-spinal hypotension and neonatal hemodynamic parameters: nonrandomized controlled clinical trial.
MOH Bulletin 37

MOH Bulletin 37

Validation of a gravitational model to study local endogenous biomarkers in chronic venous insufficiency // Graduated compression stockings for prevention of deep vein thrombosis Comparison of 15–20 mmHg versus 20–30 mmHg compression stockings in reducing occupational oedema in standing and seated healthy individuals // Treatment protocol on stasis edema in poorly mobile nursing home patients
MOH Bulletin 35

MOH Bulletin 35

Control of lower extremity edema in patients with diabetes: double blind randomized controlled trial assessing the efficacy of mild compression diabetic socks // Effects of compression stockings on elevation of leg lymph pumping pressure and improvement of quality of life in healthy female volunteers: A randomized controlled trial // Compression use in the era of endovenous interventions and wound care centres //Acceptance, compliance and effects of compression stockings on venous functional symptoms and quality of life of Italian pregnant women
MOH Bulletin 33

MOH Bulletin 33

Eliciting patients’ preferences for elastic compression stocking therapy after deep vein thrombosis: potential for improving compliance // Compression therapy – current practice of care: level of knowledge in patients with venous leg ulcers // Impact of compression stockings vs continuous positive airway pressure on overnight fluid shift and obstructive sleep apnea among patients on dialysis // A randomized crossover trial on the effect of compression stockings on nausea and vomiting in early pregnancy
MOH Bulletin 32

MOH Bulletin 32

Hemodynamic performance of low strength below knee graduated elastic compression stockings in health, venous disease, and lymphedema // Venous leg symptoms in healthy subjects assessed during prolonged standing // The effects of short-term use of compression stockings on health related quality of life in patients with chronic venous insufficiency // A compression kit of a stocking and three superimposed leggings is easy to don and dose adjustable
MOH Bulletin 31

MOH Bulletin 31

Booster study: Comparative evaluation of a new concept of elastic stockings in mild venous insufficiency //A randomized double-blind trial of upward progressive versus degressive compressive stockings in patients with moderate to severe chronic venous insufficiency // Compression stockings with a negative pressure gradient have a more pronounced effect on venous pumping function than graduated elastic compression stockings // Interface pressure and venous drainage of two compression stocking types in healthy volunteers and in patients with hemodynamic disturbances of the legs
MOH Bulletin 30

MOH Bulletin 30

Editor’s choice – Management of chronic venous disease: Clinical practice guidelines of the European Society for Vascular Surgery (ESVS) // Compression therapy: Scientific background and practical applications // A study of leg edema in immobile patients

DVT / VTE / PTS

Chronic Venous Obstruction – state of the art diagnostic and treatment
MOH Talks

Chronic Venous Obstruction – state of the art diagnostic and treatment

Global experts will share insights about the art of diagnostic and treatment of chronic venous obstructions, their personal experiences in the treatment of ulcera and last but not least give guidance in the choosing of the right compression technology
Covid-19 and thrombosis
MOH Talks

Covid-19 and thrombosis

A first of its kind experience to stay updated with the vascular health challenges of Covid-19 in the world of today.

Thrombosis & Covid-19 - Individual Risk Assessment & Prophylaxis Protocol
MOH Summary

Thrombosis & Covid-19 - Individual Risk Assessment & Prophylaxis Protocol

Prof. Joseph Caprini, Emeritus at the NorthShore University Health System in Evanston, Illinois and a senior clinician-educator at the University of Chicago Pritzker School of Medicine, believes that individual risk assessment of thrombosis in Covid-19 patients is a fundamental part of analyzing the pandemic! As the number and power of risk factors increase in the Caprini Score, the incidence of thrombosis increases, resulting in a score that has been validated in 5 million patients. There is a non-linear increase in clinical venous thromboembolism incidence as the score increases! But capturing the 40 elements in the Caprini Score is a time-consuming process! However, it can be facilitated by having the patient complete a preliminary form in advance of elective surgery with the help of family members. That is why physicians should review the initial documents filled by the patients and their families. However, is there really a connection between Thrombosis and Covid-19?
Strategy for treating vascular emergencies during the Covid-19 pandemic in China
MOH Summary

Strategy for treating vascular emergencies during the Covid-19 pandemic in China

Prof. Jinsong Wang started the taking with the Covid 19 started in December 2019 broke out worldwide and how the frontline medical staff is at high risk for occupational exposure and infection also preventing nosocomial infections is a particularly important and challenging task during the pandemic.
 Venous thromboembolism prophylaxis and treatment in Covid-19
MOH Summary

Venous thromboembolism prophylaxis and treatment in Covid-19

Venous thromboembolism (VTE) prophylaxis consists of pharmacologic and nonpharmacologic measures to diminish the risk of deep vein thrombosis (DVT) and pulmonary embolism (PE). Dr. Kirill Lobastov started his talk by the incidence of venous thromboembolism in patients with covid infection. It was found in 11 studies with more than 1500 thousand participants. In most of these studies, patients used low molecular heparins in prophylactic intermediate therapeutic toes. It was about 13 percent, and pulmonary embolism was about eight. In the intensive care unit, it was high that pulmonary embolism occurred in about 18 percent of all patients.

Compression for the prevention of post-thrombotic syndrome after DVT...
MOH Focus

Compression for the prevention of post-thrombotic syndrome after DVT...

This MOH Focus discusses the prevention of post-thrombotic syndrome following deep vein thrombosis. It reviews whether stopping elastic compression therapy after 12 months is non-inferior to continuing it for an additional 12 months. This paper is also available for download in French, German, Italian, and Polish.
Covid-19: Mortality risk factors and thromboembolic events
MOH Focus

Covid-19: Mortality risk factors and thromboembolic events

This MOH Focus analyzes the clinical course, mortality risk factors and thromboembolic events in Covid-19 patients. It is available to download in English, French and German.

MOH Bulletin 43

MOH Bulletin 43

Elastic compression stockings for prevention of the post-thrombotic syndrome in patients with and without residual vein thrombosis and/or popliteal valve reflux // The comparative efficacy of conventional short-stretch multilayer bandages and velcro adjustable compression wraps in active treatment phase of patients with lower limb lymphedema // Editor’s choice – European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs
MOH Bulletin 37

MOH Bulletin 37

Validation of a gravitational model to study local endogenous biomarkers in chronic venous insufficiency // Graduated compression stockings for prevention of deep vein thrombosis Comparison of 15–20 mmHg versus 20–30 mmHg compression stockings in reducing occupational oedema in standing and seated healthy individuals // Treatment protocol on stasis edema in poorly mobile nursing home patients
MOH Bulletin 36

MOH Bulletin 36

One versus two years of elastic compression stockings for prevention of post-thrombotic syndrome (OCTAVIA study): randomised controlled trial // Individualised versus standard duration of elastic compression therapy for prevention of post-thrombotic syndrome (IDEAL DVT): a multicentre, randomised, single-blind, allocation-concealed, non-inferiority trial // Clinical and economic impact of compression in the acute phase of deep vein thrombosis Compression therapy for prevention of post-thrombotic syndrome.
MOH Bulletin 33

MOH Bulletin 33

Eliciting patients’ preferences for elastic compression stocking therapy after deep vein thrombosis: potential for improving compliance // Compression therapy – current practice of care: level of knowledge in patients with venous leg ulcers // Impact of compression stockings vs continuous positive airway pressure on overnight fluid shift and obstructive sleep apnea among patients on dialysis // A randomized crossover trial on the effect of compression stockings on nausea and vomiting in early pregnancy

Pregnancy

CVI, DVT and Nausea in pregnancy: What to expect and how to deal with it?
MOH Talks

CVI, DVT and Nausea in pregnancy: What to expect and how to deal with it?

Global female experts will share insights about chronic venous insufficiency in pregnancy and a randomized crossover trila on the effect of compression stockings on nausea and vomiting in early pregnancy.

Venous and non-venous symptoms in pregnancy
MOH Summary

Venous and non-venous symptoms in pregnancy

During pregnancy the body undergoes various changes which may impair quality of life. There is some evidence demonstrating that compression therapy is a safe and simple way to treat pregnancy-related physical complaints. Dr Erika Mendoza, resident phlebologist in Germany and general secretary of the German Society of Phlebology, shares her evidence-based opinion on compression therapy during pregnancy within the MOH Talk “CVI, DVT and nausea in pregnancy: What to expect and how to deal with it?” on June 4, 2022.
Chronic venous insufficiency in pregnancy
MOH Summary

Chronic venous insufficiency in pregnancy

Chronic venous insufficiency (CVI) is one of the consequences of pregnancy-related haemodynamic and physical changes, which can be treated in a safe and simple way by compression therapy. At the current global medical online hub (MOH) webinar “CVI, DVT and nausea in pregnancy: What to expect and how to deal with it?” on June 4, 2022, Prof Dr Caitlin W. Hicks, Associate Professor of surgery at The Johns Hopkins University School of Medicine in the US, provided detailed insights on the mechanisms leading to venous insufficiency and how compression therapy may help.

Benefits of compression stockings throughout pregnancy
MOH Focus

Benefits of compression stockings throughout pregnancy

This MOH Focus reviews the effectiveness of medical compression stockings (MCS) against various signs and symptoms, throughout pregnancy & beyond. This paper is available to download in English, French, German, Italian and Spanish.
The effect of compression stockings on nausea and vomiting in early pregnancy
MOH Focus

The effect of compression stockings on nausea and vomiting in early pregnancy

This MOH Focus reviews the effect of compression stockings on the symptoms nausea and vomiting in the early stage of pregnancy. This paper is also available in French, German, Italian, and Polish.

MOH Bulletin 41

MOH Bulletin 41

Lower limbs venous compression reduces the incidence of maternal hypotension following epidural analgesia during term labor // Compression stockings for the prevention of venous leg ulcer recurrence: a health technology assessment // Compression therapy to prevent recurrent cellulitis of the leg
MOH Bulletin 39

MOH Bulletin 39

Better wearing comfort of knee-length elastic compression stockings with an interface pressure of 18–21 mmHg compared to 23–32 mmHg in elderly people after a one day trial – Influence on foot deformities, rheumatism and arthritis. // High tolerance of progressive elastic compression in peripheral arterial disease. // Effect of lower leg compression during caesarean section on post-spinal hypotension and neonatal hemodynamic parameters: nonrandomized controlled clinical trial.
MOH Bulletin 35

MOH Bulletin 35

Control of lower extremity edema in patients with diabetes: double blind randomized controlled trial assessing the efficacy of mild compression diabetic socks // Effects of compression stockings on elevation of leg lymph pumping pressure and improvement of quality of life in healthy female volunteers: A randomized controlled trial // Compression use in the era of endovenous interventions and wound care centres //Acceptance, compliance and effects of compression stockings on venous functional symptoms and quality of life of Italian pregnant women
MOH Bulletin 33

MOH Bulletin 33

Eliciting patients’ preferences for elastic compression stocking therapy after deep vein thrombosis: potential for improving compliance // Compression therapy – current practice of care: level of knowledge in patients with venous leg ulcers // Impact of compression stockings vs continuous positive airway pressure on overnight fluid shift and obstructive sleep apnea among patients on dialysis // A randomized crossover trial on the effect of compression stockings on nausea and vomiting in early pregnancy

Pelvic congestion syndrome

Unlocking the hidden suffering: understanding pelvic venous disorders (PT)
MOH Talks

Unlocking the hidden suffering: understanding pelvic venous disorders (PT)

Explore the complex world of pelvic venous disorders with us – medical conditions that often linger in the shadows.
A closer look into pelvic congestion syndrome
MOH Talks

A closer look into pelvic congestion syndrome

Global experts from United Kingdom, Germany, Turkey, Egypt and China will share insights about the pelvic congestion syndrome and take a closer look into diagnosis and treatment of PCS in Female and Male.
Pelvic varices are above all a question of veins
MOH Talks

Pelvic varices are above all a question of veins

The interactive session with two french experts Philippe Lemasle, a vascular doctor and Paul-Emile Labeyrie, an interventional radiologist, moderated by Sophie Moret gives answers about the pelvic varices and relevant treatment. The session was produced by Axis TV, an Internet television channel that ensures a mission of Continuing Medical Education with the live broadcasting of specialized programs for doctors in France.

The pelvic congestion syndrome – an overview

The pelvic congestion syndrome – an overview

This MOH Focus provides an overview on the pelvic congestion syndrome. It reviews pathophysiology, clinical features, diagnosis and treatment options for pelvic congestions syndrome. This paper is available to download in English, French, German and Italian.

Ulcer

The time factor: Healing venous leg ulcers with compression
MOH Talks / Podcast

The time factor: Healing venous leg ulcers with compression

Time plays a crucial role in the management of venous leg ulcers. Learn more in this podcast with Prof Nair and Mr Aviles, moderated by Dr Shamsian.
Challenging ulcer cases from all over Europe
MOH Talks

Challenging ulcer cases from all over Europe

What are the key success factors in the treatment of challenging venous leg ulcer? In our global MOH Talks, highly qualified and experienced experts from Austria, Greece, Italy, and Romania will share insights and provide evidence on successful treatment of venous leg ulcers with medical compression. An event you can't miss.

Compression stockings are highly effective in the treatment of venous leg ulcers.
MOH Focus

Compression stockings are highly effective in the treatment of venous leg ulcers.

This MOH Focus reviews the effects of the Sigvaris ULCER X kit in the treatment of venous leg ulcers. Wearing the ULCER X kit is more effective in healing venous leg ulcers than conventional bandaging with faster healing of small ulcers <4 cm. The paper is also available in French, German, Italian, and Polish.

MOH Bulletin 41

MOH Bulletin 41

Lower limbs venous compression reduces the incidence of maternal hypotension following epidural analgesia during term labor // Compression stockings for the prevention of venous leg ulcer recurrence: a health technology assessment // Compression therapy to prevent recurrent cellulitis of the leg
MOH Bulletin 38

MOH Bulletin 38

Adjustable compression wrap devices are cheaper and more effective than inelastic bandages for venous leg ulcer healing. A Multicentric Italian Randomized Clinical Experience // Importance of adequate pressure in compression therapy. Basis for successful treatment // Round-knit or flat-knit compression garments for maintenance therapy of lymphedema of the leg? – Review of the literature and technical data
MOH Bulletin 33

MOH Bulletin 33

Eliciting patients’ preferences for elastic compression stocking therapy after deep vein thrombosis: potential for improving compliance // Compression therapy – current practice of care: level of knowledge in patients with venous leg ulcers // Impact of compression stockings vs continuous positive airway pressure on overnight fluid shift and obstructive sleep apnea among patients on dialysis // A randomized crossover trial on the effect of compression stockings on nausea and vomiting in early pregnancy
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