Perspectives on Chronic Venous Insufficiency

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).

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."

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

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?

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 (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.