By Jose Almeida MD PA

Extend your surgical talents with Atlas of Endovascular Venous surgical procedure, through Dr. Jose Almeida. This easy-to-access, hugely visible reference bargains the great, step by step information you must in achieving optimum results within the surgery of venous problems. unique, full-color intraoperative illustrations and fine quality movies trap key educating moments, permitting you to raised comprehend the nuances of surgical procedure and equipping you to accomplish state of the art strategies and increase your perform. the newest in laser-assisted distal stripping methods, new units for the remedy of venous reflux, and an evidence-based precis of the yank Venous discussion board guidance are between many scorching issues coated. What’s extra, you could entry the absolutely searchable, entire text—along with snapshot and video libraries—online at

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10. Sansilvestri-Morel P, Rupin A, Badier-Commander C, et al. Imbalance in the synthesis of collagen type I and collagen type III in smooth muscle cells derived from human varicose veins. J Vasc Res 2001;38:560-568. 11. Ascher E, Jacob T, Hingorani A, et al. Expression of molecular mediators of apoptosis and their role in the pathogenesis of lower-extremity varicose veins. J Vasc Surg 2001;33: 1080-1086. 12. Bouissou H, Julian M, Pieraggi MT, et al. Vein morphology. Phlebology 1988;3(suppl 1):1-11.

This volume increase is displayed on a graph from which measurements may be taken. First, the patient is supine, and outflow testing identifies obstruction and the degree of superficial collateralization. Next, the patient is asked to stand, and the filling rate of the veins by n Fig 2–6 Air bladder cuff Supine position C H A P T E R 2 n Noninvasive Testing Air bladder cuff Standing position Toe-up position n Fig 2–7 31 32 n ATLAS OF ENDOVASCULAR VENOUS SURGERY reflux through incompetent valves is measured.

Low-pressure veins collapse and local velocity is often reduced to zero shortly after inspiration. This is due to the fact that when the diaphragm moves down on inspiration, pressure in the closed abdominal cavity increases and collapses veins at low pressure. With proximal obstruction, this phasic velocity is disturbed and becomes continuous. The third criterion is associated with velocity response secondary to distal compression. When veins are unobstructed proximal to the target and compression is performed distally, the local velocity will increase in response to compression.

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