Med. Pro Praxi 2006; 4: 194-196 [Interní Med. 2006; 8(6): 299-300]

Možnosti léčení chronické žilní insuficience s využitím gelů s vyšší koncentrací heparinu

MUDr. Jan Marušiak Ph.D
Oddělení cévní a rekonstrukční chirurgie, Krajská nemocnice Liberec

Chronická žilní insuficience je závažné onemocnění, postihující zejména osoby středního a vyššího věku. Možnosti terapie jsou zaměřeny na potlačování projevů tohoto onemocnění a prevenci jeho komplikací. Vedle chirurgické léčby se významně uplatňuje také terapie medikamentózní, zahrnující i gelová externa s vyšší koncentrací heparinu. Společně s kompresivní terapií, režimovými opatřeními a důslednou edukací pacienta jsou významnou součástí léčby a své uplatnění nacházejí i v případech po provedené sklerotizaci povrchních žil.

Published: October 1, 2006  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Marušiak J. Možnosti léčení chronické žilní insuficience s využitím gelů s vyšší koncentrací heparinu. Med. praxi. 2006;3(4):194-196.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Bergan JJ. Application of microcirculatory principles in the treatment of chronic venous insufficiency. Microcirculation. 1999; 23: 194-206. Go to original source...
    2. Callam MJ, Ruckley CV, Harper DR, Dále JJ. Chronic ulceration of the leg: extent of the problem and provision of care. BMJ. 1985; 290: 1855-1856. Go to original source... Go to PubMed...
    3. Cockett FB, Thomas ML. The iliac compression syndrom. Br J surg 1965; 52: 816. Go to original source... Go to PubMed...
    4. Coleridge Smith PD. Neutrophil activation and mediators of inflammation in CVI. J Vasc Res. 1999; 36: 24-36. Go to original source... Go to PubMed...
    5. Coleridge Smith PD. Venous ulcer. Br J Surg. 1994; 81: 1404-1405. Go to original source... Go to PubMed...
    6. Dále WA, Harris J. Cross-over vein grafts for iliac and femoral venous occlusion. Ann Surg 1968; 168: 319. Go to original source... Go to PubMed...
    7. Dále WA. Reconstructive venous surgery. Arch Surg 1979; 114: 1312. Go to original source... Go to PubMed...
    8. Hahn TL, Unthank JL, Lalka SG. Increased hindlimb leukocyte concentration in a chronic rodent model of venous hypertension. J Surg Res. 1999; 81: 38-41. Go to original source... Go to PubMed...
    9. Homans J. The etiology and treatment of varicose ulcer of the leg. Surg Gynecol Obstet. 1917; 24: 300-311.
    10. Husni EA. In situ saphenopopliteal bypass graft for incompetence of the femoral and popliteal veins. Surg Gynecol Obstet 1970; 130: 279.
    11. Junger M, Hahn M, Klyscz T, Steins A. Role of microangiopathy in the development of venous leg ulcer. Prog Appl Microcirc. 1999; 23: 180-193. Go to original source...
    12. Kistner RL. Reflux desease: Valvuloplasty, transposition, valve transplant. Proc Straub Pacific Health Found 1993; 57: 37.
    13. Landis EM. Microinjection studies of capillary blood pressure in human skin. Heart. 1930, 15: 209-228.
    14. Marušiak J, Štrincl J, Rambousek Z, Škaryd A. Rozhledy v chirurgii III / 2003; 82: 161-169. Go to PubMed...
    15. Nicolaides AN, Zukowski AJ. The value of dynamic venous pressure measurements. World J Surg 1986; 10: 919. Go to original source... Go to PubMed...
    16. Palma EC, Esperon R. Vein transplants and grafts in the surgical treatment of the post-phlebitic syndrom. J Cardiovasc Surg 1960; 1: 94.
    17. Palma EC, Riss R, DelCampo F, Tobler H. Tratamiento de los trastornos post-flebiticos mediante anastomosis venosa safen-femoral contralateral. Sociedad de Cirurgia de Uruguay, 25 Junio, 1958.
    18. Raju S, Easterwood L, Fountain T, et al. Saphenectomy in the presence of chronic venous obstruction. Surgery. 1998; 123: 637-644. Go to original source... Go to PubMed...
    19. Raju S, Frederick R. Valve reconstruction procedures for non-obstructive venous insuficiency: Rationale, techniques and results in 107 procedures with 2-8 year follow-up. J Vasc Surg 1988; 7: 301. Go to original source...
    20. Raju S, Fredericks R. Hemodynamic basis of stasis ulceration - A hypothesis. J Vasc Surg 1991; 13: 491. Go to original source...
    21. Shields D. White cell activation. In: Coleridge Smith PD, ed. Microcirculation in Venous Desease. RL Landes Co, 1994; 129-143.
    22. Schmeller W, Roszinski S, Tronnier M, Gmelin E. Combined morphological and physiological examinations in lipodermatosclerosis. In: Raymond-Martimbeau P, Prescott R, Zummo M, eds. Phlebologie 92. Paris: John Libbey Eurotext, 1992: 172-174.
    23. Spáčil J. Péče o chronické poruchy žil dolních končetin: zpráva mezinárodní komise založená na důkazech. Prakt. flebol. 9, 2000; 4: 161-165.
    24. Staubesand J, Fischer N. The ultrastructural characteristics of abnormal collagen fibrils in various organs. Connect Tissue Res 1980; 7: 213. Go to original source... Go to PubMed...
    25. Takase S, Delano F, Lerond L, Bergan JJ, Schmid-Schonbein GW. Inflammation in CVI: is the problem insurmountable? J Vasc Res. 1999; 38 (suppl 1): 3-10. Go to original source... Go to PubMed...
    26. Takase S, Lerond L, Bergan JJ, Schmid-Schonbein GW. The inflamatory reaction during venous hypertension in the rat. Microcirculation. 2000; 7: 41-52. Go to original source... Go to PubMed...
    27. van Bemmelen SP, Hoynck van Papendrecht AA, Hodde KC, Klopper PJ. A study of valve incompetence that developed in an experimental model of venous hypertension. Arch Surg. 1986; 121: 1048-1052. Go to original source... Go to PubMed...
    28. Warren R, Thayer TR. Transplantation of the saphenous vein for postphlebitic stasis. Surgery 1954; 35: 867. Go to PubMed...

    Return to the content


    Medicine for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.