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Cvm upper extremity

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Claude Franceschi

This case report describes the treatment of varicose veins and other venous abnormalities in the hand and forearm of a patient. The treatment involved mapping and marking the refluxing veins and disconnecting them from the competent veins in two stages, without using phlebectomy, laser, or sclerosants. This resulted in the faded color of the hand angioma, collapsed varicose veins, and dramatically relieved heaviness, sweating, and cured ulnar neuralgia. The disconnections closed shunts that were overloading the hand and relieving symptoms.

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VARICOSE VEINS and CVM UPPER EXTREMITY Case report Claude Franceschi, Roerto Delfrate, Massimo Bricchi Paris, Cremona
Hand : angioma + extra truncular venous malformation + varicose veins. Forearm: Varicose veins + Heaviness, sweating , ulnar neuralgia
Venous Mapping+ Marking: Disconnection ( 2 cm vein excision under local anesthesia) of refluxing veins flux the competent veins (shunts escape points ). NO phlebectomy no Laser, no Sclerosant. 1st step: 1,2,3,4,5 . 2nd step ( 5 months) 6,7.12 3 6 7 12 3 4 5 6 7
Hand : faded angioma color, collapsed varicose veins Forearm: collapsed Varicose veins Heaviness, sweating Dramatically relieved Ulnar neuralgia: Cured
Shunts: closed shunt ( 1 escape point disconnection) and open deviated shunts ( 2,3,4,5,6 escape points disconnection) overload the hand extra-truncular venous malformation and angioma and harms the ulnar nerve. Their disconnection relieves signs and symptoms. Random disconnections and/or ablation could be inefficient or aggravate the disease ( excess of residual pressure and impaired drainage属 Why 2 steps? Excessive disconnections would hamper the physiological drainage of the hand as well as the angioma would . Thus, progressive disconnection.

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Cvm upper extremity

  • 1. VARICOSE VEINS and CVM UPPER EXTREMITY Case report Claude Franceschi, Roerto Delfrate, Massimo Bricchi Paris, Cremona
  • 2. Hand : angioma + extra truncular venous malformation + varicose veins. Forearm: Varicose veins + Heaviness, sweating , ulnar neuralgia
  • 3. Venous Mapping+ Marking: Disconnection ( 2 cm vein excision under local anesthesia) of refluxing veins flux the competent veins (shunts escape points ). NO phlebectomy no Laser, no Sclerosant. 1st step: 1,2,3,4,5 . 2nd step ( 5 months) 6,7.12 3 6 7 12 3 4 5 6 7
  • 4. Hand : faded angioma color, collapsed varicose veins Forearm: collapsed Varicose veins Heaviness, sweating Dramatically relieved Ulnar neuralgia: Cured
  • 5. Shunts: closed shunt ( 1 escape point disconnection) and open deviated shunts ( 2,3,4,5,6 escape points disconnection) overload the hand extra-truncular venous malformation and angioma and harms the ulnar nerve. Their disconnection relieves signs and symptoms. Random disconnections and/or ablation could be inefficient or aggravate the disease ( excess of residual pressure and impaired drainage属 Why 2 steps? Excessive disconnections would hamper the physiological drainage of the hand as well as the angioma would . Thus, progressive disconnection.