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The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders

Authors
 Mark H Meissner  ;  Neil M Khilnani  ;  Nicos Labropoulos  ;  Antonios P Gasparis  ;  Kathleen Gibson  ;  Milka Greiner  ;  Lee A Learman  ;  Diana Atashroo  ;  Fedor Lurie  ;  Marc A Passman  ;  Antonio Basile  ;  Zaza Lazarshvilli  ;  Joann Lohr  ;  Man-Deuk Kim  ;  Philippe H Nicolini  ;  Waleska M Pabon-Ramos  ;  Melvin Rosenblatt 
Citation
 JOURNAL OF VASCULAR SURGERY, Vol.9(3) : 568-584, 2021-05 
Journal Title
JOURNAL OF VASCULAR SURGERY
ISSN
 0741-5214 
Issue Date
2021-05
MeSH
Decision Support Techniques* ; Evidence-Based Medicine ; Hemodynamics ; Humans ; May-Thurner Syndrome / classification* ; May-Thurner Syndrome / complications ; May-Thurner Syndrome / diagnostic imaging ; May-Thurner Syndrome / physiopathology ; Pelvis / blood supply* ; Phlebography ; Predictive Value of Tests ; Renal Nutcracker Syndrome / classification* ; Renal Nutcracker Syndrome / complications ; Renal Nutcracker Syndrome / diagnostic imaging ; Renal Nutcracker Syndrome / physiopathology ; Terminology as Topic* ; Varicose Veins / classification* ; Varicose Veins / complications ; Varicose Veins / diagnostic imaging ; Varicose Veins / physiopathology ; Veins* / diagnostic imaging ; Veins* / physiopathology ; Venous Insufficiency / classification* ; Venous Insufficiency / complications ; Venous Insufficiency / diagnostic imaging ; Venous Insufficiency / physiopathology
Keywords
May Thurner syndrome ; Pelvic pain ; Renal nutcracker syndrome ; Varicose veins ; Venous insufficiency
Abstract
As the importance of pelvic venous disorders (PeVD) has been increasingly recognized, progress in the field has been limited by the lack of a valid and reliable classification instrument. Misleading historical nomenclature, such as the May-Thurner, pelvic congestion, and nutcracker syndromes, often fails to recognize the interrelationship of many pelvic symptoms and their underlying pathophysiology. Based on a perceived need, the American Vein and Lymphatic Society convened an international, multidisciplinary panel charged with the development of a discriminative classification instrument for PeVD. This instrument, the Symptoms-Varices-Pathophysiology ("SVP") classification for PeVD, includes three domains-Symptoms (S), Varices (V), and Pathophysiology (P), with the pathophysiology domain encompassing the Anatomic (A), Hemodynamic (H), and Etiologic (E) features of the patient's disease. An individual patient's classification is designated as SVPA,H,E. For patients with pelvic origin lower extremity signs or symptoms, the SVP instrument is complementary to and should be used in conjunction with the Clinical-Etiologic-Anatomic-Physiologic (CEAP) classification. The SVP instrument accurately defines the diverse patient populations with PeVD, an important step in improving clinical decision making, developing disease-specific outcome measures and identifying homogenous patient populations for clinical trials.
Files in This Item:
T202103268.pdf Download
DOI
10.1016/j.jvsv.2020.12.084
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Man Deuk(김만득) ORCID logo https://orcid.org/0000-0002-3575-5847
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/184608
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