May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment?
Pregnancy is a well-known risk factor for venous insufficiency. However, even nulliparous women experience venous problems. Therefore, we aimed to assess the possible associations between the number of pregnancies, veins condition and treatment outcome in women with venous disease. The retrospective...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/13/15/2535 |
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| author | Justyna Wilczko Cezary Szary Anna Bodziony Krzysztof Celejewski Siavash Swieczkowski-Feiz Marcin Napierala Dominika Plucinska Jerzy Leszczynski Michal Zawadzki Tomasz Grzela |
| author_facet | Justyna Wilczko Cezary Szary Anna Bodziony Krzysztof Celejewski Siavash Swieczkowski-Feiz Marcin Napierala Dominika Plucinska Jerzy Leszczynski Michal Zawadzki Tomasz Grzela |
| author_sort | Justyna Wilczko |
| collection | DOAJ |
| description | Pregnancy is a well-known risk factor for venous insufficiency. However, even nulliparous women experience venous problems. Therefore, we aimed to assess the possible associations between the number of pregnancies, veins condition and treatment outcome in women with venous disease. The retrospective assessment concerned data of 297 women with diagnosed venous insufficiency. Based on their pregnancy history, the patients’ records were divided into: nulliparous women (15.5%), those after 1–2 term pregnancies (57.9%) and those after ≥3 pregnancies (26.6%). The analysis concerned data from the diagnostics of the abdominal/pelvic and leg veins and the treatment results expressed as a symptoms/satisfaction score. Most of the nulliparous women developed venous disease due to mild anatomic abnormalities of the abdominal/pelvic veins. They responded to treatment (mostly unilateral embolization) very well. In the second group, the majority of the combined venous abnormalities responded to treatment with significant improvement, even after embolization alone, although nearly two-thirds still required further leg treatment. The third group was comprised of more advanced cases; nearly 40% of them with recurrence. In order to improve their condition, three-fourths of the cases required sequential treatment in both the pelvic and leg veins compartments. In conclusion, the number of pregnancies is a potent modifying factor in the pathogenesis of venous disease, especially in multiparous women. Together with abnormal venous anatomy, it may determine the treatment outcome. |
| first_indexed | 2024-03-11T00:29:39Z |
| format | Article |
| id | doaj.art-a7016d8e505642d6a6e4a549ed2027ce |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-11T00:29:39Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-a7016d8e505642d6a6e4a549ed2027ce2023-11-18T22:46:48ZengMDPI AGDiagnostics2075-44182023-07-011315253510.3390/diagnostics13152535May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment?Justyna Wilczko0Cezary Szary1Anna Bodziony2Krzysztof Celejewski3Siavash Swieczkowski-Feiz4Marcin Napierala5Dominika Plucinska6Jerzy Leszczynski7Michal Zawadzki8Tomasz Grzela9Clinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandClinic of Phlebology, 02-034 Warsaw, PolandPregnancy is a well-known risk factor for venous insufficiency. However, even nulliparous women experience venous problems. Therefore, we aimed to assess the possible associations between the number of pregnancies, veins condition and treatment outcome in women with venous disease. The retrospective assessment concerned data of 297 women with diagnosed venous insufficiency. Based on their pregnancy history, the patients’ records were divided into: nulliparous women (15.5%), those after 1–2 term pregnancies (57.9%) and those after ≥3 pregnancies (26.6%). The analysis concerned data from the diagnostics of the abdominal/pelvic and leg veins and the treatment results expressed as a symptoms/satisfaction score. Most of the nulliparous women developed venous disease due to mild anatomic abnormalities of the abdominal/pelvic veins. They responded to treatment (mostly unilateral embolization) very well. In the second group, the majority of the combined venous abnormalities responded to treatment with significant improvement, even after embolization alone, although nearly two-thirds still required further leg treatment. The third group was comprised of more advanced cases; nearly 40% of them with recurrence. In order to improve their condition, three-fourths of the cases required sequential treatment in both the pelvic and leg veins compartments. In conclusion, the number of pregnancies is a potent modifying factor in the pathogenesis of venous disease, especially in multiparous women. Together with abnormal venous anatomy, it may determine the treatment outcome.https://www.mdpi.com/2075-4418/13/15/2535embolizationpregnancylower limb venous insufficiencypelvic venous insufficiencyvenous diseasevenous abnormalities |
| spellingShingle | Justyna Wilczko Cezary Szary Anna Bodziony Krzysztof Celejewski Siavash Swieczkowski-Feiz Marcin Napierala Dominika Plucinska Jerzy Leszczynski Michal Zawadzki Tomasz Grzela May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment? Diagnostics embolization pregnancy lower limb venous insufficiency pelvic venous insufficiency venous disease venous abnormalities |
| title | May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment? |
| title_full | May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment? |
| title_fullStr | May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment? |
| title_full_unstemmed | May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment? |
| title_short | May the Number of Pregnancies Predict the Progression and the Outcome of Venous Disease Treatment? |
| title_sort | may the number of pregnancies predict the progression and the outcome of venous disease treatment |
| topic | embolization pregnancy lower limb venous insufficiency pelvic venous insufficiency venous disease venous abnormalities |
| url | https://www.mdpi.com/2075-4418/13/15/2535 |
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