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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.

Publication ,  Journal Article
Meissner, MH; Khilnani, NM; Labropoulos, N; Gasparis, AP; Gibson, K; Greiner, M; Learman, LA; Atashroo, D; Lurie, F; Passman, MA; Basile, A ...
Published in: J Vasc Surg Venous Lymphat Disord
May 2021

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.

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Published In

J Vasc Surg Venous Lymphat Disord

DOI

EISSN

2213-3348

Publication Date

May 2021

Volume

9

Issue

3

Start / End Page

568 / 584

Location

United States

Related Subject Headings

  • Venous Insufficiency
  • Veins
  • Varicose Veins
  • Terminology as Topic
  • Renal Nutcracker Syndrome
  • Predictive Value of Tests
  • Phlebography
  • Pelvis
  • May-Thurner Syndrome
  • Humans
 

Citation

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Meissner, M. H., Khilnani, N. M., Labropoulos, N., Gasparis, A. P., Gibson, K., Greiner, M., … Rosenblatt, M. (2021). The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders. J Vasc Surg Venous Lymphat Disord, 9(3), 568–584. https://doi.org/10.1016/j.jvsv.2020.12.084
Meissner, Mark H., Neil M. Khilnani, Nicos Labropoulos, Antonios P. Gasparis, Kathleen Gibson, Milka Greiner, Lee A. Learman, et al. “The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders.J Vasc Surg Venous Lymphat Disord 9, no. 3 (May 2021): 568–84. https://doi.org/10.1016/j.jvsv.2020.12.084.
Meissner MH, Khilnani NM, Labropoulos N, Gasparis AP, Gibson K, Greiner M, et al. The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders. J Vasc Surg Venous Lymphat Disord. 2021 May;9(3):568–84.
Meissner, Mark H., et al. “The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders.J Vasc Surg Venous Lymphat Disord, vol. 9, no. 3, May 2021, pp. 568–84. Pubmed, doi:10.1016/j.jvsv.2020.12.084.
Meissner MH, Khilnani NM, Labropoulos N, Gasparis AP, Gibson K, Greiner M, Learman LA, Atashroo D, Lurie F, Passman MA, Basile A, Lazarshvilli Z, Lohr J, Kim M-D, Nicolini PH, Pabon-Ramos WM, Rosenblatt M. The Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders. J Vasc Surg Venous Lymphat Disord. 2021 May;9(3):568–584.
Journal cover image

Published In

J Vasc Surg Venous Lymphat Disord

DOI

EISSN

2213-3348

Publication Date

May 2021

Volume

9

Issue

3

Start / End Page

568 / 584

Location

United States

Related Subject Headings

  • Venous Insufficiency
  • Veins
  • Varicose Veins
  • Terminology as Topic
  • Renal Nutcracker Syndrome
  • Predictive Value of Tests
  • Phlebography
  • Pelvis
  • May-Thurner Syndrome
  • Humans