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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

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dc.contributor.authorMeissner, Mark H.en
dc.contributor.authorKhilnani, Neil M.en
dc.contributor.authorLabropoulos, Nicosen
dc.contributor.authorGasparis, Antonios P.en
dc.contributor.authorGibson, Kathleenen
dc.contributor.authorGreiner, Milkaen
dc.contributor.authorLearman, Lee A.en
dc.contributor.authorAtashroo, Dianaen
dc.contributor.authorLurie, Fedoren
dc.contributor.authorPassman, Marc A.en
dc.contributor.authorBasile, Antonioen
dc.contributor.authorLazarshvilli, Zazaen
dc.contributor.authorLohr, Joannen
dc.contributor.authorKim, Man-Deuken
dc.contributor.authorNicolini, Philippe H.en
dc.contributor.authorPabon-Ramos, Waleska M.en
dc.contributor.authorRosenblatt, Melvinen
dc.contributor.departmentVirginia Tech Carilion School of Medicineen
dc.date.accessioned2021-07-30T13:06:00Zen
dc.date.available2021-07-30T13:06:00Zen
dc.date.issued2021-06en
dc.description.abstractAs 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.en
dc.description.notesThe author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Funding for this project was provided by the American Vein and Lymphatic Society (AVLS) and the Peter Gloviczki Chair of Venous and Lymphatic Disorders.en
dc.description.sponsorshipAmerican Vein and Lymphatic Society (AVLS); Peter Gloviczki Chair of Venous and Lymphatic Disordersen
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1177/0268355521999559en
dc.identifier.eissn1758-1125en
dc.identifier.issn0268-3555en
dc.identifier.issue5en
dc.identifier.other268355521999559en
dc.identifier.pmid33849310en
dc.identifier.urihttp://hdl.handle.net/10919/104453en
dc.identifier.volume36en
dc.language.isoenen
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectVenous insufficiencyen
dc.subjectVaricose veinsen
dc.subjectPelvic painen
dc.subjectMay Thurner syndromeen
dc.subjectRenal nutcracker syndromeen
dc.titleThe Symptoms-Varices-Pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disordersen
dc.title.serialPhlebologyen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.dcmitypeStillImageen

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