ED I TORI AL
Re v ie w in g a r e le v a n t t op ic
Pa u lo Rob e r t o M a t t os d a Silv e ir a*
*Pr ofessor , Gr aduat e Pr ogr am in Vascular and Endov ascular Sur ger y , Pont ifícia Univ er sidade Cat ólica
do Rio de Janeir o ( PUC- Rio) , Rio de Janeir o, RJ, Br azil. Mem ber , SBACV.
J Vasc Br as. 2008; 7( 2) : 89.
I n 1969 t he edit or ialist published in t he j our nal Angiopat iashis fir st scient ific ar t icle, ent it led " Var icose v ein w it h t hr om bophlebit is, "1 hav ing Algy de Medeir os and Am elio Pint o- Ribeir o as co- aut hor s. I n fact , it w as a case r epor t of a pat ient w it h v olum inous " v ar icose bundle" in t he low er t hir d of t he t high, w hich pr ogr essed spont aneously w it h inflam m at ion and t hr om bosis. That case w as ex cept ional not only due t o pr ocess am plit ude, but also because of t he chosen sur gical t r eat m ent ( t hr om bect om y ) .
Near ly 4 decades lat er , m ent ioning t his per sonal r ecollect ion is j ust ified by t he ent husiasm felt aft er r eading t he ex cellent r ev iew ar t icle on super ficial t hr om bophlebit is in t his issue of Jor nal Vascular Br asileir o,2w hich br ings a m or e com plet e cont ent about t his disease. I t pr ov ides infor m at ion fr om it s concept t o v ar ied for m s of clinical or sur gical t r eat m ent , pr esent ed w it h a w ide discussion and based on updat ed dat a fr om t he m edical lit er at ur e. This allow s r eader s t o br oaden t heir k now ledge on an issue t hat is quit e oft en t r eat ed super ficially ( w it h apologies for t he r edundancy ) in specific publicat ions about v ascular diseases, w het her t ex t book s or ar t icles.
Ther efor e, super ficial t hr om bophlebit is is giv en a sim ilar st at us t han it s half sist er , deep v enous t hr om bosis, since it can also cause pulm onar y em bolism in consider able r at es, besides r equir ing, accor ding t o each case, t he pat ient t o be ant icoagulat ed for v ar iable t im e. I t should also be st r essed t hat t his disease can be a w ar ning sign and it s occur r ence can indicat e concom it ance of ot her m or bidit ies ( t hr om bophilias, infect ions, neoplasm s, et c. ) .
Reading of t hat ar t icle by v ascular sur geons and angiologist s w ill cer t ainly incr ease t heir r esour ces t o bet t er diagnose t he disease it self and it s sev er al causes, in addit ion t o allow ing for est ablishm ent of t he m ost adequat e conduct for an efficacious t r eat m ent . I congr at ulat e t he aut hor s fr om Faculdade de Medicina de Bot ucat u for r escuing t he k now ledge on t he m edical im por t ance of on e of t he m ost fr equent m or bidit ies in clinical pr act ice of our specialt y .
Re fe r e n ce s
1. Silv eir a PR, Medeir os A, Pint o- Ribeir o A. Var icot r om boflebit e. Angiopat ias. 1969; 9( 2) : 71 - 6.
2. Sobr eir a ML, Yoshida WB, Last ór ia S. Tr om boflebit e super ficial: epidem iologia, fisiopat ologia, diagnóst ico e t r at am ent o. J Vasc Br as. 2008; 7( 2) : 131 - 143.
