NBCA injection with the Variclose device seems to be a feasible, effective and safe treatment in GSV incompetence. Long-term follow-up studies and randomized controlled trials are needed to achieve high-quality evidence.
Primary avalvular varicose anomaly (PAVA) is a new medical concept defined as
primary varicose veins resembling neovascularized tissue on ultrasound
examination. PAVAs could be misdiagnosed as recurrence at the saphenofemoral or
saphenopopliteal junction, but no studies have yet examined their role before
and after venous invasive procedure. In this report, we describe a case of PAVA
in a 39-year-old man with symptomatic varicose veins and great saphenous vein
truncal incompetence. Six months after radiofrequency ablation of the great
saphenous vein, duplex ultrasound revealed complete occlusion of great saphenous
vein and partial thrombosis of the still incompetent PAVA.
The term “recurrence” in chronic venous disease remains not yet well defined, despite numerous reports describing patterns and causes of the presence of recurrent varicose veins (RVVs). Moreover, saphenous trunk recanalization (STR) has also been documented as one of the major source of RVVs and it is widely used to indicate the “failure” of endovenous ablation. Finally, reappearance of venous symptoms (VSym) should be considered to reach a complete “recurrence” evaluation. RVVs, STR, and VSym rates and mutual co-presence after endovenous treatments are still unclear. The aim of this report is to describe and analyze these three recurrence components after 6 years in patients underwent radiofrequency ablation of the great saphenous vein.
SummaryRadiofrequency endovenous ablation treatment is a safe, effective and durable technique for the treatment of great saphenous vein truncal incompetence. However, it is associated with relatively rare complications, such as ecchymosis, paresthesia, hyperpigmentation, phlebitis, haematoma, deep vein thrombosis and pulmonary embolism. Among these, aesthetic complications are the most frequent minor complications occurred after the procedure. This brief review defines and describes aesthetic complications after endovenous radiofrequency ablation of great saphenous vein and provides useful tips to minimize their incidence. Aesthetic complications can be avoided with a careful and accurate preoperative patient and vein evaluation, proper operative indication, adherence to procedure and device instruction for use and best postoperative management.
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