A systematic review and meta-analysis of the treatments of varicose veins

Murad, M. Hassan; Coto-Yglesias, Fernando; Zumaeta-Garcia, Magaly; Elamin, Mohamed B.; Duggirala, Murali K.; Erwin, Patricia J.; Montori, Víctor M.; Gloviczki, Péter

doi:10.1016/j.jvs.2011.02.031

Cited by 128 publications

(88 citation statements)

References 60 publications

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“…The overall results of this research differ from the findings of other published systematic reviews and meta-analyses [84][85][86][87][88][89] in their conclusion that FS, EVLA and RFA offer potentially equally effective alternatives to surgery and, in the case of FS, a cost-effective alternative also. This difference can be explained by the inclusion of more RCT evidence in the present report (approximately three times as many relevant RCTs than any previous review, despite broader criteria in the majority of the previous reviews), the exclusion of non-RCT and noncomparative evidence, and the analysis methods used.…”

Section: Discussioncontrasting

confidence: 99%

Systematic review, network meta-analysis and exploratory cost-effectiveness model of randomized trials of minimally invasive techniquesversussurgery for varicose veins

Carroll

Hummel

Leaviss

et al. 2014

British Journal of Surgery

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Article:Carroll, C. orcid.org/0000-0002-6361-6182, Hummel, S., Leaviss, J. orcid.org/0000-0002-5632-6021 et al. (4 more ReuseUnless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section 29 of the Copyright, Designs and Patents Act 1988 allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version -refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher's website. TakedownIf you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. Type of publication: Review Keywords:Systematic review, cost-effectiveness, varicose veins, health technology assessment AbstractBackground:

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Section: Discussioncontrasting

confidence: 99%

Systematic review, network meta-analysis and exploratory cost-effectiveness model of randomized trials of minimally invasive techniquesversussurgery for varicose veins

Carroll

Hummel

Leaviss

et al. 2014

British Journal of Surgery

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“…The efficacy of foam sclerotherapy on QOL was recently demonstrated in a single-centre cohort study by Darvall et al These author found that ultrasound-guided foam sclerotherapy for great and small saphenous varicose veins leads to significant improvements in generic and diseasespecific health related QOL for at least 12 months after treatment 12 .…”

Section: Quality Of Lifementioning

confidence: 98%

Clinical Study and Comparison of Various Modalities of Treatment of Varicose Veins of Lower Limbs

Srinivas¹,

Suryanarayana²,

Sharadha³

et al. 2016

jemds

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“…A meta-analysis of these studies shows no significant difference between the two procedures on varicosity recurrence (RR, 0.94; 95% CI, 0.25-3.46; I2 = 50%) [23].…”

Section: Discussionmentioning

confidence: 93%

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

Hammad¹,

Modaber²,

Aliyev³

2017

Vascul Dis Ther

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Conventional surgery has been used for a long time for treatment of varicose veins with variable degrees of minor to major complications. Endovenous RA of VV has been established as a practical and effective alternative to conventional surgery. Segmental radiofrequency ablation provides high ablation rates in conjunction with a very moderate side effect profile. The advantages of RFA are far greater than its associated risks. There are certain points, which need to be carefully addressed during the RFA technique which was taken into consideration during gaining more experience with more number of cases which allowed to clarify our message from the study to achieve better results and avoid complications. Of most importance is an adequate Duplex scan to identify accessory channels and double superficial systems. Reconfirming the catheter tip position after leg elevation is a must. Blind positioning of the catheter must be avoided, as is the advancement of the catheter into the femoral vein to prevent unnecessary intimal damage. Tumescent anesthesia should be instilled below the saphenous fascia and above the deep muscular fascia surrounding the vein using ultrasound guidance. The purpose of tumescence is threefold; analgesia, protecting skin by displacing the vein away from it and neighboring structures against heat (heat sink effect) to displace heat radiating up to 1.5 mm beyond the vein wall, favoring the contact made between the electrode and a dry "saphenous vein" with inflow tributaries eliminated by compression is also created. The GSV should be compressed to separate it from the inflow tributaries, to maintenance an adequate probe temperature in contact with the vein wall. The avoidance of propagation of steam bubbles (or thrombus) by compression is of extreme importance. Further follow up ad studies is needed to improve the efficiency and decrease the incidence of complications of this well-established technique.

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A systematic review and meta-analysis of the treatments of varicose veins

Abstract: Low-quality evidence supports long-term safety and efficacy of surgery for the treatment of varicose veins. Short-term studies support the efficacy of less invasive treatments, which are associated with less periprocedural disability and pain.

Cited by 128 publications

References 60 publications

Systematic review, network meta-analysis and exploratory cost-effectiveness model of randomized trials of minimally invasive techniquesversussurgery for varicose veins

Systematic review, network meta-analysis and exploratory cost-effectiveness model of randomized trials of minimally invasive techniquesversussurgery for varicose veins

Clinical Study and Comparison of Various Modalities of Treatment of Varicose Veins of Lower Limbs

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

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