Duplex ultrasound scan findings two years after great saphenous vein radiofrequency endovenous obliteration

Pichot, Olivier; Kabnick, Lowell S.; Creton, D.; Merchant, Robert F.; Schuller-Petroviæ, Sanja; Chandler, James G.

doi:10.1016/j.jvs.2003.07.015

Cited by 149 publications

(120 citation statements)

References 17 publications

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“…The lower incidence of neovascularization with RFA was also reported by Pichot and colleagues [29]. Sixty three limbs were studied with ultrasound scan protocol and found to have no evidence of neovascularization at 2 years after the treatment.…”

Section: Endovenous Radiofrequency Ablation Versus Vein Strippingsupporting

confidence: 71%

“…Four types of SFJ morphologies were identified [25,28,29]. The three most common include: J-1, defined as complete SFJ obliteration with no SFJ flow; J-2 as patent SFJ tributaries draining toward the femoral vein with or without a short saphenous stump; and J-3 as terminal GSV competence with normal antegrade flow coming from both tributaries and the saphenous vein above a limited GSV obliteration.…”

Section: Treatment Efficacy and Outcomesmentioning

confidence: 99%

“…The three most common include: J-1, defined as complete SFJ obliteration with no SFJ flow; J-2 as patent SFJ tributaries draining toward the femoral vein with or without a short saphenous stump; and J-3 as terminal GSV competence with normal antegrade flow coming from both tributaries and the saphenous vein above a limited GSV obliteration. Two years after RFA, the most common findings were either complete SFJ obliteration or a 5 cm or less patent terminal stump conducting antegrade tributary flow through the SFJ, accounting for approximately 90% of the limbs treated [25,29].…”

Section: Treatment Efficacy and Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Roth¹

2007

Surgical Clinics of North America

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Section: Endovenous Radiofrequency Ablation Versus Vein Strippingsupporting

confidence: 71%

Section: Treatment Efficacy and Outcomesmentioning

confidence: 99%

Section: Treatment Efficacy and Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Roth¹

2007

Surgical Clinics of North America

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“…[3][4][5][6][7] Thus, the inconsistency noted above might be explained by the hypothesis that performing SFJ ligation not only leads to less incompetent groin tributaries but also augments neovascularization in the groin.…”

Section: S Uperficial Venous Insufficiency Is a Common Medicalmentioning

confidence: 99%

Safety and Effectiveness of Endovenous Laser Ablation Combined With Ligation for Severe Saphenous Varicose Veins in Japanese Patients

Izumi¹,

Ikeda

Yamashita

et al. 2016

Int. Heart J.

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SummaryEndovenous laser ablation (EVLA), which is a relatively new therapeutic option for saphenous varicose veins of the legs, is less invasive than conventional stripping surgery with ligation. In this study, we evaluated the safety and effectiveness of EVLA combined with ligation for severe saphenous varicose veins that were graded as ≥ C 4 by the CEAP classification. We treated 119 Japanese patients (141 limbs) between July 2005 and December 2007 utilizing a 1320-nm Nd:YAG laser. The obliteration rate of the treated veins was found to be 100% over the entire follow-up period (2.5 years). Consistent with this finding, all of the patients exhibited improved skin lesions (ie, skin pigmentation and ulceration). No major complications, including deep vein thrombosis (DVT) and nerve injury, were observed. A questionnaire survey with a reasonable response rate (66.4%) demonstrated that subjective symptoms and minor complications that were initially observed after EVLA, such as mild pain, numbness, indurations, and localized hot flashes, were remarkably improved by the end of the follow-up period. Furthermore, high levels of patient satisfaction were noted. Thus, EVLA combined with ligation constituted a safe and effective strategy for treating severe saphenous varicose veins in Japanese patients. (Int Heart J 2016; 57: 87-90) Key words: 1320-nm Nd:YAG laser, Skin lesions, High patient satisfaction S uperficial venous insufficiency is a common medical condition that increases with age. Although stripping surgery with high ligation of the saphenofemoral junction (SFJ ligation) has been the standard treatment for great saphenous varicose veins with reflux, several effective alternatives are currently available.Endovenous laser ablation (EVLA) is a minimally invasive technique that has become a common alternative in Japan. EVLA can be performed either with or without SFJ ligation, and controversy persists regarding whether performing SFJ ligation prior to EVLA is truly beneficial for decreasing the recurrence rate of varicose veins. Recent studies have demonstrated that EVLA with SFJ ligation results in less incompetent groin tributaries and less common recanalization after the procedure.1) Interestingly, however, the overall recurrence rate was not improved by performing SFJ ligation.1) This finding was inconsistent with a previous finding that the presence of incompetent groin tributaries contributed to the pathogenesis of recurrent varicosities.2) Neovascularization in the groin is one of the operative stress responses to the SFJ ligation procedure, and it acts as another principal cause of recurrence.3-7) Thus, the inconsistency noted above might be explained by the hypothesis that performing SFJ ligation not only leads to less incompetent groin tributaries but also augments neovascularization in the groin.EVLA is a relatively new technique, and it tends to be applied for mild varicose veins that have been evaluated as class C 2 or C 3 according to the CEAP classification. Therefore, although EVLA has been perfo...

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“…12 Although, following treatment with radiofrequency ablation of great saphenous vein, there should not be any remnant flow, many studies have found limited reflux in some segments of treated GSV. 13,14 This failure of occlusion, shrinkage and disappearance of the treated segment of vein can be due to a fact that the heating segment may not adequately touch the vein wall throughout the length. This can happen if there is inadequate instillation of perivenous fluids.…”

mentioning

confidence: 99%