Great saphenous vein occlusion rates after combined treatment with laser and foam sclerotherapy

Ulloa, Jorge H; Comerota, Anthony J.; Figueroa, Valentin; Cifuentes, Sebastian

doi:10.1016/j.jvsv.2021.06.007

Cited by 8 publications

(3 citation statements)

References 26 publications

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“…Techniques that combine EVLA and UGFS have recently been investigated, starting with Tessari et al, 9 with contributions from Frullini et al, 10 Ulloa et al, 7 Boné, 11 and Carmelino et al, 12 with the aim to achieve better occlusion rates even in severely dilated venous trunks, decreasing the sclerosing foam (SF) volume and the power needed to achieve a successful ablation with the laser and eliminating the need for tumescent anesthesia, thus decreasing complications, improving patient satisfaction and allowing for better outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…6 Endovenous laser ablation, on the other hand, requires the use of high volumes of tumescent anesthesia, which can result in higher levels of pain and extensive hematomas, hyperpigmentation, skin burns, and paresthesias due to skin and nerve damage, thrombophlebitis, vessel perforation, and heat-induced thrombosis, that can lead to lifethreatening outcomes. [6][7][8] Techniques that combine EVLA and UGFS have recently been investigated, starting with Tessari et al, 9 with contributions from Frullini et al, 10 Ulloa et al, 7 Boné, 11 and Carmelino et al, 12 with the aim to achieve better occlusion rates even in severely dilated venous trunks, decreasing the sclerosing foam (SF) volume and the power needed to achieve a successful ablation with the laser and eliminating the need for tumescent anesthesia, thus decreasing complications, improving patient satisfaction and allowing for better outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Laser-sclerosing foam hybrid treatment, a non-tumescent technique for insufficient great saphenous vein ablation

Victoria M,

Rujano A,

Zilipo

2024

Phlebology

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Objective We aim to report on the Laser-Sclerosing Foam Hybrid Treatment (LSFHT) and its outcomes when used on patients with great saphenous vein (GSV) insufficiency. Methods This was a single center retrospective cohort study on patients with GSV insufficiency that were treated with the LSFHT technique, a surgical procedure that comprises the use of both sclerosing foam and endovenous ablation and avoids the use of tumescent anesthesia. Occlusion rates and complications were reported. Results 139 legs from 106 patients were operated, achieving a 100% occlusion rate, while only a small burn and 2 popliteal vein thrombosis cases occurred. Conclusion The study suggests that the LSFHT is a feasible fast procedure that proved both effective and safe for the treatment of GSV insufficiency.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laser-sclerosing foam hybrid treatment, a non-tumescent technique for insufficient great saphenous vein ablation

Victoria M,

Rujano A,

Zilipo

2024

Phlebology

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“…This disease can severely affect patients' quality of life if left untreated. Therefore, a prompt diagnosis can help to provide early treatment, which can vary from simple leg elevation at the end of the day to highly effective minimally invasive ablation of the incompetent veins (Ulloa et al , 2021). In this protocol, patients were screened for both AAA and SVI, and those with a significant disease warranting treatment were referred to specialized centers to receive appropriate care.…”

Section: Introductionmentioning

confidence: 99%

Mobile ultrasound vascular assessment (MUVA) for remote and conflict areas

Rocha

Pinto

Consuegra

et al. 2023

JHLSCM

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Purpose This study aims to facilitate access to vascular disease screening for low-income individuals living in remote and conflict areas based on the results of a pilot trial in Colombia. Also, to increase the amount of diagnosis training of vascular surgery (VS) in civilians. Design/methodology/approach The operation method includes five stages: strategy development and adjustment; translation of the strategy into a real-world setting; operation logistics planning; strategy analysis and adoption. The operation plan worked efficiently in this study’s sample. It demonstrated high sensibility, efficiency and safety in a real-world setting. Findings The authors developed and implemented a flow model operating plan for screening vascular pathologies in low-income patients pro bono without proper access to vascular health care. A total of 140 patients from rural areas in Colombia were recruited to a controlled screening session where they underwent serial noninvasive ultrasound assessments conducted by health professionals of different training stages in VS. Research limitations/implications The plan was designed to be implemented in remote, conflict areas with limited access to VS care. Vascular injuries are critically important and common among civilians and military forces in regions with active armed conflicts. As this strategy can be modified and adapted to different medical specialties and geographic areas, the authors recommend checking the related legislation and legal aspects of the intended areas where we will implement this tool. Practical implications Different sub-specialties can implement the described method to be translated into significant areas of medicine, as the authors can adjust the deployment and execution for the assessment in peripheral areas, conflict zones and other public health crises that require a faster response. This is necessary, as the amount of training to which VS trainees are exposed is low. A simulated exercise offers a novel opportunity to enhance their current diagnostic skills using ultrasound in a controlled environment. Social implications Evaluating and assessing patients with limited access to vascular medicine and other specialties can decrease the burden of vascular disease and related complications and increase the number of treatments available for remote communities. Originality/value It is essential to assess the most significant number of patients and treat them according to their triage designation. This management is similar to assessment in remote areas without access to a proper VS consult. The authors were able to determine, classify and redirect to therapeutic interventions the patients with positive findings in remote areas with a fast deployment methodology in VS. Plain language summary Access to health care is limited due to multiple barriers and the assessment and response, especially in peripheral areas that require a highly skilled team of medical professionals and related equipment. The authors tested a novel mobile assessment tool for remote and conflict areas in a rural zone of Colombia.

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Treatment of varicose great saphenous vein with endovenous laser alone or combined with eco-guided foam sclerotherapy: A randomized controlled trial

Duarte,

de Souza,

Regueira Filho

et al. 2024

Phlebology

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Objectives: This study compares Endovenous Laser Ablation (EVLA) alone versus combined with ultrasound-guided foam sclerotherapy (UGFS) for Great Saphenous Vein (GSV) insufficiency. Methods: Sixty patients were randomly allocated to EVLA or EVLA–UGFS groups which focused on GSV occlusion rates, complications, additional treatments, and quality of life (QoL) changes. Results: Among 55 participants, the EVLA group had higher 12-month occlusion rates (92.3% vs. 75.8%, p = 0.11). Nervous injury (NI) was rarer in EVLA–UGFS (3.4% vs. 23.1%, p = 0.04). No significant difference in other complication rates ( p > 0.05). QoL improved in both groups ( p < 0.001). EVLA–UGFS required more subsequent procedures (24.1% vs. 7.7%, p = 0.03). Conclusions: EVLA and EVLA–UGFS effectively treat GSV insufficiency, enhancing QoL. The combined method reduces NI risk but may require more follow-up procedures.

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Great saphenous vein occlusion rates after combined treatment with laser and foam sclerotherapy

Cited by 8 publications

References 26 publications

Laser-sclerosing foam hybrid treatment, a non-tumescent technique for insufficient great saphenous vein ablation

Laser-sclerosing foam hybrid treatment, a non-tumescent technique for insufficient great saphenous vein ablation

Mobile ultrasound vascular assessment (MUVA) for remote and conflict areas

Treatment of varicose great saphenous vein with endovenous laser alone or combined with eco-guided foam sclerotherapy: A randomized controlled trial

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