Natural History of Recurrent Varices Undergoing Reintervention: A Retrospective Study

Pavei, Patrizia; Vecchiato, Marco; Spreafico, G; Giraldi, Enzo; Ferrini, Maurizio; Baccaglini, U.; Ancona, Ermanno

doi:10.1111/j.1524-4725.2008.34345.x

Cited by 5 publications

(3 citation statements)

References 16 publications

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“…[17][18][19] In 2008 we published a paper on redo surgery of the SFJ in 51 patients who were operated between 1996 and 2004. 20 At 5 years follow up 31.4% of them had no clinical recurrence, 29.9% showed new varices; 5.8% residual varices. CDU investigation of these patients showed 23.5% neovascularization rate at the groin and 9.8% patients presented with new large varices coming from the re-operated junction, that is to say 33.3% had a true relapse after redo surgery at the groin.…”

Section: Ceap Classmentioning

confidence: 87%

Ultrasound guided foam sclerotherapy of recurrent varices of the great and small saphenous vein: 5-year follow up

Pavei¹,

Ferrini²,

Spreafico³

et al. 2014

Veins and Lymphatics

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Ultrasound guided foam sclerotherapy (UGFS) proved to be effective in recurrent varices. In this observational study from 2006 and 2012 we treated 142 neovascularization, 155 inguinal recurrence and 28 popliteal recurrent varices. For neovascularization 0.3-0.5% polidocanol (POL) sclerosant foam (SF) was injected for vein having diameter <3 mm and 0.5-1% POL or sodium tetradecylsulphate (STS) SF for higher vein diameters. The patients with residual sapheno-femoral or sapheno-popliteal junctions were treated with 1% STS SF for diameter up to 5 mm, while for larger veins 3% STS was used. From 1 to 3 sessions were necessary in both groups with 4 to 10 ml injected per session. In the group of neovascularization the 3-5years follow up revealed good results in 90.8% of the cases. In the group of popliteal recurrences the 3-5 years follow up showed 60.7% of good results, while in the group of inguinal recurrences we observed 80% of good results at 3-5 years. We did not have major complication. As minor complications we had 0.2% of gastrocnemial vein thrombosis, 0.1% of minor neurological problems, 2.8% of superficial vein thrombosis, 3.9% of pigmentation and light to mild post-treatment pain in 16.5% of the cases. In conclusion our data show that UGFS is a well tolerate technique, preferred by previously operated patients, safe and easily repeatable with good medium-term results both in case of neovascularization and of recurrence from residual femoral or popliteal stump.

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Section: Ceap Classmentioning

confidence: 87%

Ultrasound guided foam sclerotherapy of recurrent varices of the great and small saphenous vein: 5-year follow up

Pavei¹,

Ferrini²,

Spreafico³

et al. 2014

Veins and Lymphatics

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“…Os locais de medição foram determinados conforme Seidel et al (2005). O refluxo venoso foi analisado sempre durante a mensuração dos DV, com os indivíduos na posição de pé, usando a manobra de Valsalva e compressão e descompressão bruscas distais para detetar a presença ou não de refluxo, sendo considerado como refluxo venoso o tempo maior que 0.5 segundos de movimento retró-grado do fluxo venoso na veia (Pavei et al, 2008;Quigley, Raptis, & Cashman, 1994;Souza et al, 2005).…”

Section: Mensuração Dos Diâmetros Venosos E Refluxo Venosounclassified

Uma sessão de exercícios de treino de força não promove alterações negativas na estrutura venosa dos membros inferiores em homens

Júnior¹,

Araújo²,

Aniceto³

et al. 2014

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ARTIGO ORIGINAL | ORIGINAL ARTICLE RESUMOO aumento do diâmetro venoso está associado à incompetência do sistema nos membros inferiores. O objetivo deste estudo foi analisar o efeito de uma sessão de exercícios de treino de força (TF) sobre o diâmetro venoso superficial (DV) dos membros inferiores (MI). Vinte e dois homens (22 ± 2 anos, 81.2 ± 13.4 kg, 173.0 ± 4.0 cm e 18.6 ± 3.3% de percentagem de gordura estimada), realizaram um circuito com agachamento, avanço e flexão plantar, sendo 3 séries de 6 repetições (3 minutos de intervalo) com carga de 85% (1-RM). Os DVs da veia safena interna (VSI), dos MI, foram medidos em repouso e imediatamente após cada série, com eco-Doppler colorido. Realizou-se um teste de Anova one-way para medidas repetidas. Para as VSI, de ambos os MI, observou-se uma diminuição dos DVs, ao longo das séries. Ademais, entre as séries, houve uma queda significativa entre a primeira e segunda (p= 0.009) e um aumento entre a segunda e terceira séries (p= 0.027) para a VSI direita, e para a VSI esquerda, apenas as medidas após a primeira e segunda foram diferentes (p= 0.001). Houve uma tendência de redução do DV após uma sessão aguda de exercício de força. Conclui-se que a prática de uma sessão de exercícios de TF não promove alterações negativas na estrutura das veias de homens treinados. Palavras-chave: veias varicosas, adultos, extremidade inferior, exercício de força, performance atlética ABSTRACTThe increase of the venous diameter is associated with the incompetence of the venous system of lower limb. In order to analyze the acute effects of one session of strength exercise (SE) on superficial venous diameter (VD) of the lower limbs (LL). Twenty-two men (22 ± 2 years old, 81.2 ± 13.4kg weight, 173.0 ± 4.0 cm height and 18.6 ± 3.3% estimated body fat) performed a circuit of three SE, with 3 sets of 6 repetitions, controlled by metronome, with a load of 85% (1-RM) and 3 minutes rest. The VDs of the internal saphenous vein (ISV), in right and left LL, were measured at baseline and immediately after each set with color eco-Doppler. Data were analyzed by means of a one-way ANOVA for repeated measures. There was a significant effect of time for the right and left VSI (p= 0.001), the VDs at baseline were higher than in series for both. Furthermore, between sets, there was a significant decrease between the first and second (p= 0.009) and an increase between the second and third series (p= 0.027) for the right ISV. For the left ISV, only measured after the first and second are different (p= 0.001). There was a trend toward reduction in VD after the acute bout of strength exercise, indicating that their practice is efficient for the performance of this structure.

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“…3 Recurrence of varicose veins after conventional surgical treatment is a common, costly, and complex problem, which accounts for over 20% of patients requiring venous surgery. [4][5][6] Recurrences may be due to residual varicose veins, true recurrences, or progression of disease. 7 Data on recurrence rates are hard to compare because of differences in the initial treatment, the method of measuring recurrence, and duration of follow-up.…”

mentioning

confidence: 99%

Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation

Groenendael

Vliet

Flinkenflögel

et al. 2009

Journal of Vascular Surgery

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Natural History of Recurrent Varices Undergoing Reintervention: A Retrospective Study

Abstract: Surgical intervention on an outpatient basis may have a significant role in controlling the varicose disease with few complications.

Cited by 5 publications

References 16 publications

Ultrasound guided foam sclerotherapy of recurrent varices of the great and small saphenous vein: 5-year follow up

Ultrasound guided foam sclerotherapy of recurrent varices of the great and small saphenous vein: 5-year follow up

Uma sessão de exercícios de treino de força não promove alterações negativas na estrutura venosa dos membros inferiores em homens

Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation

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