Part One: For the Motion. Venous Perforator Surgery is Proven and Does Reduce Recurrences

Whiteley, Mark S

doi:10.1016/j.ejvs.2014.06.044

Cited by 8 publications

(9 citation statements)

References 32 publications

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“…Stuart and colleagues demonstrated that successful surgery of truncal refl ux resulted in a decline of incompetent perforators from 52% to 28% [17]. However, more recent studies have disproven this fi nding and showed that such 'closure' of the perforators following treatment of truncal refl ux was transient and results in signifi cantly higher rates of perforator recanalization [18].…”

Section: Indications For Perforator Ablationmentioning

confidence: 99%

Incompetent Perforator Veins; To treat or not to treat

Gunawardena¹,

Gunawansa²

2019

Int J Vasc Surg Med

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The role of perforator vein incompetence (PVI) in the development of venous hypertension, chronic venous insuffi ciency (CVI) and ulceration has been well recognized for over a century. However, while minimally invasive endovenous ablative therapies have revolutionized the management of superfi cial truncal vein insuffi ciency, the defi nitive indications for intervention and management of PVI still remains somewhat debatable and unclear. This review will attempt to clarify the indications for intervention as well as look at the evidence for different methods of treatment in established PVI.

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Section: Indications For Perforator Ablationmentioning

confidence: 99%

Incompetent Perforator Veins; To treat or not to treat

Gunawardena¹,

Gunawansa²

2019

Int J Vasc Surg Med

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“…55 There is some controversy about the role of IPV as a cause of RVVs. 67,68 Some publications suggest that there is a relationship between IPV's and recurrence. 69,70 Bush showed in a series after thermal ablation in 17 of 126 patients a conjunction between partially or totally recanalized saphenous trunks and IPVs.…”

Section: Levelmentioning

confidence: 99%

“…Hence, when reflux is found both in an IPV and an associated section of truncal vein or axial tributary, there is no distinguishing between cause and effect. 68 There is no level 1 or 2 evidence that treatment of IPV's reduce the chance of RVVs. Good results with the treatment of IPV's in patients with chronic venous insufficiency have been described, but these procedures were always combined with surgery of the superficial venous system.…”

Section: Levelmentioning

confidence: 99%

A review of a new Dutch guideline for management of recurrent varicose veins

Lawson

Toonder

2016

Phlebology

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In 2013, the new Dutch guideline for "Venous Pathology" was published. The guideline was a revision and update from the guideline "Diagnostics and Treatment of Varicose Veins" from 2009 and the guideline "Venous Ulcer" from 2005. A guideline for "Deep Venous Pathology" and one for "Compression Therapy" was added to the overall guideline "Venous Pathology." The chapter about treatment of recurrent varicose veins after initial intervention was recently updated in 2015 and is reviewed here. The Dutch term "recidief varices" or the French "récidive de varices" should be used analogous to the English term "recurrent varicose veins." The DCOP Guideline Development Group Neovarices concluded that "recidief" in Dutch actually suggests recurrence after apparent successful treatment and ignores the natural progression of venous disease in its own right. So the group opted to use the term "neovarices." In the Dutch guideline, neovarices is meant to be an all embracing term for recurrent varicose veins caused by technical or tactical failure, evolvement from residual refluxing veins or natural progression of varicose vein disease at different locations of the treated leg after intervention. This report reviews the most important issues in the treatment of varicose vein recurrence, and discusses conclusions and recommendations of the Dutch Neovarices Guideline Committee.

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“…Die Bedeutung IP, vor allem im Bereich des medialen Unterschenkels, steigt mit dem Grad der CVI, und ist vor allem für die Stadien C5 und C6 untersucht. Auf Grund der mangelhaften Datenlage kann derzeit nicht festgestellt werden, inwieweit die Ausschaltung IP für die Therapie der CVI entscheidend ist [11,12] [13]. Mit dieser Methode gelang es über einen transkutanen Zugang im proximalen Unterschenkelbereich, somit immer via intakter Haut, die IP subfaszial zu koagulieren und durchtrennen.…”

Section: Chirurgie Der Perforansvenenunclassified

Operative Therapie der Varikose

Böhler

2016

Wien Med Wochenschr

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Part One: For the Motion. Venous Perforator Surgery is Proven and Does Reduce Recurrences

Cited by 8 publications

References 32 publications

Incompetent Perforator Veins; To treat or not to treat

Incompetent Perforator Veins; To treat or not to treat

A review of a new Dutch guideline for management of recurrent varicose veins

Operative Therapie der Varikose

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