Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins

Bos, R.R. van den; Milleret, R; Neumann, Martino; Nijsten, Tamar

doi:10.1016/j.jvs.2010.06.171

Cited by 78 publications

(63 citation statements)

References 12 publications

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“…Due to these benefits, a complete operation can be performed by means of steam without the need for additional miniflebectomy or sclerotherapy, nor a second stage flebectomy. The method is promising, but there is insufficient data supporting its long-term effectiveness [31].…”

Section: Non-surgical Intravascular Methodsmentioning

confidence: 99%

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Chwała¹,

Szczeklik²,

Szczeklik³

et al. 2015

Adv Clin Exp Med

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Chronic venous insufficiency is one of the most common disorders of the vascular system, affecting approximately 50% of adults. If left untreated it can lead to a number of complications, including venous ulceration and venous thrombosis. This review paper outlines the epidemiology and ethiopathogenesis of the disease with regard to hemodynamics and microcirculation disturbances. It describes the medical treatment as well as the traditional surgical approach to varicose veins (with several modifications of this technique), and its limitations and contraindications. Furthermore, it discusses a number of new, minimally invasive treatment methods, namely thermal in form (radiofrequency ablation, endovenous laser ablation, steam ablation) and nonthermal (sclerotherapy, echosclerotherapy, Clarivein, Sapheon). For each method, there is a brief historical overview, a description of its mechanism of action, and its indications and limitations. The results of comparative studies on individual treatment methods as well as meta-analyses on this topic are briefly discussed. This paper highlights the progressive trend towards minimally invasive methods and attempts to predict the further development (Adv Clin Exp Med 2015, 24, 1, 5-14).

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Section: Non-surgical Intravascular Methodsmentioning

confidence: 99%

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Chwała¹,

Szczeklik²,

Szczeklik³

et al. 2015

Adv Clin Exp Med

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“…The tip of the catheter has two holes with a diameter of 0.15 mm on the side of which the pulses of steam are released. Because the treatment is not frequently used and its costs are not reimbursed in many countries, there are very few publications on steam ablation [17,51]. These studies show preliminary good occlusion rates.…”

Section: Parametersmentioning

confidence: 99%

“…Later on, technological advances led to radiofrequency segmental thermal ablation (RSTA) [13] and introduction of higher laser wavelengths as well as development of radial [14], covered laser fi bre tips [15] or tulip tipped catheters [16]. In addition, steam was used as an alternative heat source [17]. More recently nonthermal, non-tumescent techniques like endovenous cyanoacrylate embolization [18] or mechano-chemical ablation [19] have joined the already established endothermal ablation techniques.…”

Section: Introductionmentioning

confidence: 99%

Endovenous ablation of refluxing saphenous and perforating veins

Proebstle

Bos

2017

Vasa

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Summary:Since the end of the nineties endovenous thermal ablation and more recently non-thermal, non-tumescent techniques have been developed and improved. Until now, because of their favourable side effect profi le in conjunction to sustained effi cacy, in many countries they already replaced high ligation and stripping in the treatment of refl uxing saphenous veins as well as for treatment of perforators and selected tributaries. Now, studies and comparative trials are available with long-term follow-ups for most of the techniques, providing valid data on occlusion and refl ux rates, side effect profi les, and health related quality of life.

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“…Bolniki čutijo manj pooperativnih bolečin in drugih težav in se hitreje vrnejo na delo kot pri klasični opreaciji. Veno lahko abliramo tudi z vodno paro, ki učinkuje podobno (56).…”

Section: Endovenska Termična Ablacija (Evta)unclassified

“…Vendar je EVTA dražja. Rezultati uspešnosti posega obeh metod so po enem letu najmanj enakovredni (67), obstaja pa več študij, ki poročajo o boljših rezultatih EVTA (56).…”

Section: Primerjava Klasičnih Kirurških Tehnik In Evtaunclassified

Priporočila za odkrivanje in zdravljenje kronične venske bolezni

et al. 2017

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Priporočila za odkrivanje in zdravljenje kronične venske bolezniRecommendations for the diagnosis and treatment of chronic venous disease AbstractClinical manifestations of chronic superficial venous insufficiency are described, followed by recommendations for diagnostic evaluation and various treatment possibilities. Opredelitev kronične venske bolezni in popuščanjaKronična venska bolezen (KVB) zajema vse stadije bolezni od telangiektazij, varic in otekanja do kožnih sprememb z razjedo, kronično vensko popuščanje (KVP) pa napredovale faze s stalnim otekanjem in kožnimi spremembami z razjedo (1). Kronična venska bolezen je klinično opredeljena kot sklop simptomov in znakov, ki nastanejo zaradi povečanega tlaka v povrhnjih in/ali globokih venah spodnjih udov. Simptomi KVB so lahko težke noge, tope bolečine, srbenje, utrujenost nog, krči ponoči in nemirne noge. Znaki KVB so lahko metličaste vene, mrežaste vene ali krčne žile (varice), otekline in kožne spremembe, kot so temnejša obarvanost (hiperpigmentacija), lipodermatoskleroza, hipostazični dermatitis in venska razjeda (1).Povečan tlak v venah najpogosteje nastane zaradi nepravilnega delovanja venskih zaklopk, ki niso več sposobne preprečevati obratnega toka (refluksa) krvi v venah, redkeje pa zaradi zožitve ali zapore proksimalne vene. Nezadostno delovanje (insuficienca) venskih zaklopk onemogoča, da bi med hojo golenska mišična črpalka zmanjšala venski tlak v spodnjih udih na normalno raven. Okvara venskih zaklopk je najpogosteje primarna, pri kateri osnovnega vzroka ne poznamo (1). Sekundarna okvara zaklopk, ki vodi v nastanek varic, se pojavlja ob akutni venski trombozi spodnjega uda, nerekanalizirani trombozi medeničnih ven ali v sklopu potrombotičnega sindroma, prirojena (kongenital-

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Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins

Abstract: In this proof-of-principle study, pulsated steam ablation was an effective treatment for saphenous varicose veins.

Cited by 78 publications

References 12 publications

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Endovenous ablation of refluxing saphenous and perforating veins

Priporočila za odkrivanje in zdravljenje kronične venske bolezni

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