Radiofrequency ablation or stripping of large-diameter incompetent great saphenous varicose veins with C2 or C3 disease

Шайдаков, Е. В.; Grigoryan, A. G.; Ilyukhin, E. A.; Bulatov, V.L.; Rosukhovskiy, Dmitry A.

doi:10.1016/j.jvsv.2015.07.007

Cited by 20 publications

(13 citation statements)

References 8 publications

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“…Yet, according to Goodyear, in patients at high risk such as the ones with previous DVT or known thrombophilia, a prophylaxis lasting up to six weeks should be taken into consideration. 65 Proper reports comparing the performance of different devices and techniques in large or extremely superficial refluxing saphenous axis are still missing, 66 together with detailed analysis of the several possible histologic consequences of thermal ablation. [67][68][69] On the histology topic, two interesting papers showed that radial fibres do not damage the wall by contact, rather by a deep uniform coagulation injury, proportional to the energy level.…”

Section: Discussionmentioning

confidence: 99%

Global guidelines trends and controversies in lower limb venous and lymphatic disease

et al. 2019

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Guidelines are fundamental in addressing everyday clinical indications and in reporting the current evidence-based data of related scientific investigations. At the same time, a spatial and temporal issue can limit their value. Indeed, variability in the recommendations can be found both among the same nation different scientific societies and among different nations/continents. On the other side, Garcia already published in 2014 data showing how, after three years in average, one out of five recommendations gets outdated (Martinez Garcia LM, Sanabria AJ, Garcia Alvarez E, et al. The validity of recommendations from clinical guidelines: a survival analysis. CMAJ 2014;186(16):1211–1219). The present document reports a narrative literature revision on the major international recommendations in lower limb venous and lymphatic disease management, focusing on the different countries’ guidelines, trends and controversies from all the continents, while identifying new evidence-based data potentially influencing future guidelines. World renowned experts’ opinions are also provided. The document has been written following the recorded round tables scientific discussions held at the vWINter international meeting (22–26 January 2019; Cortina d’Ampezzo, Italy) and the pre- and post-meeting literature search performed by the leading experts.

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Section: Discussionmentioning

confidence: 99%

Global guidelines trends and controversies in lower limb venous and lymphatic disease

et al. 2019

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“…Mit der Radiofrequenzobliteration können Verschlussraten der V. saphena magna von über 90 % nach 5 Jahren mit einer entsprechenden anhand des VCSS gemessenen signifikanten Verbesserung der venös bedingten Beschwerden der Patienten erreicht werden [21]. Auch für varikös veränderte Venen der unteren Extremität mit größerem Durchmesser (> 14 mm) ist die RFOauch im Vergleich zum konventionellen Strippingverfahrengut geeignet [22].…”

Section: Wirkweiseunclassified

Aktuelle Therapieoptionen der Varikose der unteren Extremität

Kahle¹,

Horn²,

Recke³

et al. 2018

Akt Dermatol

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Modern Treatment Procedures of Varicosis of the Leg The varicosis of the leg is one of the most frequent diseases of western countries causing oedema, trophic disturbances and ulcer of the skin. Patients? quality of life is significantly reduced. Conservative treatment options e.?g. compression, special medication and physical measures are still effective, but are only resolutely and sufficiently used in the minority of patients. The standard operative treatment is the crossectomy and stripping technique. In recent years competing minimal-invasive operative techniques have been developed that offer comparable long-term results with less invasiveness. Basically, these procedures are the radiofrequency ablation, the endovenous laser ablation and the sclerotherapy. Therefore, nowadays it is necessary to choose the optimal treatment procedure for every individual patient.

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“…However, few studies have addressed the treatment of incompetent GSVs with large diameters. Shaidakow et al 22 and Woo et al 23 analyzed groups with GSVs above 14 mm and 12 mm, respectively, and observed satisfactory radiofrequency ablation results.…”

Section: Introductionmentioning

confidence: 99%

Association of great saphenous vein diameter and clinical severity score after treatment of severe chronic venous insufficiency with foam sclerotherapy

Silva¹,

Sordi²,

Grillo³

et al. 2021

Rev Cienc Saude

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Objectives: to evaluate the association of the greater saphenous vein (GSV) diameter in the treatment of patients with severe chronic venous insufficiency (C6 CEAP classification) with ultrasound-guided polidocanol foam sclerotherapy (UGFS). Methods: A prospective, descriptive and analytical study of 28 patients (30 limbs) that underwent UGFS. Patients were divided into 2 subgroups by GSV diameter (< 8 mm and ≥ 8 mm). Variables analyzed were ulcer healing, clinical intercurrences, clinical CEAP classification, Venous Clinical Severity Score (VCSS), diameter of the treated vein and presence of occlusion or recanalization by Doppler ultrasound. Patients were analyzed at the 1st, 3rd, and 6th months post-treatment. Results: The average age was 68.7 ± 10.5 years, 23 (82,1%) were women, and the average body mass index was 29.2 kg/m2. Although an improvement in VCSS score was observed during follow-up, no significant intergroup difference was noted. Seventeen (56%) limbs presented occlusion of the treated vein at the 1st month, 11 (36%) at the 3rd month, and 9 (30%) at the 6th month of follow-up. The ulcer healing rate was 56,6%. The average ulcer healing time was 90 days. Three (10%) patients presented with ulcer recurrence at the 6th month. Survival analysis showed no significant difference in ulcer healing rate between subgroups after one year of follow-up (log-rank, p = 0,178). Conclusion: There was no difference between the subgroups of large and small VSM diameter in terms of symptom severity. However, significant reduction of VCSS and pain relief was observed after foam sclerotherapy.

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Radiofrequency ablation or stripping of large-diameter incompetent great saphenous varicose veins with C2 or C3 disease

Cited by 20 publications

References 8 publications

Global guidelines trends and controversies in lower limb venous and lymphatic disease

Global guidelines trends and controversies in lower limb venous and lymphatic disease

Aktuelle Therapieoptionen der Varikose der unteren Extremität

Association of great saphenous vein diameter and clinical severity score after treatment of severe chronic venous insufficiency with foam sclerotherapy

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