Strip-track revascularization after stripping of the great saphenous vein

Munasinghe, Aruna; Smith, Claire; Kianifard, B.; Price, B. A.; Holdstock, Judy M; Whiteley, Mark S

doi:10.1002/bjs.5598

Cited by 40 publications

(38 citation statements)

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“…New varicosities develop at new sites which were not involved at the time of fi rst treatment. Recurrence of refl ux in a previously operated (high tie and stripping) great saphenous vein is due to revascularization of the strip track leading to further venous disease [8]. Successful treatment of varicose veins requires a balance between their complete removal with treatment of underlying etiology and an optimal cosmetic outcome.…”

Section: Discussionmentioning

confidence: 99%

Varicose veins: clinical presentation and surgical management

2009

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Section: Discussionmentioning

confidence: 99%

Varicose veins: clinical presentation and surgical management

2009

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“…The incidence of wound infections and hematomas may also be important because they have been correlated with revascularization. 24 In this study, patients treated with EVLA could return to their working conditions in 2 days, which was significantly shorter than surgically-treated patients, who needed 1 week. The minimally invasive character of EVLA, including the absence of wounds, may have contributed to this finding.…”

Section: Discussionmentioning

confidence: 94%

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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“…Another cause of recurrence prevention in RFA is the absence of revascularization of the saphenectomy tract that happens between 6% and 17% of stripping after one year [43].…”

Section: Discussionmentioning

confidence: 99%

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

Hammad¹,

Modaber²,

Aliyev³

2017

Vascul Dis Ther

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Conventional surgery has been used for a long time for treatment of varicose veins with variable degrees of minor to major complications. Endovenous RA of VV has been established as a practical and effective alternative to conventional surgery. Segmental radiofrequency ablation provides high ablation rates in conjunction with a very moderate side effect profile. The advantages of RFA are far greater than its associated risks. There are certain points, which need to be carefully addressed during the RFA technique which was taken into consideration during gaining more experience with more number of cases which allowed to clarify our message from the study to achieve better results and avoid complications. Of most importance is an adequate Duplex scan to identify accessory channels and double superficial systems. Reconfirming the catheter tip position after leg elevation is a must. Blind positioning of the catheter must be avoided, as is the advancement of the catheter into the femoral vein to prevent unnecessary intimal damage. Tumescent anesthesia should be instilled below the saphenous fascia and above the deep muscular fascia surrounding the vein using ultrasound guidance. The purpose of tumescence is threefold; analgesia, protecting skin by displacing the vein away from it and neighboring structures against heat (heat sink effect) to displace heat radiating up to 1.5 mm beyond the vein wall, favoring the contact made between the electrode and a dry "saphenous vein" with inflow tributaries eliminated by compression is also created. The GSV should be compressed to separate it from the inflow tributaries, to maintenance an adequate probe temperature in contact with the vein wall. The avoidance of propagation of steam bubbles (or thrombus) by compression is of extreme importance. Further follow up ad studies is needed to improve the efficiency and decrease the incidence of complications of this well-established technique.

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Strip-track revascularization after stripping of the great saphenous vein

Abstract: Revascularization of the GSV strip track after stripping was found in 23 per cent of patients after 1 year; all of these had a postoperative haematoma in the track.

Cited by 40 publications

References 9 publications

Varicose veins: clinical presentation and surgical management

Varicose veins: clinical presentation and surgical management

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

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

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