Subfascial Perforator Vein Ablation: Comparison of Open Versus Endoscopic Techniques

Sato, Dean T.; Goff, Charles D.; Gregory, Roger T.; Walter, Barry F.; Gayle, Robert G.; Parent, F. Noel; DeMasi, Richard J.; Meier, George H.; Wheeler, Jock R.

doi:10.1583/1074-6218(1999)006<0147:spvaco>2.0.co;2

Cited by 30 publications

(20 citation statements)

References 21 publications

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“…(a) Negus and Friedgood et al [12], having an ulcer healing rate of 84 % and a recurrence rate of 15 % (b) Pierik et al [13], having a healing percentage of 90 % and a recurrence rate of 0 % (c) Sato et al [14], having an ulcer healing rate of 100 % and a recurrence rate of 68 % Contradicting to the results of this study, Burnard et al [15] found satisfactory healing of ulcers but the ulcer recurrence rate was 55 % in the study of perforator interruption. The reason for the high recurrence rates in the studies by Burnard et al was due to the fact that only class 5 ulcers were admitted in the study.…”

Section: Discussionsupporting

confidence: 52%

A Prospective Study in Comparison of Ambulatory Phlebectomy and Duplex Guided Foam Sclerotherapy in the Management of Varicosities with Isolated Perforator Incompetence

et al. 2016

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Perforators are those which connect the superficial and deep venous system either directly to main veins or indirectly through the muscular and soleal venous plexus. The emergence of minimally invasive techniques like ambulatory phlebectomy (AP) and foam sclerotherapy (FS) has led to increasing interest about the appropriate therapy for the treatment of isolated perforator incompetence. There have been no studies which have compared the effectiveness of these in-office procedures in isolated perforator incompetence due to the low prevalence of cases. The primary goal of this study is to compare the clinical parameters (return to normal activity, primary symptom relief), functional parameters (procedure time, change in disease severity, course of venous ulcer), and duplex parameters (recurrence in treated veins, complete occlusion of treated veins) in the management of leg varicosities having isolated primary perforator incompetence by ambulatory phlebectomy and duplex guided foam sclerotherapy. Though the procedure time was shorter with FS than AP, the other parameters of primary symptom relief such as change in disease severity, faster healing of venous ulcer, complete occlusion of treated veins in follow-up duplex examination, and lower recurrence of treated veins are better with AP than FS. In conclusion, the interruption of perforators is effective in decreasing the symptoms of chronic venous insufficiency and for the rapid healing of ulcers. The interruption of the incompetent perforating veins appears to be essential to decrease ambulatory venous hypertension. It is apparent from this study that ambulatory phlebectomy stands distinct with enormous benefits and serves as a superior alternative to foam sclerotherapy in treating patients with isolated perforator incompetence.

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Section: Discussionsupporting

confidence: 52%

A Prospective Study in Comparison of Ambulatory Phlebectomy and Duplex Guided Foam Sclerotherapy in the Management of Varicosities with Isolated Perforator Incompetence

et al. 2016

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“…Unlike SEPS, using RFA, one can ablate the distal, lateral calf, or thigh perforators. 12 Nonetheless, all of these techniques of ablating the perforators have documented rates of recurrence. These techniques do not change the underlying pathophysiology of the cause of the insufficiency and, therefore, recurrences can occur.…”

Section: Discussionmentioning

confidence: 99%

Predictive factors of success following radio-frequency stylet (RFS) ablation of incompetent perforating veins (IPV)

Hingorani

Ascher

Marks

et al. 2009

Journal of Vascular Surgery

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“…Stuart etal 9 reported that calf wound complications occurred in seven patients (19%), and the average hospital time was nine days. Sato et al reported a 45% local wound complication rate for the subfascial ligation procedure 10 . Bowen et al reported a 44% wound infection rate in patients undergoing open perforator surgery in a randomized trial comparing Cockett and Dodd procedure with SEPS.…”

Section: Discussionmentioning

confidence: 99%

The Role of Subfascial Ligation of Perforator Veins By Cockett And Dodd Method in the Treatment of Varicose Veins

Kumar¹,

Shirisha²

2017

IOSR JDMS

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Subfascial Perforator Vein Ablation: Comparison of Open Versus Endoscopic Techniques

Cited by 30 publications

References 21 publications

A Prospective Study in Comparison of Ambulatory Phlebectomy and Duplex Guided Foam Sclerotherapy in the Management of Varicosities with Isolated Perforator Incompetence

A Prospective Study in Comparison of Ambulatory Phlebectomy and Duplex Guided Foam Sclerotherapy in the Management of Varicosities with Isolated Perforator Incompetence

Predictive factors of success following radio-frequency stylet (RFS) ablation of incompetent perforating veins (IPV)

The Role of Subfascial Ligation of Perforator Veins By Cockett And Dodd Method in the Treatment of Varicose Veins

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