Surgery for Primary Troncular Varicose Veins Without Stripping the Saphenous Vein — Pre- and Post-Operative Evaluation by Duplex Scan and Photoplethysmography

Fonseca, Felipe Paiva; Sarquis, Alberto Lourençoni; Evangelista, Solange Seguro Meyge

doi:10.1007/978-1-4471-3095-6_183

Cited by 13 publications

(21 citation statements)

References 2 publications

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“…Doppler ultrasonography is standard investigation for preoperative confirmation of varicose veins and also for postoperative evaluation. 12 Although, following treatment with radiofrequency ablation of great saphenous vein, there should not be any remnant flow, many studies have found limited reflux in some segments of treated GSV. 13,14 This failure of occlusion, shrinkage and disappearance of the treated segment of vein can be due to a fact that the heating segment may not adequately touch the vein wall throughout the length.…”

mentioning

confidence: 99%

Short Term Fate of Great Saphenous Vein after Radiofrequency Ablation for Varicose Veins

Karmacharya

Devbhandari

Shakya

2017

Kathmandu Univ. Med. J.

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Short Term Fate of Great Saphenous Vein after Radiofrequency Ablation for Varicose Veins

Karmacharya

Devbhandari

Shakya

2017

Kathmandu Univ. Med. J.

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“…The incompetent greater saphenous vein (GSV) in patients with chronic superficial venous insufficiency has been treated with a variety of procedures, including ligation of the saphenofemoral junction (SFJ) and stripping, ligation of the SFJ alone, banding, foam or liquid sclerotherapy, endovascular ablation, and compression stockings. [1][2][3][4][5][6][7][8][9] The traditional, most widely accepted treatment is ligation and division of the SFJ and its tributaries, with stripping of the GSV trunk. 1,10 Radiofrequency ablation is an endovascular technique designed to ablate the incompetent GSV without the need for stripping.…”

mentioning

confidence: 99%

Ultrasound findings after radiofrequency ablation of the great saphenous vein: Descriptive analysis

Salles-Cunha¹,

Comerota²,

Tzilinis³

et al. 2004

Journal of Vascular Surgery

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“…Diameter reflux relationship in superficial veins have been extensively studied 14,15 . GSV diameter more than 7mm near SFJ is associated with reflux in most limbs 13 which was also found in our study.…”

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confidence: 99%

Doppler ultrasound evaluation of pattern of venous incompetance and relation with skin changes in varicose vein patients

Pant

Sharma

Bhattarai

et al. 2015

J Coll Med Sci-Nepal

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BACKGROUNDVaricosity of lower limb is a common problem in agricultural country like Nepal. Doppler ultrasound is a standard investigation modality for confirmation of diagnosis, evaluation of severity and venous mapping to plan treatment. We aim to find out the epidemiology, common pattern of incompetance, severity assessment by doppler and assosciation of the important doppler variables with skin changes. METHODOLOGYDoppler venous study was done in 56 patients from june 2013 to july 2014. Patients with deep vein thrombosis and peripheral arterial disease were excluded. Altogether 56 patients, 96 limbs were studied. Data was entered in preformed proforma. Doppler study was conducted by senior radiologist with linear probes. Data was entered in SPSS software version 16 and statistical significance was calculated using chi square test. RESULTSBilateral limb involvement was seen in 40 patients and unilateral in 16 patuents only. Skin related changes were seen in 58 limbs. Saphenofemoral junction incometance was seen in 79(82.2%) limbs and was most common pattern of incompetance. Overall, superficial veins were involved in 88(91.7%) limbs and deep in 30(31.2%) limbs. Prolonged duration of varicosity(>9 year) (p=0.000), bilateral limb involvement(p=0.024), reflux in deep venous system(p=0.002), larger Greater Saphenous Vein (GSV) size(p=0.003), prolonged duration of reflux(p=0.000) and perforator incompetance(p=0.002) were associatedwith skin changes. GSV diameter more than 7 mm was associated with reflux significantly(P=0.002). CONCLUSIONSuperficial vein incompetance is common pattern compared to deep venous system. Sapheno Femoral Junction (SFJ) incompetance is the commonnest pattern. Larger caliber of vein, prolonged duration of reflux, reflux in deep venous system and perforator insufficiency are significanty associated with skin changes.

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Surgery for Primary Troncular Varicose Veins Without Stripping the Saphenous Vein — Pre- and Post-Operative Evaluation by Duplex Scan and Photoplethysmography

Cited by 13 publications

References 2 publications

Short Term Fate of Great Saphenous Vein after Radiofrequency Ablation for Varicose Veins

Short Term Fate of Great Saphenous Vein after Radiofrequency Ablation for Varicose Veins

Ultrasound findings after radiofrequency ablation of the great saphenous vein: Descriptive analysis

Doppler ultrasound evaluation of pattern of venous incompetance and relation with skin changes in varicose vein patients

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