Surgical and Endovascular Treatment of Lower Extremity Venous Insufficiency

Bergan, John J.; Kumins, Norman H.; Owens, Erik L.; Sparks, Steven R.

doi:10.1016/s1051-0443(07)61648-0

Cited by 69 publications

(47 citation statements)

References 29 publications

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“…Severely tortuous or kinking carotid arteries have often been treated by surgical shortening reconstruction [9,113,114]. The surgical ‘stripping’ technique has been used [115]. The arteries are often treated while performing surgery for other vascular diseases such as stenosis, aneurysm or atherosclerosis [9,116].…”

Section: Surgical Treatment Of Tortuous Vesselsmentioning

confidence: 99%

Twisted Blood Vessels: Symptoms, Etiology and Biomechanical Mechanisms

Han¹

2012

J Vasc Res

378

355

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Tortuous arteries and veins are commonly observed in humans and animals. While mild tortuosity is asymptomatic, severe tortuosity can lead to ischemic attack in distal organs. Clinical observations have linked tortuous arteries and veins with aging, atherosclerosis, hypertension, genetic defects and diabetes mellitus. However, the mechanisms of their formation and development are poorly understood. This review summarizes the current clinical and biomechanical studies on the initiation, development and treatment of tortuous blood vessels. We submit a new hypothesis that mechanical instability and remodeling could be mechanisms for the initiation and development of these tortuous vessels.

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Section: Surgical Treatment Of Tortuous Vesselsmentioning

confidence: 99%

Twisted Blood Vessels: Symptoms, Etiology and Biomechanical Mechanisms

Han¹

2012

J Vasc Res

378

355

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“…These minimally invasive techniques offer the patient less pain, relief of symptoms, and improved quality of life in an office setting compared with the open surgical procedures. 1,2,3 However, some patients present with venous insufficiency not involving just the GSV but rather also involving the perforating veins. Some data have suggested that ablating the reflux in the superficial and perforator systems may benefit some patients.…”

mentioning

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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“…Charakteristische klinische Frühsymptome der venösen Insuffizienz sind lageabhängige Schmerzen, Spannungs-und Schweregefühl der Beine mit früher Ermüdung, die im Tagesverlauf an Intensität zunehmen und bei Frauen am Beginn der Menstruation am stärksten ausgeprägt sind [12]. …”

Section: Tab 1 Therapieoptionen Bei Der Chronisch Venösen Insuffizienzunclassified

“…Hierbei ist jedoch zu beachten, dass Patienten häufig nur auf Nachfrage wesentliche Leitsymptome der venösen Insuffizienz angeben [12]. [31].…”

Section: Indikationen Und Kontraindikationen Der Endovasalen Lasertheunclassified

Die endovasale Lasertherapie varikös veränderter Stammvenen: Eine effektive und komplikationsarme Alternative zum Venenstripping?

Kluner¹,

Fischer²,

Filimonow³

et al. 2005

Rofo Fortschr Geb Rontgenstr N

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Endovenous laser therapy (EVLT) is a new, minimally invasive therapeutic option for treating primary varicose veins and provides an effective and safe alternative to conventional surgical management (stripping). Short-term and intermediate-term outcome is comparable to surgical stripping in terms of elimination of venous reflux (90 % - 98 %), resolution of visible varices (85 %), and improvement of subjective complaints such as sensations of heaviness and tension (96 %). Complications occur in 1 % - 3 % of cases, which is markedly below the rate of conventional surgical management (up to 30 %). The intermediate-term incidence of recurrent varicosis in a vein treated by EVLT depends on the laser fluence applied and is reported to range from 7 % - 9 % compared to 10 % - 20 % after surgical intervention. Based on a review of the current literature and our own experience, this survey article presents an overview of the indications and contraindications, the technique and pathophysiology of laser-induced venous occlusion, and the results and possible complications of EVLT.

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Surgical and Endovascular Treatment of Lower Extremity Venous Insufficiency

Cited by 69 publications

References 29 publications

Twisted Blood Vessels: Symptoms, Etiology and Biomechanical Mechanisms

Twisted Blood Vessels: Symptoms, Etiology and Biomechanical Mechanisms

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

Die endovasale Lasertherapie varikös veränderter Stammvenen: Eine effektive und komplikationsarme Alternative zum Venenstripping?

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