Update of endovenous treatment modalities for insufficient saphenous veins—A review of literature

Eekeren, Ramon R.J.P. van; Boersma, Doeke; Vries, Jean‐Paul P.M. de; Zeebregts, Clark J.; Reijnen, Michel M.P.J.

doi:10.1053/j.semvascsurg.2015.02.002

Cited by 24 publications

(15 citation statements)

References 233 publications

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“…Laser and radiofrequency methods have been widely described because they are the oldest and most pop-Adam Zieliński, Paweł Świercz ular modalities of abolishing the saphenous vein reflux. As for 2014, 67 and 47 studies were published showing the results of EVLA and RF, respectively [30]. In a group of trials performed after 2010, which is when modern modalities have been introduced, pooled for follow-up time up to six months, the rate of occlusion of saphenous veins range between 100% and 93.3% for laser and between 100% and 86.4% for radiofrequency.…”

Section: Results Of the Endovenous Ablation Techniques -Technical Sucmentioning

confidence: 99%

Are non-thermal, non-tumescent techniques more recommended? Endovenous treatment of saphenous veins reflux – methods and results overview and discussion

Zieliński¹,

Świercz²

2018

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Chronic venous disease is one of the biggest health problems of today's word. The consequences of the progression of venous disorders can lead to severe acute complications like superficial venous thrombosis, deep vein thrombosis, and pulmonary embolism, as well as chronic venous ulcers. The costs of the treatment of these conditions are still growing. The development of minimally invasive techniques has led to huge progress in the treatment of chronic venous disease. There are many modalities in the phlebological armamentarium, which can be chosen to eliminate axial reflux that is responsible for the progression of disease in the majority of cases. Various groups of techniques can be used: thermal and tumescent procedures, non-thermal tumescent options, or non-thermal non-tumescent treatment. In recent years special interest has been directed towards non-thermal, non-tumescent modalities, following suggestions that these procedures would create the same effects as thermal-tumescent ones, but are less invasive and give the patient a better outcome and quality of life. The review of recently published studies did not confirm this theory in general; however, some superiority of these options is present. Thus, further investigations and trials on this issue are highly recommended. Currently there is not enough strong evidence to promote non-thermal, non-tumescent techniques over other endovenous modalities.

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Section: Results Of the Endovenous Ablation Techniques -Technical Sucmentioning

confidence: 99%

Are non-thermal, non-tumescent techniques more recommended? Endovenous treatment of saphenous veins reflux – methods and results overview and discussion

Zieliński¹,

Świercz²

2018

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“…In establishing the necessity of procedures we adopt the following criteria low cost, and thus better accessibility; short hospitalization with the possibility of outpatient intervention; and most importantly, safety as well as the permanence of therapeutic effect [2]. Certainly, both thermal methods and the recently introduced superheat approach fulfil these requirements [9].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, this method requires tumescence which further complicates and prolongs the procedure [6]. At present, procedures with the use of a thermal factor (EVLR, RFA, STEAM) remain the most commonly performed procedures in cases of superficial venous trunk insufficiency [2,3]. Another minimally-invasive procedure is foam obliteration, either through a catheter or with direct vein puncture under ultrasound guidance [8,11].…”

Section: Discussionmentioning

confidence: 99%

“…The significant number of patients presenting with chronic venous insufficiency remains an inspiration for further search of an effective therapeutic method associated with long-lasting effectiveness, high level of safety, and broad accessibility [1,2]. Endovascular thermal ablation techniques introduced in the early 1990s utterly transformed vein surgery, resulting in a new minimally invasive approach [3].…”

Section: Introductionmentioning

confidence: 99%

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A new device for minimally invasive mechano-chemical method of saphenous vein ablation. Report of 12 months of follow up

et al. 2018

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Introduction. The purpose of the study was to assess the effectiveness of endovascular mechanochemical ablation of the Great Saphenous vein and the Small Saphenous vein (GSV/SSV) using the use of Flebogrif ® catheter and method, based on results obtained from the analysis of 200 patients. Material and methods. 200 patients underwent mechanochemical ablation using the Flebogrif ® technique, of the 200 patients, 172 patients experienced insufficiency of the GSV and 28 experienced insufficiencies of the SSV. Follow-up assessment was established by outpatient appointments at 1, 3, 6, and 12 months postoperatively. During each subsequent visit, the result of the procedure was evaluated with the use of ultrasound. Furthermore, the intensity of clinical manifestations was assessed with the use of VCSS, CEAP, VASP scales. Any complications were also noted. Results. During 12-month follow-up the number of participants decreased to 168 (152 female, 16 male). Complete closure of the vein was achieved in 154 patients (140 female, 14 male). According to adopted criteria, 15 cases of recanalization were detected (10 complete and 5 partial). Based on the obtained results the effectiveness of the method was assessed at 92%. Conclusions. The statistical analysis of the 12-month follow-up data allowed us to conclude the following the procedural method had 92% of effectiveness at 12-month follow-up, vein diameter was not a significant limitation for the application of the technique, there was a low rate of serious complications, and adverse cosmetic effect was minimal. However , the method requires further long-term follow-up to allow for a complete assessment.

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“…Als Ergebnis verschließt sich das Lumen. Diese endovenösen-thermischen Verfahren verfügen über eine Effizienz, die der offenen Chirurgie bei erheblich geringerer Invasivität ebenbürtig ist (2,3). Damit werden die Verfahren nicht zuletzt auch der zunehmenden Forderung nach einer ambulanten Behandlung mit möglichst kurzer Rekonvaleszenzphase gerecht.…”

Section: Introductionunclassified

Non-thermal endovenous treatment: acrylate adhesion of varicose saphenous veins

Hirsch¹

2017

Phlebologie

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KeywordsCyanoacrylate, acrylate adhesion, varicose saphenous veins, endovenous treatment of varices SummaryEndovenous treatment of varicose veins, especially thermal procedures using laser and radio frequencies, has become established as an effective alternative to surgery by stripping and high ligation. Although these methods are very sparing and patient-friendly, they also entail risks and side effects. The risk of damage to peripheral and motor nerves is certainly lower than with open surgery, however it still exists as a result of heat application and tumescent anaesthesia. Several non-thermal procedures which do not require the use of tumescent anaesthesia are coming onto the market. They carry a significantly lower risk of nerve lesions while remaining highly effective. The present work analyses the current state of knowledge on the latest to be developed, cyanoacrylate adhesion of incompetent saphenous veins. SchlüsselwörterCyanoacrylat, Acrylatverklebung, Stammvarikose, endovenöse Varizentherapie ZusammenfassungDie endovenöse Behandlung der Varikose hat sich als effektive Alternative zur chirurgischen Behandlung mittels Stripping und hoher Ligatur etabliert -allen voran die thermischen Verfahren Laser-und Radiofrequenzablation. Wenngleich diese Methoden sehr schonend und patientenfreundlich sind, so gehen auch mit ihnen Risiken und Nebenwirkungen einher. Gegenüber der offen-chirurgischen Therapie ist das Risiko einer Schädi-gung peripherer und motorischer Nerven zwar reduziert, besteht aber dennoch im Rahmen der Hitzewirkung und der Tumeszenzanästhesie. Nicht-thermische Verfahren, die ohne Tumeszenz durchzuführen sind, drängen auf den Markt. Sie besitzen ein deutlich geringeres Risiko für Nervenläsionen bei hoher Effektivität. Die Arbeit analysiert den aktuellen Kenntnisstand zur jüngsten Entwicklung, der Verklebung der inkompetenten Stammvenen mittels Cyanoacrylat.

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Update of endovenous treatment modalities for insufficient saphenous veins—A review of literature

Cited by 24 publications

References 233 publications

Are non-thermal, non-tumescent techniques more recommended? Endovenous treatment of saphenous veins reflux – methods and results overview and discussion

Are non-thermal, non-tumescent techniques more recommended? Endovenous treatment of saphenous veins reflux – methods and results overview and discussion

A new device for minimally invasive mechano-chemical method of saphenous vein ablation. Report of 12 months of follow up

Non-thermal endovenous treatment: acrylate adhesion of varicose saphenous veins

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