Endovenous management of saphenous vein reflux

Manfrini, Stefano; Gasbarro, Vincenzo; Daníelsson, Guðmundur; Norgren, Lars; Chandler, James G.; Lennox, Andrew; Zarka, Zaki Anas; Nicolaides, Andrew

doi:10.1067/mva.2000.107573

Cited by 194 publications

(93 citation statements)

References 26 publications

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“…Early results reported from a multicenter trial demonstrated a reasonable degree of success with an overall failure rate of 10% at a mean follow-up of 4.7 months (13% in patients treated with RF alone and 5% in patients treated with RF plus high ligation of the GSV). Complications included transient paresthesias (thigh, 9%; leg, 51%), skin burns (3%), deep venous thrombosis (3%), and one pulmonary embolus (24). More recent studies have demonstrated success rates of 73%-90% with follow-up to 24 months in 21 limbs (25)(26)(27).…”

Section: Discussionmentioning

confidence: 96%

Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results

Min

Khilnani

Zimmet³

2003

Journal of Vascular and Interventional Radiology

543

346

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Section: Discussionmentioning

confidence: 96%

Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results

Min

Khilnani

Zimmet³

2003

Journal of Vascular and Interventional Radiology

543

346

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“…Paresthesia was reported to occur in 9% to 19% of limbs within 1 week after the procedure [12][13][14][18][19][20][21][22][23][24][25][26][27], and gradually resolved over time [25]. Limiting treatment to the above-knee segment decreases the risk of paresthesia because 90% of the time the saphenous nerve travels within the saphenous compartment from the groin to the knee, and then travels superficial to this compartment, and thus is more susceptible to injury with heat in the below-knee location despite tumescent fluid infiltration.…”

Section: Radiofrequency Ablation Safetymentioning

confidence: 99%

“…To date, there have been over 100,000 RFA procedures performed worldwide, and its safety has been carefully reported [12][13][14]. Most impressively, a clinical registry was established in 1998 to monitor procedure safety and treatment outcomes.…”

Section: Radiofrequency Ablation Safetymentioning

confidence: 99%

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Roth¹

2007

Surgical Clinics of North America

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“…Quando há comprometimento importante da veia safena, interna ou externa, a fleboextração do segmento acometido permanece sendo o tratamento de escolha [17][18][19][20][21][22][23] . Mais recentemente, a fotocoagulação da veia safena com o laser endovenoso aparece como uma alternativa menos invasiva do que a fleboextração convencional [24][25][26][27][28][29][30] .…”

Section: Discussionunclassified

Tratamento combinado da cirurgia de varizes com a escleroterapia de telangiectasias dos membros inferiores no mesmo ato

Gaspar

Medeiros

2006

J. vasc. bras.

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53 ResumoObjetivos: A escleroterapia por método químico é o tratamento mais tradicional para eliminar as telangiectasias. Há varias décadas, é realizada em consultório, mas com alto índice de abandono devido ao seu caráter prolongado, doloroso e, por isso, pouco eficaz. Uma grande proporção destes pacientes apresenta também insuficiência de tributárias, ou seja, veias varicosas com indicação de fleboextração e que serão submetidas à cirurgia. O objetivo deste trabalho é descrever a opção de tratamento combinado da cirurgia de varizes com a escleroterapia das telangiectasias no mesmo ato.Métodos: De janeiro de 1998 a março de 2002, 213 pacientes (426 membros inferiores) foram submetidos ao tratamento das telangiectasias por meio de injeção de glicose hipertônica durante a cirurgia de varizes.Resultados: Mais de 90% dos pacientes relataram altos índices de satisfação estética. A escleroterapia complementar foi necessária em 165 pacientes, para atingir plena satisfação estética durante o seguimento. Não foram constatados casos de tromboflebites superficiais, nem de trombose venosa profunda. Também não houve relatos de complicações graves. Em 10% dos casos, foram necessárias pequenas drenagens de microtrombos residuais. O índice de manchas hipercrômicas não ultrapassou 3%. Apenas um paciente desenvolveu uma pequena úlcera no dorso do pé (0,2%), que cicatrizou espontaneamente.Conclusões: O tratamento combinado da cirurgia de varizes com a escleroterapia das telangiectasias dos membros inferiores é uma alternativa para os pacientes que desejam um resultado mais rápido e indolor. As sessões múltiplas com injeção de glicose hipertônica são uma opção segura e eficaz.Palavras-chave: Cirurgia ambulatorial, escleroterapia, insuficiên-cia venosa, varizes. AbstractObjectives: Chemical sclerotherapy is the most traditional treatment to eliminate telangiectasias. For several decades, it has been carried out in the office, although it has a high index of treatment dropout for being a painful, long and, therefore, little efficient treatment. Most of these patients also present insufficient varicose veins, which require phlebectomy and are candidates for surgery. The aim of this paper is to describe the combined treatment including varicose vein surgery and sclerotherapy for telangiectasias at the same procedure.Methods: From January 1998 to March 2002, 213 patients (426 lower limbs) with telangiectasias were treated by means of hypertonic glucose infusion during the varicose vein surgery.Results: More than 90% of the patients reported high indices of aesthetic satisfaction. The complementary sclerotherapy was necessary in 165 patients to have full aesthetic satisfaction during follow-up. Any cases of superficial thrombophlebitis or of deep venous thrombosis were reported. There were no serious complications either. In 10% of cases, small drainage of residual microthrombus was necessary. The index of hyperchromic spots did not exceed 3%. Only one patient developed a small ulcer in the back of the foot (0.2%), which spontaneously h...

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Endovenous management of saphenous vein reflux

Cited by 194 publications

References 26 publications

Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results

Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results

Endovenous Radiofrequency Ablation of Superficial and Perforator Veins

Tratamento combinado da cirurgia de varizes com a escleroterapia de telangiectasias dos membros inferiores no mesmo ato

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