Endovenous (minimally invasive) procedures for treatment of varicose veins

Hartmann, Karsten

doi:10.1007/s00105-019-04532-y

Cited by 17 publications

(9 citation statements)

References 31 publications

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“…Thermal ablation via laser or radiofrequency is one of the main treatment options used for treating VLUs in recent years. 9 Both laser and radiofrequency appear equally effective. 6 In a study with 158 subjects, Reitz et al.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of high saphenous ligation and stripping, radiofrequency ablation, and subfascial endoscopic perforator surgery for the treatment of active venous ulcers: Retrospective cohort with five-year follow-up

2021

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Objective To compare the use of high saphenous ligation and stripping, radiofrequency ablation, and subfascial endoscopic perforator surgery for the treatment of active venous ulcers. Methods One hundred ninety-five ( n = 195) subjects who were treated for venous leg ulcers were enrolled between 2009 and 2014. Three groups were formed (Group A: high saphenous ligation and total stripping, Group B: radiofrequency ablation of the great saphenous vein + perforators, and Group C: radiofrequency ablation of the great saphenous vein + subfascial endoscopic perforator surgery) ( n = 65 for each group). The venous clinical severity score for baseline, 1st, 6th, and 12th months, great saphenous vein occlusion at the 1st, 6th, and 12th months, and ulcer rates for the 1st, 2nd, 3rd, 4th, and 5th years were recorded. Results For venous clinical severity score, only the first month decrease was significant for the subfascial endoscopic perforator surgery group ( p = 0.001). Great saphenous vein occlusion was higher at the 6th and 12th months for the high saphenous ligation and stripping and subfascial endoscopic perforator surgery groups than for the radiofrequency ablation group ( p = 0.036 and p = 0.037). The rate of ulcers for the subfascial endoscopic perforator surgery group was lower at the second, third, fourth, and fifth years ( p = 0.011). No significant difference was found between groups for the five-year recovery rates ( p > 0.05). Conclusion Subfascial endoscopic perforator surgery technique in conjunction with radiofrequency ablation of axial vein was superior to both high saphenous ligation and stripping and radiofrequency ablation of axial and perforators for ulcer healing.

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Section: Discussionmentioning

confidence: 99%

“…In summary, both techniques appear similar for long-term efficacy. 9 González et al. designed a non-inferiority study between RF, HLS and conservative hemodynamic cure on 225 subjects.…”

Section: Discussionmentioning

confidence: 99%

Comparison of high saphenous ligation and stripping, radiofrequency ablation, and subfascial endoscopic perforator surgery for the treatment of active venous ulcers: Retrospective cohort with five-year follow-up

2021

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“…In contrast to stripping operations, the great advantage of endoluminal methods is that they are minimally invasive. Treated patients can undertake normal physical activities the same or next day, often including sports, and, as a rule, with no impairment due to the previous endovenous operation [142]. In radiofrequency procedures, the veins are heated to 120 • C in sections by a radiofrequency probe inserted through the lumen of the catheter [143]; for laser procedures, the use of high water absorption wavelengths (1470-1940 nm) and radially emitting laser probes is preferred.…”

Section: Invasive Treatment 421 Surgical and Endovenous Treatment Of ...mentioning

confidence: 99%

No More Venous Ulcers—What More Can We Do?

Stanek,

Mosti,

Nematillaevich

et al. 2023

JCM

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Venous leg ulcers (VLUs) are the most severe complication caused by the progression of chronic venous insufficiency. They account for approximately 70–90% of all chronic leg ulcers (CLUs). A total of 1% of the Western population will suffer at some time in their lives from a VLU. Furthermore, most CLUs are VLUs, defined as chronic leg wounds that show no tendency to heal after three months of appropriate treatment or are still not fully healed at 12 months. The essential feature of VLUs is their recurrence. VLUs also significantly impact quality of life and could cause social isolation and depression. They also have a significant avoidable economic burden. It is estimated that the treatment of venous ulceration accounts for around 3% of the total expenditure on healthcare. A VLU-free world is a highly desirable aim but could be challenging to achieve with the current knowledge of the pathophysiology and diagnostic and therapeutical protocols. To decrease the incidence of VLUs, the long-term goal must be to identify high-risk patients at an early stage of chronic venous disease and initiate appropriate preventive measures. This review discusses the epidemiology, socioeconomic burden, pathophysiology, diagnosis, modes of conservative and invasive treatment, and prevention of VLUs.

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“…Endoluminale Therapien wie das Venefit-Verfahren gehören zur Standardtherapie der chronisch-venösen Insuffizienz [1]. Technische Defekte eines Katheters sind möglich, ein in vivo angewendeter defekter Katheter wurde jedoch bisher nicht beschrieben.…”

Section: Zusammenfassungunclassified

“…Endoluminal therapies like the Venefit procedure belong to the standard therapy for chronic venous insufficiency. [1] Technical defects of a catheter are possible, but the use of a broken catheter in vivo has never been described before. We report on removing of a catheter tip that remained in the patient due to a technical defect in the Venefit procedure.…”

Section: Introductionmentioning

confidence: 99%

Fallbericht zur Bergung von Katheteranteilen beim Radiofrequenz-Verfahren bei technischem Defekt

Scholl

Leitz²

2022

Phlebologie

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ZusammenfassungEndoluminale Therapien wie das Venefit-Verfahren gehören zur Standardtherapie der chronisch-venösen Insuffizienz 1. Technische Defekte eines Katheters sind möglich, ein in vivo angewendeter defekter Katheter wurde jedoch bisher nicht beschrieben. Wir berichten über die Bergung einer Katheterspitze nach Verbleib im Patienten durch einen technischen Defekt beim Venefit-Verfahren. Die 60-jährige Patientin wurde ambulant mittels endoluminaler Therapie behandelt. Während des Eingriffs kam es zu technischen Problemen mit Abriss des Katheters und Verbleib von Heizsegment und Anteilen des Katheterdrahts in der Patientin. Es erfolgte eine Bergung der verbliebenen Kathetheranteile.

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Endovenous (minimally invasive) procedures for treatment of varicose veins

Abstract: Endovenous (minimally invasive) procedures for treatment of varicose veins The gentle and effective alternative to high ligation and stripping operations

Cited by 17 publications

References 31 publications

Comparison of high saphenous ligation and stripping, radiofrequency ablation, and subfascial endoscopic perforator surgery for the treatment of active venous ulcers: Retrospective cohort with five-year follow-up

Comparison of high saphenous ligation and stripping, radiofrequency ablation, and subfascial endoscopic perforator surgery for the treatment of active venous ulcers: Retrospective cohort with five-year follow-up

No More Venous Ulcers—What More Can We Do?

Fallbericht zur Bergung von Katheteranteilen beim Radiofrequenz-Verfahren bei technischem Defekt

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