Hemodynamic and clinical improvement after superficial vein ablation in primary combined venous insufficiency with ulceration

Padberg, Frank T.; Pappas, Peter J.; Araki, Clifford T.; Back, Thomas L.; Hobson, Robert W.

doi:10.1016/s0741-5214(96)70002-2

Cited by 143 publications

(96 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…113 Ligation and stripping have been shown to improve venous hemodynamics, to provide symptomatic relief, and possibly to assist in ulcer healing. 114,115 In a study evaluating 500 patients with venous ulcer and reflux of superficial and deep venous systems, random assignment to surgery (only to the superficial venous segments) plus compression demonstrated a significant reduction in ulcer recurrence at 12 months compared with compression alone (12% versus 28%) but failed to accelerate ulcer healing. 116 This finding supports the benefit of correcting the incompetent superficial venous system on prevention of ulcer recurrence, leading to a high level of recommendation (grade 1A) in the CPG; but this favored endovenous ablation over surgery to prevent ulcer recurrence (grade 2B).…”

Section: Surgery For Truncal Vein or Venous Tributariesmentioning

confidence: 99%

Chronic Venous Insufficiency

2014

View full text Add to dashboard Cite

Section: Surgery For Truncal Vein or Venous Tributariesmentioning

confidence: 99%

Chronic Venous Insufficiency

2014

View full text Add to dashboard Cite

“…79 The ligation and stripping of the great saphenous vein can be applied to all CEAP clinical classes 2 to 6 with superficial venous reflux and have been shown to result in significant improvements in venous hemodynamics, possibly eliminate concomitant deep venous reflux, provide symptomatic relief of advanced stages of CVI, and assist in ulcer healing. 80,81 In a study evaluating 500 patients with venous ulcer and reflux of superficial and deep venous systems, randomization to surgery (only to the superficial venous segments) plus compression demonstrated a significant reduction in ulcer recurrence at 12 months as compared with compression alone (12% versus 28%). 82 This finding supports the additional benefit of correcting the incompetent superficial venous system on prevention of ulcer recurrence.…”

Section: Ligation and Stripping And Venous Phlebectomymentioning

confidence: 99%

Chronic Venous Insufficiency

2005

View full text Add to dashboard Cite

C hronic venous disease is often overlooked by primary and cardiovascular care providers because of an underappreciation of the magnitude and impact of the problem. The importance of chronic venous disease is related to the number of people with the disease and the socioeconomic impact of its more severe manifestations. Unfortunately, the literature concerning the prevalence and incidence of chronic venous disease has varied greatly because of differences in the methods of evaluation, criteria for definition, and the geographic regions analyzed. The most common manifestations of chronic venous disease are dilated cutaneous veins, such as telangiectases and reticular veins, and varicose veins. The term chronic venous insufficiency (CVI) describes a condition that affects the venous system of the lower extremities with venous hypertension causing various pathologies including pain, swelling, edema, skin changes, and ulcerations. Although the term CVI is often used to exclude uncomplicated varicose veins, varicose veins have incompetent valves with increased venous pressure leading to progressive dilation and tortuosity. We will use the term CVI to represent the full spectrum of manifestations of chronic venous disease.Varicose veins have an estimated prevalence between 5% to 30% in the adult population, with a female to male predominance of 3 to 1, although a more recent study supports a higher male prevalence. 1 The Edinburgh Vein Study screened 1566 subjects with duplex ultrasound for reflux finding CVI in 9.4% of men and 6.6% of women, after age adjustment, which rose significantly with age (21.2% in men Ͼ50 years old, and 12.0% in women Ͼ50 years old). 2 The San Valentino Vascular Screening Project found among the 30 000 subjects evaluated by clinical assessment and duplex ultrasound a prevalence of 7% for varicose veins and 0.86% for "symptomatic" CVI. 3 As in previous studies, CVI was more common with increasing age, but there was no significant sex difference. The rate of varicose vein development may be estimated from the Framingham Heart Study, which found an annual incidence of 2.6% in women and 1.9% in men. 4 Risk factors found to be associated with CVI include age, sex, a family history of varicose veins, obesity, pregnancy, phlebitis, and previous leg injury. 5,6 There also may be environmental or behavioral factors associated with CVI such as prolonged standing and perhaps a sitting posture at work. 6,7 Varicose veins have a significant impact on healthcare resources, with millions of people seeking medical attention for their cosmetic appearance annually. Although often minimized, the cosmetic consequences may adversely affect an individual's quality of life and are associated with other manifestations.The more serious consequences of CVI such as venous ulcers have an estimated prevalence of Ϸ0.3%, although active or healed ulcers are seen in Ϸ1% of the adult population. 8 It has been estimated that Ϸ2.5 million people have CVI in the United States, and of those, Ϸ20% develop venous ulcers. 9 The ov...

show abstract

“…The invasive methods provide an improvement in quality of life, including improved aesthetics. They also help to prevent the onset of future serious consequences of the disease, including development of irreversible deep vein insufficiency and the progression to venous ulcerations [36]. Randomized studies confirm the improved cost effectiveness of surgical treatment in comparison with compression therapy [37].…”

Section: Resultsmentioning

confidence: 97%

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Chwała¹,

Szczeklik²,

Szczeklik³

et al. 2015

Adv Clin Exp Med

View full text Add to dashboard Cite

Chronic venous insufficiency is one of the most common disorders of the vascular system, affecting approximately 50% of adults. If left untreated it can lead to a number of complications, including venous ulceration and venous thrombosis. This review paper outlines the epidemiology and ethiopathogenesis of the disease with regard to hemodynamics and microcirculation disturbances. It describes the medical treatment as well as the traditional surgical approach to varicose veins (with several modifications of this technique), and its limitations and contraindications. Furthermore, it discusses a number of new, minimally invasive treatment methods, namely thermal in form (radiofrequency ablation, endovenous laser ablation, steam ablation) and nonthermal (sclerotherapy, echosclerotherapy, Clarivein, Sapheon). For each method, there is a brief historical overview, a description of its mechanism of action, and its indications and limitations. The results of comparative studies on individual treatment methods as well as meta-analyses on this topic are briefly discussed. This paper highlights the progressive trend towards minimally invasive methods and attempts to predict the further development (Adv Clin Exp Med 2015, 24, 1, 5-14).

show abstract

Hemodynamic and clinical improvement after superficial vein ablation in primary combined venous insufficiency with ulceration

Cited by 143 publications

References 20 publications

Chronic Venous Insufficiency

Chronic Venous Insufficiency

Chronic Venous Insufficiency

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Contact Info

Product

Resources

About