Possibilities of endovenous laser obliteration of subcutaneous veins with tumescence by cold saline solution

Фокин, А. А.; Борсук, Д. А.; Zhdanov, Konstantin O.

doi:10.33529/angio2020110

Cited by 1 publication

(1 citation statement)

References 17 publications

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“…The full-text reading and application of the inclusion and exclusion criteria resulted in the inclusion of 16 studies in the present systematic review. We excluded 65 studies for the following reasons (Appendix 2): reviews with overlapping data, 7,8 primary outcome not reported, [9][10][11][12][13][14][15][16][17][18] not written in English, [19][20][21][22][23][24][25][26][27][28][29][30][31] conference abstracts, overlapping data with an already included report by same author, 56 data not yet available, 57 full text not available, 58 no distinction between primary and secondary AASV incompetence, 59 no distinction in outcome between GSVand AASV, 60-62 and other outcome. [63][64][65][66][67][68][69][70][71] A flow chart of the selection procedure is shown in Figure 1.…”

Section: Study Selectionmentioning

confidence: 99%

A systematic review and meta-analysis of treatment modalities for anterior accessory saphenous vein insufficiency

et al. 2021

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Objective To investigate and compare the outcomes of the available treatment modalities for anterior accessory saphenous vein (AASV) incompetence. Methods A systematic literature search was performed in MEDLINE, Embase, and the Cochrane Library. Studies reporting the outcomes of patients who were treated for primary AASV incompetence were included. The methodologic quality of the articles was assessed using the Methodological Index for Non-Randomized Studies (MINORS). A random-effects model was used to estimate anatomic success, defined as AASV occlusion. The secondary outcomes were pain during and after treatment, venous clinical severity score, quality of life, esthetic result, time to return to daily activities, and complications. Results The search identified 860 articles, of which 16 met the inclusion criteria. A total of 609 AASVs were reported. The included studies were of poor or moderate quality according to MINORS score. The pooled anatomic success rates were 91.8% after endovenous laser ablation and radiofrequency ablation (EVLA, RFA, 11 studies), 93.6% after cyanoacrylate closure (3 studies), and 79.8% after sclerotherapy (2 studies). The non-pooled anatomic success rate was 97.9% after phlebectomy and 82% after CHIVA. Paresthesia was seen after EVLA in 0.7% of patients (6 studies). Phlebitis was seen in 2.6% of patients after RFA (2 studies), 27% after sclerotherapy (1 study), and 12% after the phlebectomy (1 study). Deep venous thrombosis and skin burn did not occur. Conclusion Treatment of AASV incompetence is safe and effective. Despite limited evidence, occlusion of the AASV can be achieved with endovenous thermal ablation and cyanoacrylate. There does not appear to be a benefit of EVLA compared to RFA regarding treatment efficacy. Phlebectomy shows promising results if the saphenofemoral junction is competent. Lower results are seen after sclerotherapy and CHIVA. However, studies with sufficient sample sizes of solely treatment of AASV incompetence are needed to draw firm conclusions.

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