Recurrent Varicose Veins: Incidence, Risk Factors and Groin Anatomy

Blomgren, Lena; Johansson, Gunnar; Dahlberg-Åkerman, Agneta; Norén, Anders; Brundin, Carl; Nordström, Erik; Bergqvist, David

doi:10.1016/j.ejvs.2003.12.022

Cited by 81 publications

(44 citation statements)

References 30 publications

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“…The duplex examinations were performed by an experienced vascular technician at the Department of Clinical Physiology, Capio St Göran's Hospital 8 . Duplex results and videos were reviewed further by two consultants in clinical physiology.…”

Section: Duplex Examinationmentioning

confidence: 99%

“…Furthermore, a previous study showed no clear benefit of routine duplex imaging in the treatment of uncomplicated varicose veins 7 . Other causes of recurrent veins are neovascularization (new vessel formation) and progression of disease 5,8 . With the advent of endovenous methods it has even been suggested that surgery in the groin itself induces recurrence through neovascularization.…”

Section: Introductionmentioning

confidence: 99%

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Late follow-up of a randomized trial of routine duplex imaging before varicose vein surgery

Blomgren

Johansson

Emanuelsson

et al. 2011

British Journal of Surgery

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Section: Duplex Examinationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Late follow-up of a randomized trial of routine duplex imaging before varicose vein surgery

Blomgren

Johansson

Emanuelsson

et al. 2011

British Journal of Surgery

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“…The incidence of those patients with REVAS is reported to be between 20% and 80% [1–4]. In 2006, a study was designed to identify patients with REVAS according to CEAP classification as well as the source, site, and cause of recurrence.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Recurrence of Varicose Veins after Thermal Ablation: Results of The Recurrent Veins after Thermal Ablation Study

Bush¹,

Bush²,

Flanagan³

et al. 2014

The Scientific World Journal

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Background. The goal of this retrospective cohort study (REVATA) was to determine the site, source, and contributory factors of varicose vein recurrence after radiofrequency (RF) and laser ablation. Methods. Seven centers enrolled patients into the study over a 1-year period. All patients underwent previous thermal ablation of the great saphenous vein (GSV), small saphenous vein (SSV), or anterior accessory great saphenous vein (AAGSV). From a specific designed study tool, the etiology of recurrence was identified. Results. 2,380 patients were evaluated during this time frame. A total of 164 patients had varicose vein recurrence at a median of 3 years. GSV ablation was the initial treatment in 159 patients (RF: 33, laser: 126, 52 of these patients had either SSV or AAGSV ablation concurrently). Total or partial GSV recanalization occurred in 47 patients. New AAGSV reflux occurred in 40 patients, and new SSV reflux occurred in 24 patients. Perforator pathology was present in 64% of patients. Conclusion. Recurrence of varicose veins occurred at a median of 3 years after procedure. The four most important factors associated with recurrent veins included perforating veins, recanalized GSV, new AAGSV reflux, and new SSV reflux in decreasing frequency. Patients who underwent RF treatment had a statistically higher rate of recanalization than those treated with laser.

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“…For varicose vein treatments, recurrence rates are potentially a valuable measure for assessing medium and long-term results of different venous disease treatment modalities. [12][13][14] The objectives of this study are to conduct a retrospective analysis of the medium and long-term results of endovenous treatment of varicose veins using a 1940nm diode laser and to correlate the parameters used during treatment with durability of anatomic outcome (fibrotic occlusion or recanalization), clinical improvement according to the CEAP classification, and adverse events.…”

Section: Introductionmentioning

confidence: 99%

Resultados de médio e longo prazo do tratamento endovenoso de varizes com laser de diodo em 1940 nm: análise crítica e considerações técnicas

Viarengo¹,

Viarengo²,

Martins³

et al. 2017

J. vasc. bras.

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Resumo Contexto Desde a introdução do laser endovenoso para tratamento das varizes, há uma busca pelo comprimento de onda ideal, capaz de produzir o maior dano seletivo possível com maior segurança e menor incidência de efeitos adversos. Objetivos Avaliar os resultados de médio e longo prazo do laser de diodo de 1940 nm no tratamento de varizes, correlacionando os parâmetros utilizados com a durabilidade do desfecho anatômico. Métodos Revisão retrospectiva de pacientes diagnosticados com insuficiência venosa crônica em estágio clínico baseado em clínica, etiologia, anatomia e patofisiologia (CEAP) C2 a C6, submetidos ao tratamento termoablativo endovenoso de varizes tronculares, com laser com comprimento de onda em 1940 nm com fibra óptica de emissão radial, no período de abril de 2012 a julho de 2015. Uma revisão sistemática dos registros médicos eletrônicos foi realizada para obter dados demográficos e dados clínicos, incluindo dados de ultrassom dúplex, durante o período de seguimento pós-operatório. Resultados A média de idade dos pacientes foi de 53,3 anos; 37 eram mulheres (90,2%). O tempo médio de seguimento foi de 803 dias. O calibre médio das veias tratadas foi de 7,8 mm. A taxa de sucesso imediato foi de 100%, com densidade de energia endovenosa linear (linear endovenous energy density, LEED) média de 45,3 J/cm. A taxa de sucesso tardio foi de 95,1%, com duas recanalizações por volta de 12 meses pós-ablação. Não houve nenhuma recanalização nas veias tratadas com LEED superior a 30 J/cm. Conclusões O laser 1940 nm mostrou-se seguro e efetivo, em médio e longo prazo, para os parâmetros propostos, em segmentos venosos com até 10 mm de diâmetro.

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Recurrent Varicose Veins: Incidence, Risk Factors and Groin Anatomy

Cited by 81 publications

References 30 publications

Late follow-up of a randomized trial of routine duplex imaging before varicose vein surgery

Late follow-up of a randomized trial of routine duplex imaging before varicose vein surgery

Factors Associated with Recurrence of Varicose Veins after Thermal Ablation: Results of The Recurrent Veins after Thermal Ablation Study

Resultados de médio e longo prazo do tratamento endovenoso de varizes com laser de diodo em 1940 nm: análise crítica e considerações técnicas

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