Nonthermal, Nontumescent Endovenous Treatment of Varicose Veins

2016 ◽  
Vol 36 ◽  
pp. 231-235 ◽  
Author(s):  
Ali İhsan Tekin ◽  
Osman Nuri Tuncer ◽  
Mehmet Erdem Memetoğlu ◽  
Ümit Arslan ◽  
Ahmet Öztekin ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Endovenous Treatment

Endovenous procedures in varicose veins

Phlebologie ◽  
2008 ◽  
Vol 37 (05) ◽  
pp. 229-236
Author(s):  
N. Cayne ◽  
G. Jacobowitz ◽  
P. Lamparello ◽  
T. Maldonado ◽  
C. Rockman ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Treatment Options ◽  
Postoperative Recovery ◽  
Comparable Efficacy ◽  
Intense Pulse Light ◽  
Efficacy And Safety ◽  
Endovenous Laser Ablation ◽  
The Past ◽  
Early Evidence ◽  
Endovenous Treatment

SummaryOver the past ten years endoveous treatment options for varicose veins have evovled considerably, offering clinicians a multitude of options to meet the needs of their patients. The endothermal ablation procedures have moved to the forefront as the choice modality for treating truncal reflux. Both radiofrequency ablation and endovenous laser ablation are widely accepted and interchangeable, showing comparable efficacy and safety. Although numerous endovenous laser wavelengths exist, the data indicates that the differences do not affect the efficacy or postoperative recovery of the procedure. The endovenous laser innovation that has shown early evidence of improved patient outcome is the jacket-tip fiber. The versatility of sclerotherapy makes it a critical component in the endovenous treatment of varicosities. Although not approved by the Food and Drug Administration (USA), the use of a foamed sclerosing agent is the fastest growing segment of sclerotherapy and an important treatment modality in the future of varicose vein treatment. Cutaneous lasers and intense pulse light devices contribute a crucial element, enabling clinicians to treat minute veins that may be impossible to treat with other therapies.

The treatment of varicose veins: an investigation of patient preferences and expectations

2010 ◽  
Vol 25 (2) ◽  
pp. 54-65 ◽  
Author(s):  
A C Shepherd ◽  
M S Gohel ◽  
C S Lim ◽  
M Hamish ◽  
A H Davies
Keyword(s):  
Local Anaesthetic ◽  
Varicose Veins ◽  
Treatment Decision ◽  
Treatment Preference ◽  
Multiple Choice Questions ◽  
Foam Sclerotherapy ◽  
Vascular Surgeon ◽  
Anonymous Questionnaire ◽  
Treatment Type ◽  
Endovenous Treatment

Objectives A number of modalities are now available for the treatment of varicose veins. The aim of the study was to investigate the factors considered important by patients when contemplating treatment of their varicose veins. Methods Consecutive new patients referred to a vascular surgery service were invited to complete a short anonymous questionnaire prior to their consultation. The questionnaire consisted of 13 multiple choice questions relating to symptoms, potential varicose vein treatments and patient knowledge of existing therapies. Results Of 111 patients, there were 83 complete responses (75%). Symptoms of pain or aching were reported as moderate or severe by 77/103 (75%) of patients and significantly limited the activities of 47/101 (47%). Although the majority (89/103 [86%]) of patients were aware of surgery, only 52/103 (51%) knew of the existence of endothermal ablation (either laser or radiofrequency) and only 23/103 (22%) were aware of foam sclerotherapy. Some 58/92 (63%) were in favour of local anaesthetic treatment. Most patients (74/103, 72%) felt inadequately informed to express a preference regarding treatment type prior to their consultation, although 24/103 (23%) expressed a preference for endovenous treatment. Interestingly, 74/92 (80%) stated that the opinion of their vascular surgeon would be likely to or definitely influence their treatment decision and the majority of patients stated that what they had read in magazines (54/80, 64%) or on the Internet (51/85, 60%) would have no influence on their decision regarding treatment, respectively. Conclusion Only a minority of patients referred with varicose veins were aware of endovenous treatments or felt adequately informed to express a treatment preference prior to consultation. Over half of patients expressed a preference for local anaesthetic therapy and a preference for a single visit treatment, although most would be strongly influenced by the opinion of their vascular surgeon and not influenced by media advertising.

Endovenous Management of Varicose Veins

Angiology ◽  
2018 ◽  
Vol 70 (5) ◽  
pp. 388-396 ◽  
Author(s):  
Amjad Belramman ◽  
Roshan Bootun ◽  
Tristan R. A. Lane ◽  
Alun H. Davies
Keyword(s):  
Thermal Ablation ◽  
Varicose Veins ◽  
Treatment Modalities ◽  
Superficial Vein ◽  
Common Condition ◽  
Appropriate Treatment ◽  
The Subject ◽  
The Right ◽  
Endovenous Treatment ◽  
Treatment Profile

Varicose veins are a very common condition and have been the subject of a recent proliferation of treatment modalities. The advent of the endovenous treatment era has led to a confusing array of different techniques that can be daunting when making the transition from traditional surgery. All modalities offer excellent results in the right situation, and each has its own treatment profile. Thermal ablation techniques have matured and have a reassuring and reliable outcome, but the arrival of nonthermal techniques has delivered further options for both patient and surgeon. This article provides an overview of the different treatment devices and modalities available to the modern superficial vein surgeon and details the currently available evidence and summation analysis to help surgeons to make an appropriate treatment choice for their patients.

Retrograde mechanochemical ablation of the small saphenous vein for the treatment of a venous ulcer

Vascular ◽  
2013 ◽  
Vol 22 (5) ◽  
pp. 375-377 ◽  
Author(s):  
Hayley M Moore ◽  
Tristan RA Lane ◽  
Ian J Franklin ◽  
Alun H Davies
Keyword(s):  
Saphenous Vein ◽  
Local Anaesthetic ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Venous Ulcer ◽  
Venous Ulceration ◽  
First Case ◽  
Mechanochemical Ablation ◽  
Cannulation Technique ◽  
Endovenous Treatment

We present the first case of retrograde ablation of the small saphenous vein to treat active venous ulceration. A 73-year-old gentleman with complicated varicose veins of the left leg and a non-healing venous ulcer despite previous successful endovenous treatment to his left great saphenous vein underwent mechanochemical ablation of his small saphenous vein with the ClariVein® system, under local anaesthetic, using a retrograde cannulation technique. Post-operatively the patient had improved symptomatically and the ulcer size had reduced. This report highlights that patients with small saphenous vein incompetence and active ulceration can be treated successfully with retrograde mechanochemical ablation.

scholarly journals Symptomatic recurrent varicose veins due to primary avalvular varicose anomalies (PAVA): A previously unreported cause of recurrence

2018 ◽  
Vol 6 ◽  
pp. 2050313X1877716
Author(s):  
Alice M Whiteley ◽  
Judith M Holdstock ◽  
Mark S Whiteley
Keyword(s):  
Varicose Veins ◽  
Duplex Ultrasonography ◽  
Venous Reflux ◽  
Recurrent Varicose Veins ◽  
Saphenous Veins ◽  
Primary Procedure ◽  
Previous Trauma ◽  
Primary Varicose Veins ◽  
Endovenous Treatment ◽  
Saphenofemoral Junction

A 56-year-old woman presented in 2006 with symptomatic primary varicose veins in her right leg. Venous duplex ultrasonography at that time showed what appeared to be “neovascular tissue” around the saphenofemoral junction. However, there had been no previous trauma or surgery in this area. This appearance has subsequently been described as primary avalvular varicose anomalies. She underwent endovenous treatment at that time. In 2018, she presented with symptomatic recurrent varicose veins of the same leg. Venous duplex ultrasonography showed successful ablation of the great saphenous and anterior accessory saphenous veins. All of the recurrent venous reflux was arising from the primary avalvular varicose anomalies. This report shows that primary avalvular varicose anomalies is a previously unreported cause of recurrent varicose veins and leads us to suggest that if found, treatment of the primary avalvular varicose anomalies should be considered at the primary procedure.

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