Meta-Analysis of Endovenous Radiofrequency Obliteration of the Great Saphenous Vein in Primary Varicosis

2008 ◽  
Vol 15 (2) ◽  
pp. 213-223 ◽  
Author(s):  
Thomas Luebke ◽  
Michael Gawenda ◽  
Joerg Heckenkamp ◽  
Jan Brunkwall
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Meta Analysis ◽  
Radiofrequency Obliteration

scholarly journals Five Year Results of Great Saphenous Vein Treatment: A Meta-analysis

2018 ◽  
Vol 67 (1) ◽  
pp. 359 ◽  
Author(s):  
S.A.S. Hamann ◽  
J. Giang ◽  
M.G.R. De Maeseneer ◽  
T.E.C. Nijsten ◽  
R.R. van den Bos
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Meta Analysis

Endovascular Radiofrequency Obliteration Using 90°C for Treatment of Great Saphenous Vein

2006 ◽  
Vol 20 (5) ◽  
pp. 625-629 ◽  
Author(s):  
Charles W. Dunn ◽  
Lowell S. Kabnick ◽  
Robert F. Merchant ◽  
Richard Owens ◽  
Robert A. Weiss
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Radiofrequency Obliteration

REVAT (Recurrent Varices After Treatment)

Phlebologie ◽  
2009 ◽  
Vol 38 (06) ◽  
pp. 271-274 ◽  
Author(s):  
H. Nüllen ◽  
T. Noppeney
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Underlying Disease ◽  
Vascular Territory ◽  
Foam Sclerotherapy ◽  
Recurrent Varicose Veins ◽  
Surgical Errors ◽  
Radiofrequency Obliteration ◽  
Progression Of Disease

SummaryThe term “recurrent varicose veins” covers various entities. In the first instance, recurrent varicose veins may be the progression of the underlying disease, as there is a hereditary disposition to the condition, but we also find the phenomenon of neovascularisation, and lastly we repeatedly see recurrent varices as a result of technical or strategic surgical errors and the failure of endovenous procedures. No differentiation between these different types of recurrent varicose veins has previously been made in the literature, so that the numbers given vary between 6% and 60%. Up to the present time, few data on the progression of the underlying disease are to be found in the literature. Our own studies, on average 36 months postoperatively, demonstrated new varicose side branches that could be interpreted as progression of the underlying disease in 56.8% of the patients followed up.Several recent publications demonstrate neovascularisation as a cause of recurrence. While some authors give a figure of 24% for recurrence due to neovascularisation in patients who have had surgery, other publications regard neovascularisation as the main cause of postoperative recurrence.The data on technical or strategic surgical errors and recanalisation after endovenous procedures are also very varied. Numbers for technical errors as the cause of recurrent varicose veins following surgery range from 10.7% to more than 70%. Published recanalisation rates after endovenous laser therapy vary between 0% and 36%; the average recanalisation rate in the available prospective randomised studies on radiofrequency obliteration was 12.9%. Foam sclerotherapy has recanalisation rates between 69% and 86%, with a mean follow-up of 32.2 months.Given the different possible causes, it is extremely important, that recurrent varicose veins should be classified. The authors have developed a simple classification that can be used in routine daily practice. Recurrent varicose veins are given the acronym REVAT (recurrent varices after treatment). Generally speaking, on the one hand there is progression of the underlying disease (progression of disease = PD) and, on the other hand, varicosities after treatment as a result of technical error or failure of the method used (recurrence after treatment = RT). Progression of the underlying disease can be further subdivided into neovascularisation at the saphenofemoral or popliteal junction (progression of disease at the junction = PD-J) and new varices arising in the treated vascular territory (progression of disease at the limb = PD-L).In the case of recurrent varices after treatment we distinguish between a persisting or a new reflux at the saphenofemoral or the popliteal junction (recurrence after treatment at the junction = RT-J), untreated segments of the great or small saphenous veins or recanalisation of the trunk (recurrence after treatment at the trunk = RT-T) and untreated side branches or perforating veins (recurrence after treatment at side branches = RT-S). With the help of these abbreviations a simple formula can be generated to describe the recurrent varices, e.g. recanalisation of the left great saphenous vein (GSV) after endovenous treatment and a new varicosis in the vascular territory of the left great saphenous vein resulting from progression of the underlying disease: vascular territory left great saphenous vein = GSV-L, technical or tactical error due to recanalisation of the GSV = RT-T, progression of the underlying disease in the vascular territory of the GSV = PD-L. This generates the formula: GSV-L : RT-T, PD-L.Since there are no exact figures on the incidence of the individual causes of recurrent varicosis, a classification of recurrent varicosis is indispensable to ensure clarity in the future.

A systematic review and meta-analysis of two novel techniques of nonthermal endovenous ablation of the great saphenous vein

2017 ◽  
Vol 5 (6) ◽  
pp. 880-896 ◽  
Author(s):  
Cornelis G. Vos ◽  
Çağdaş Ünlü ◽  
Jan Bosma ◽  
Clarissa J. van Vlijmen ◽  
A. Jorianne de Nie ◽  
...  
Keyword(s):  
Systematic Review ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Meta Analysis ◽  
Endovenous Ablation

scholarly journals Endovenous obliteration in the combined treatment of chronic venous diseases

2020 ◽  
Vol 24 (1) ◽  
pp. 45-48
Author(s):  
M. M. Musaev ◽  
M. V. Ananyeva ◽  
A. G. Girсiashvili ◽  
A. V. Gavrilenko
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Skin Pigmentation ◽  
Combined Treatment ◽  
Modern Approach ◽  
Tumescent Anesthesia ◽  
Radiofrequency Obliteration ◽  
Venous Diseases ◽  
Varicose Disease

The modern approach to the treatment of chronic venous insufficiency and varicose veins utilizes physical techniques for endovasal obliteration. It is characterized by significantly fewer side effects and opens new possibilities for the treatment of patients with varicose disease. Purpose: To evaluate the effectiveness of radiofrequency obliteration of varicose veins and puncture laser obliteration of perforant veins in the combined treatment of patients with varicose disease (VD). Material and methods. Outcomes of treatment of 528 patients with VD in the pool of the great saphenous vein (GSV) or small saphenous vein (SSV) have been analyzed. These patients had the combined treatment, which included radiofrequency obliteration of GSV and SSV trunk and / or Giacomini vein. Of these, 335 patients had also ECHO Foam-Form sclero-obliteration of GSV and SSV inflows and perforant veins on the thigh and / or ankle. In 266 patients, their treatment was combined with miniphlebectomy of GSV and SSV inflows and perforant veins on the thigh and / or ankle; and in 55 patients – with puncture laser obliteration of perforant veins. Results. The assessment of curative outcomes have has shown that postoperative pain intensity (VAS) was 3.1 + 0.5. Transient paresthesias were seen in 14 (3.4%) cases. Local ecchymoses – in 18 (4.3%) cases. Consequences of tumescent anesthesia: local ecchymoses and hyposthesia passed after 3–5 days. Skin pigmentation was noted in 1 case and lasted up to 3 months. Thrombosis was registered in 2 cases as a parietal thrombus in the great saphenous vein at the level of the middle third of the thigh; and in 2 cases as a thrombotic clot prolapse.

Great Saphenous Vein Harvesting: A Systematic Review and Meta-Analysis of Open Versus Endoscopic Techniques

2009 ◽  
Vol 43 (6) ◽  
pp. 561-566 ◽  
Author(s):  
Rosemary Anne Cadwallader ◽  
Stewart R. Walsh ◽  
David G. Cooper ◽  
Tjun Y. Tang ◽  
Umar Sadat ◽  
...  
Keyword(s):  
Systematic Review ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Meta Analysis ◽  
Endoscopic Techniques ◽  
Open Versus ◽  
Vein Harvesting
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