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Anina Lukhaup
Minimally invasive endovenous therapies for treatment of varicosis are a well established alternative to the classical surgical approach. Based on an example of radiofrequency ablation (Venefit(®)) of the great saphenous vein and foam sclerotherapy of the side branches this article shows the step-by-step implementation of the procedure. Tips and tricks for starters with the procedure are given.
September 2016: Deutsche Medizinische Wochenschrift
Tristan Lane, Roshan Bootun, Brahman Dharmarajah, Chung S Lim, Mojahid Najem, Sophie Renton, Kaji Sritharan, Alun H Davies
BACKGROUND: Endovenous thermal ablation has revolutionised varicose vein treatment. New non-thermal techniques such as mechanical occlusion chemically assisted endovenous ablation (MOCA) allow treatment of entire trunks with single anaesthetic injections. Previous non-randomised work has shown reduced pain post-operatively with MOCA. This study presents a multi-centre randomised controlled trial assessing the difference in pain during truncal ablation using MOCA and radiofrequency endovenous ablation (RFA) with six months' follow-up...
May 24, 2016: Phlebology
Stephen J Goodyear, Isaac K Nyamekye
SCOPE OF THE REVIEW: This article systematically reviews the practice of radiofrequency ablation of lower limb varicose veins. We present the clinical evidence and best practice techniques for currently available devices. METHODS: Manufacturer's instructions-for-use were requested for all radiofrequency devices. The MEDLINE and EMBASE databases were searched using the following keywords: 'varicose veins' AND 'radiofrequency' OR 'radio frequency' OR 'Venefit' OR 'ClosureFAST' OR 'RFiTT' OR 'EVRF' OR 'VeinCLEAR', generating 240 articles...
November 2015: Phlebology
R Bootun, T R A Lane, B Dharmarajah, C S Lim, M Najem, S Renton, K Sritharan, A H Davies
OBJECTIVE: Endovenous techniques are, at present, the recommended choice for truncal vein treatment. However, the thermal techniques require tumescent anaesthesia, which can be uncomfortable during administration. Non-tumescent, non-thermal techniques would, therefore, have potential benefits. This randomised controlled trial is being carried out to compare the degree of pain that patients experience while receiving mechanochemical ablation or radiofrequency ablation. The early results of this randomised controlled trial are reported here...
February 2016: Phlebology
César García-Madrid, J Oscar Pastor Manrique, Victoria Arcediano Sánchez, Eusebi Sala-Planell
BACKGROUND: Despite adequate treatment of varicose veins, recurrences and primary failures still occur. This article hypothesizes that increasing the dose of radiofrequency ablation (RFA) could improve efficacy through inducing a greater shrinkage of the treated vein. METHODS: A comparative clinical study of 67 extremities with varicose veins caused by great saphenous vein (GSV) reflux treated with RFA ClosureFAST was conducted. Group 1 (n = 22) received 1 treatment cycle (20 sec) and group 2 (n = 45) received 2 cycles (40 sec) along the GSV trunk...
April 2013: Annals of Vascular Surgery
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