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By Jianing Yue Attending Vascular Surgeon, Zhongshan Hospital Fudan University, Shanghai, China
Doeke Boersma, Verena N N Kornmann, Ramon R J P van Eekeren, Ellen Tromp, Çagdas Ünlü, Michel M J P Reijnen, Jean-Paul P M de Vries
PURPOSE: To investigate and compare the anatomical success rates and complications of the treatment modalities for small saphenous vein (SSV) incompetence. METHODS: A systematic literature search was performed in PubMed, EMBASE, and the Cochrane Library on the following therapies for incompetence of SSVs: surgery, endovenous laser ablation (EVLA), radiofrequency ablation (RFA), ultrasound-guided foam sclerotherapy (UGFS), steam ablation, and mechanochemical endovenous ablation (MOCA)...
February 2016: Journal of Endovascular Therapy
G Marsden, M Perry, A Bradbury, N Hickey, K Kelley, H Trender, D Wonderling, A H Davies
OBJECTIVE: The aim was to investigate the cost-effectiveness of interventional treatment for varicose veins (VV) in the UK NHS, and to inform the national clinical guideline on VV, published by the National Institute of Health and Care Excellence. DESIGN: An economic analysis was constructed to compare the cost-effectiveness of surgery, endothermal ablation (ETA), ultrasound-guided foam sclerotherapy (UGFS), and compression stockings (CS). The analysis was based on a Markov decision model, which was developed in consultation with members of the NICE guideline development group (GDG)...
December 2015: European Journal of Vascular and Endovascular Surgery
Anke A M Biemans, Michael Kockaert, George P Akkersdijk, Renate R van den Bos, Marianne G R de Maeseneer, Philip Cuypers, Theo Stijnen, Martino H A Neumann, Tamar Nijsten
BACKGROUND: Many case series have been published on treatments of varicose veins, but comparative randomized controlled trials remain sparse. OBJECTIVE: To compare the anatomic success rate, frequency of major complications, and quality-of-life improvement of endovenous laser ablation (EVLA), ultrasound-guided foam sclerotherapy (UGFS), and conventional surgery (CS), after 1-year follow-up. METHODS: A total of 240 consecutive patients with primary symptomatic great saphenous vein reflux were randomized to EVLA, UGFS, or CS, consisting of high ligation and short stripping...
September 2013: Journal of Vascular Surgery
Lars Rasmussen, Martin Lawaetz, Lars Bjoern, Allan Blemings, Bo Eklof
OBJECTIVE: This is the first randomized controlled trial with a 5-year follow-up comparing endovenous laser ablation (EVLA) with high ligation and pin-stripping in patients with great saphenous vein (GSV) incompetence. METHODS: One hundred twenty-one consecutive patients (137 legs) with GSV incompetence were randomized to EVLA (980 nm bare fiber) or high ligation and stripping using tumescent local anesthesia with light sedation. Mini-phlebectomies were performed in all patients...
August 2013: Journal of Vascular Surgery
T-W Huang, S-L Chen, C-H Bai, C-H Wu, K-W Tam
OBJECTIVE: The optimal duration of compression therapy following varicose vein surgery of the great saphenous vein (GSV) remains controversial. Therefore, the aim of this study was to evaluate different durations of compression therapy after varicose vein surgery and their outcomes. DESIGN: A systematic review and meta-analysis of randomized controlled trials (RCTs). METHODS: Outcomes from short-duration (3-10 d) and long-duration (3-6 wk) compression therapy after GSV stripping and phlebectomies were evaluated...
April 2013: European Journal of Vascular and Endovascular Surgery
Christopher R Lattimer, Mustapha Azzam, Evi Kalodiki, Gregory C Makris, George Geroulakos
BACKGROUND: Graduated elastic compression (GEC) stockings have been demonstrated to reduce the morbidity associated with post-thrombotic syndrome. The ideal length or compression strength required to achieve this is speculative and related to physician preference and patient compliance. The aim of this study was to evaluate the hemodynamic performance of four different stockings and determine the patient's preference. METHODS: Thirty-four consecutive patients (40 legs, 34 male) with post-thrombotic syndrome were tested with four different stockings (Mediven plus open toe, Bayreuth, Germany) of their size in random order: class 1 (18-21 mm Hg) and class II (23-32 mm Hg), below-knee (BK) and above-knee thigh-length (AK)...
July 2013: Journal of Vascular Surgery
A Ward, S Abisi, B D Braithwaite
OBJECTIVES: To determine the feasibility and reliability of an online patient completed Aberdeen Varicose Vein Questionnaire (AVVQ) as a tool to guide specialist referral. METHODS: This was a prospective qualitative and quantitative study. One hundred and six patients completed an online questionnaire. Some 43 (40%) completed the AVVQ questionnaire at home and 63 (60%) did it immediately before their appointment. Venous Clinical Severity Score (VCSS) and CEAP grades were assigned by a consultant vascular surgeon...
February 2013: European Journal of Vascular and Endovascular Surgery
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