Endovenous Thermal Ablation of Recurrent Varicose Veins due to Residual Great Saphenous Venous Insufficiency After Saphenous Venous Surgery: A Comparative Study

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]
Jin Ho HwangJi Hun Kang

Abstract

Redo surgery for recurrent varicose veins of the great saphenous vein (GSV) is technically more challenging than the initial surgery. To compare 980 and 1,470-nm endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) for the treatment of residual GSV insufficiency after saphenofemoral ligation ± stripping. Thirty-seven limbs in 29 patients with recurrent varicose veins were retrospectively evaluated. Patients were divided into 3 groups: 980-nm EVLA (group A), 1,470-nm EVLA (group B), and RFA (group C). Duplex ultrasonography, Venous Clinical Severity Score (VCSS), and adverse events were examined at intervals of 1 week, 1, 3, 6, and 12 months. Complete closure was achieved in 35 (94.6%) limbs at 12 months. Venous Clinical Severity Score decrease in group C (3.6 ± 0.5) was significantly (p < .017) greater compared with that of group A (2.6 ± 0.9). Ecchymosis grade was significantly (p < .017) lower in group C (0.1 ± 0.3) than that in group A (1.6 ± 1.5). Endovenous thermal ablation using EVLA or RFA is safe and effective for treatment of recurrent varicose veins resulting from residual GSV insufficiency after saphenous venous surgery. The RFA is superior to 980-nm EVLA in terms of postprocedural ecchymosis and improv...Continue Reading

References

Feb 7, 1998·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Loeprecht
Jan 19, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·P J GibbsS G Darke
Jun 7, 2000·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·M Perrin
Jul 13, 2002·Journal of the American College of Surgeons·Reinhard FischerNikolaus Linde
Feb 15, 2003·Annals of the Royal College of Surgeons of England·W B CampbellUNKNOWN Randomised and Economic Analysis of Conservative and Therapeutic Interventions for Varicose veins Study
Oct 9, 2004·Journal of Vascular Surgery·Rebecca J WinterbornJonothan J Earnshaw
Sep 3, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R J HinchliffeB D Braithwaite
Jul 25, 2009·Vascular and Endovascular Surgery·Jose AlmeidaJeffrey Raines
Nov 3, 2009·Journal of Vascular Surgery·Laura van GroenendaelMichel M P J Reijnen
Dec 26, 2009·Cardiovascular and Interventional Radiology·Praveen R AnchalaScott A Resnick
Mar 30, 2010·Journal of Vascular Surgery·Thomas SchwarzFranz-Josef Neumann
May 18, 2010·The British Journal of Surgery·A C ShepherdA H Davies
Jun 12, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S D GoodeB D Braithwaite
Jun 16, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S Doganci, U Demirkilic
Mar 1, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N S Theivacumar, M J Gough
Feb 7, 2012·Annals of Vascular Surgery·Marc E Vuylsteke, Serge R Mordon
Mar 7, 2012·North American Journal of Medical Sciences·Mohammed A GadEmad N Hokkam
Oct 10, 2014·Annals of Vascular Diseases·Masayuki Hirokawa, Nobuhisa Kurihara
Apr 30, 2015·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·C WittensUNKNOWN European Society for Vascular Surgery
May 21, 2015·Lasers in Medical Science·Aykut Recep AktasLevent Oguzkurt

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