Persistent incompetent truncal veins should not be treated immediately

Phlebology
Paul Pittaluga, Sylvain Chastanet

Abstract

The traditional attitude for the treatment of chronic venous disorder is to systematically treat incompetent truncal veins. We wanted to evaluate the outcomes of not treating all incompetent truncal veins with regard to our experience of focusing the treatment to the varicose tributaries. Retrospective study on all procedures of surgical treatment consecutively performed for varicose veins by single phlebectomy with preservation of a refluxing great saphenous vein (GSV), according to the principles of the ambulatory selective varices ablation under local anesthesia (ASVAL) during four years of practice. The clinical and hemodynamic outcomes have been evaluated at eight days, one year, and once a year. We have included 1212 lower limbs (LLs) that underwent consecutive ASVAL procedures in 816 patients (611 women and 205 men) aged between 19 and 93 years (mean age 53.7 years). The CEAP Class C classification was C0-C1 = 0%; C2 = 85.6%; C3 = 5.4%; C4 = 7.8%; C5 = 0.7%; C6 = 0.7%. Symptoms were present in 854 cases (70.5%). A thrombosis of the GSV was diagnosed at eight days postoperative in 13 cases (1.1%). A total of 1010 LLs were followed after the first postoperative year (mean follow-up of 44.5 months). A secondary major proced...Continue Reading

Associated Clinical Trials

Jul 26, 2019·Ihar Ihnatovich

References

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Mar 27, 2013·Phlebology·S Chastanet, P Pittaluga
Jan 1, 2014·Journal of Vascular Surgery. Venous and Lymphatic Disorders·P Pittaluga, S Chastanet
Apr 1, 2014·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Anke A M BiemansTamar Nijsten

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Citations

Nov 3, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Thomas RichardsSarah Onida
Dec 4, 2021·Dermatologic Therapy·Nikolaos ChaitidisChristos Bakoyiannis

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