scholarly journals Endovenous Radiofrequency Ablation of an Incompetent Great Saphenous Vein in Patient with Venous Ulceration and Severe Coaugulopathy: A Case Report

2008 ◽  
Vol 36 (6) ◽  
pp. 747
Author(s):  
Anton Krnić ◽  
Stanko Antolić ◽  
Narcis Hudorović ◽  
Tugomir Gverić ◽  
Dubravko Huljev ◽  
...  
2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Yusuke Enta ◽  
Makoto Saigan ◽  
Akiko Tanaka ◽  
Masaki Hata ◽  
Norio Tada

Recurrent varices after surgery (REVAS) is a common problem with no established treatment. Ultrasonography is a hard method to identify the source of veins that cause REVAS, especially in obese patients with thick thighs. Here, we report the case of a 64-year-old obese patient who previously underwent endothermal venous ablation for her right great saphenous vein. The patient presented with right leg swelling and venous ulceration due to REVAS. Although the source of REVAS was unclear because the patient had thick thighs on ultrasonography assessment, venography revealed that the source of REVAS was the incompetent perforator vein (IPV). Selective ablation for the IPV with radiofrequency ablation catheter was performed. We could ablate the target veins selectively so as not to ablate within the deep vein. The patient remains asymptomatic for 2 years after the procedure, and there has been no recurrence of her varicose veins. Venography allows better visualization of the source of REVAS than ultrasonography. With selective ablation, it is especially effective procedure in obese patients, in whom it is difficult to identify and access the source of REVAS with ultrasonography.


2013 ◽  
Vol 24 (7) ◽  
pp. e1-e2
Author(s):  
Ali Umit Yener ◽  
Ozlem Yener ◽  
Hikmet Selcuk Gedik ◽  
Kemal Korkmaz ◽  
Turgut Ozkan ◽  
...  

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Raffaele Serra ◽  
Nicola Ielapi ◽  
Tiberio Rocca ◽  
Luca Traina ◽  
Stefano De Franciscis ◽  
...  

2019 ◽  
Vol 56 ◽  
pp. 353.e1-353.e6
Author(s):  
Hamza Naouli ◽  
Hubert Lathelize ◽  
Abdellatif Bouarhroum

2016 ◽  
Vol 73 (5) ◽  
pp. 500-503 ◽  
Author(s):  
Miroslav Markovic ◽  
Marko Dragas ◽  
Igor Koncar ◽  
Igor Banzic ◽  
Sinisa Pejkic ◽  
...  

Introduction. Venous aneurysm (VA) is a rare condition that can be presented in both superficial and deep venous system. Secondary VAs as well as pseudoaneurysms are usually caused by external spontaneous or iatrogenic trauma. They are often misdiagnosed and inadequately treated. Complications include thrombosis, phlebitis, eventual pulmonary embolism and rupture. Case report. We presented a case of secondary VA of the great saphenous vein developed in a young addict following chronic intravenous drug application in the groin region. Aneurysm required urgent surgical treatment due to bleeding complication as it was previously misdiagnosed for hematoma (or abscess) and punctuated by a general surgeon. Complete resection of VA with successful preservation of continuity of the great saphenous vein was performed. Postoperative course was uneventful. Regular venous flow through the great saphenous vein was confirmed on control ultrasound examination. Conclusion. VAs are uncommon, among them secondary VA being extremely rare. In cases with a significant diameter or threatening complications surgical treatment is recommended.


2018 ◽  
Vol Volume-2 (Issue-6) ◽  
pp. 1188-1190
Author(s):  
Shobha. G ◽  
Uma. B. Gopal ◽  
Manu Krishnan. K ◽  

2019 ◽  
Vol 5 (4) ◽  
pp. 532-534
Author(s):  
Zachary Grady ◽  
Matthew Aizpuru ◽  
Kevin X. Farley ◽  
Jaime Benarroch-Gampel ◽  
Robert S. Crawford

Vascular ◽  
2019 ◽  
Vol 27 (5) ◽  
pp. 537-541
Author(s):  
Cemal Kemaloğlu

Background and aim The aim of this study was to compare endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) techniques for efficacy and side effects for great saphenous vein (GSV) ablation. Materials and methods Two hundred twenty-one patients and 287 extremities that underwent GSV ablation with EVLA and RFA methods were analysed retrospectively; 135 GSVs were treated with EVLA, 152 GSVs were treated with RFA. Physical examination and Ultrasound (US) records at the first week, first month and third month were evaluated. Recanalization, endothermal heat-induced thrombosis formation, presence of ecchymosis greater than 10 cm and GSV diameter parameters were statistically analyzed. Results In the RFA group, 96.7% of the GSVs that were ablated were occluded at the end of the third month. In the EVLA group, this rate was 92.6%. There was no statistically significant difference between success of ablation ( P = 0.118). In the RFA group, ecchymotic areas, that is larger than 10 cm diameter were observed in 16 extremities, whereas in the EVLA group, 66 of 135 (48.9%) limbs were found to have ecchymotic area larger than 10 cm ( P < 0.001). More recanalizations were observed in GSVs larger than 10 mm in diameter which was statistically significant ( P < 0.001). Conclusion Both EVLA and RFA methods are effective in treating GSV reflux. Compared to the EVLA, less ecchymosis occurs after RFA procedures. Regardless of the type of method used, the GSV diameter is a single predictor of recanalization.


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