No Benefit of Wearing Compression Stockings after Endovenous Thermal Ablation of Varicose Veins: A Systematic Review and Meta-Analysis

The American College of Phlebology Guidelines Committee performed a systematic review of the literature regarding the clinical impact and treatment of incompetent accessory saphenous veins. Using an accepted process for guideline developments, we developed a consensus opinion that patients with symptomatic incompetence of the accessory great saphenous veins (anterior and posterior accessory saphenous veins) be treated with endovenous thermal ablation (laser or radiofrequency) or ultrasound-guided foam sclerotherapy to eliminate symptomatology (Recommendation Grade 1C).

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Image-guided thermal ablation in the management of symptomatic adenomyosis: a systematic review and meta-analysis

International Journal of Hyperthermia ◽

10.1080/02656736.2021.1939443 ◽

2021 ◽

Vol 38 (1) ◽

pp. 948-962

Author(s):

Lu Liu ◽

Tianfu Wang ◽

Baiying Lei

Keyword(s):

Systematic Review ◽

Thermal Ablation ◽

Meta Analysis ◽

Image Guided

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Thermal ablation in the treatment of intrahepatic cholangiocarcinoma: a systematic review and meta-analysis

European Radiology ◽

10.1007/s00330-021-08216-x ◽

2021 ◽

Author(s):

Gun Ha Kim ◽

Pyeong Hwa Kim ◽

Jin Hyoung Kim ◽

Pyo-Nyun Kim ◽

Hyung Jin Won ◽

...

Keyword(s):

Systematic Review ◽

Intrahepatic Cholangiocarcinoma ◽

Thermal Ablation ◽

Meta Analysis

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Thromboembolic complications of endovenous thermal ablation and foam sclerotherapy in the treatment of great saphenous vein insufficiency

Phlebology The Journal of Venous Disease ◽

10.1177/0268355514529948 ◽

2014 ◽

Vol 30 (5) ◽

pp. 357-364 ◽

Cited By ~ 17

Author(s):

Meghan Dermody ◽

Marlin W Schul ◽

Thomas F O’Donnell

Keyword(s):

Venous Thromboembolism ◽

Randomized Controlled Trials ◽

Thermal Ablation ◽

Meta Analysis ◽

Case Series ◽

Controlled Trials ◽

Foam Sclerotherapy ◽

Bootstrap Analysis ◽

Randomized Controlled ◽

Endovenous Thermal Ablation

Objective Portions of these data were presented in a poster at the XVII World Meeting of the International Union of Phlebology, 8–13 September 2013, Boston, MA, USA. We assessed the incidence of venous thromboembolism following treatment of great saphenous insufficiency by endovenous thermal ablation or foam sclerotherapy using meta-analysis of published randomized controlled trials and case series. Methods Medline, Embase, Cochrane, and Clinical Trials Registry databases were searched from January 2000 through January 2013 for randomized controlled trials and large case series employing endovenous thermal ablation or foam sclerotherapy as a single modality for the treatment of great saphenous insufficiency, with concomitant postoperative duplex scanning. Pooled (stratified) incidence of venous thromboembolism with 95% confidence intervals was estimated using the DerSimonian–Laird procedure for random effects meta-analysis. A bootstrap analysis was performed to examine between-modality differences. Results Twelve randomized controlled trials and 19 case series investigating endovenous thermal ablation (radiofrequency ablation with VNUS/Covidien ClosureFAST™ catheter only, endovenous laser ablation, or both) were included. Data from 12 randomized controlled trials and 6 case series investigating nonproprietary foam preparations were analyzed. Estimated incidence of venous thromboembolism was low (mostly <1%) and similar across treatment modalities and study types. Conclusions Treatment of great saphenous insufficiency by endovenous thermal ablation or foam sclerotherapy is a common vascular intervention. The stratified incidence of venous thromboembolism appears to be low as reported in both randomized controlled trials and case series investigating these modalities. Although duplex scans were obtained postoperatively, a minority of studies specified protocols for venous thromboembolism detection.

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Arteriovenous Fistula Is a Rare but Significant Finding After Endovenous Thermal Ablation

Journal for Vascular Ultrasound ◽

10.1177/1544316719848630 ◽

2019 ◽

Vol 43 (3) ◽

pp. 116-122

Author(s):

Donna M. Kelly ◽

Deborah Sanford ◽

Julianne Stoughton

Keyword(s):

Saphenous Vein ◽

Thermal Ablation ◽

Varicose Veins ◽

English Literature ◽

Significant Finding ◽

Asymptomatic Patients ◽

Vein Segment ◽

Endovenous Thermal Ablation

Endovenous thermal ablation (EVTA) has become the mainstay of treatment for symptomatic varicose veins in the setting of saphenous vein insufficiency. We observed 5 iatrogenic arteriovenous fistulas (AVFs) following thermal ablation of the great saphenous vein (GSV). Postprocedure duplex ultrasound (DUS) results were analyzed for the presence of AVF in any location along or adjacent to the treated saphenous veins. Cases were prospectively followed. English literature was reviewed for any other published reports of AVF after EVTA. Data were compiled using our 5 cases, 2 cases were shared with us by colleagues and 20 cases were reported in the literature. Our center has performed more than 4000 (4155) cases of EVTA over the past 15 years. Five cases of AVFs were detected, 3 were found in asymptomatic patients during routine post-EVTA surveillance. The additional 2 cases presented with signs or symptoms which prompted a DUS after ablation. Including cases in the literature, we were able to identify 2 different types of AVFs. The first type of AVF was demonstrated in 13 cases where the AVF occurred along the treated vein. All of these cases involved ablation of the GSV and 90% of these showed signs of recanalization. The second type of AVF was seen in 14 additional cases where the AVF involved a vein segment adjacent to or remote from the ablated vein. The second type occurred in the GSV in 5 cases, external iliac vein (EIV) in 3 cases, and in the popliteal vein in 5 cases. There is 1 reported case of AVF involving the sural artery after perforator vein EVTA. Three of the type 1 cases were followed and spontaneously resolved; 3 of the type 1 cases were treated with surgical ligation with unreported outcomes. Seven cases did not report any follow-up information. Seven of the type 2 cases were treated, and had spontaneous resolution and 7 were not treated. The follow-up on these cases ranged from 1 month to 6 years. Thermal ablation can result in AVF either along the length of the treated vein or adjacent to the area of ablation. Further study would help elucidate the cause and treatment algorithms.

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