Prospective comparative cohort study evaluating incompetent great saphenous vein closure using radiofrequency-powered segmental ablation or 1470-nm endovenous laser ablation with radial-tip fibers (Varico 2 study)

Author(s):  
James A. Lawson ◽  
Stefanie A. Gauw ◽  
Clarissa J. van Vlijmen ◽  
Pascal Pronk ◽  
Menno T.W. Gaastra ◽  
...  
2011 ◽  
Vol 27 (3) ◽  
pp. 128-134 ◽  
Author(s):  
D Carradice ◽  
N Samuel ◽  
T Wallace ◽  
F A K Mazari ◽  
J Hatfield ◽  
...  

Objective Many venous trials mix patients with great saphenous vein (GSV) and small saphenous vein (SSV) diseases. There is no evidence that both respond similarly to treatment and our aim was to test this assumption. Method This cohort study compares patients with isolated GSV and SSV incompetence following treatment with open surgical ligation or endovenous laser ablation (EVLA). Outcomes included: quality of life (QoL; Aberdeen Varicose Vein Questionnaire [AVVQ]; Short Form 36 [SF36]; Euroqol [EQ5D]; and Venous Clinical Severity Score [VCSS]). Results A total of 370 patients with no differences in baseline QoL, underwent treatment. Despite equivalent morbidity, SSV sufferers had a lower VCSS ( P < 0.001). Following surgery, SSV patients scored higher (worse) on AVVQ ( P = 0.045) than GSV sufferers, but lower (better) following EVLA ( P = 0.042). Conclusion The morbidity associated with SSV incompetence is greater than suggested by its clinical severity and responds differently following treatment to that of the GSV. Trials should consider patients with GSV and SSV reflux separately. EVLA may offer additional benefits to SSV sufferers.


2015 ◽  
Vol 30 (7) ◽  
pp. 500-500

The clinical significance of below-knee great saphenous vein reflux following endovenous laser ablation of above-knee great saphenous vein, by NS Theivacumar, RJ Darwood, D Dellagrammaticas, AID Mavor, MJ Gough, Phlebology DOI:10.1258/phleb.2008.008004, published February 2009; 24 (1): 17–20 . The authors would like to note the following correction to their article: One of the co-authors’ names was misspelled; it appears as “Dellegrammaticas”; however, it should be spelt “Dellagrammaticas”.


Sign in / Sign up

Export Citation Format

Share Document