scholarly journals Compression therapy following ClariVein® ablation therapy: a randomised controlled trial of COMpression Therapy Following MechanO-Chemical Ablation (COMMOCA)

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Doireann P. Joyce ◽  
Stewart R. Walsh ◽  
Charyl J. Q. Yap ◽  
Tze T. Chong ◽  
Tjun Y. Tang
Keyword(s):  
Guideline Development ◽  
Varicose Veins ◽  
Controlled Trial ◽  
Clinical Excellence ◽  
Compression Therapy ◽  
Ablation Therapy ◽  
Compression Bandaging ◽  
Post Procedure ◽  
Chemical Ablation

Abstract Background Endovenous treatment of varicose veins has increased in popularity over the last decade. There remains, however, a degree of uncertainty regarding the role of compression bandaging or hosiery following this intervention. The National Institute for Clinical Excellence Guideline Development Group has advocated further research to evaluate the clinical and cost-effectiveness of this post-procedure intervention. In addition to this, the duration of compression bandaging also warrants clarification. Methods Ethical approval for the study was obtained from the Singhealth Centralised Institutional Review Board (CIRB Ref: 2017/2710). Consent to enter the study will be sought from each participant only after a full explanation has been given, an information leaflet offered and time allowed for consideration. Signed participant consent will be obtained. Patients will be randomised to either compression (group A) or no compression (group B). The primary aim of the study is to assess the patient’s pain scores for the first 10 days post procedure using a visual analogue scale. Secondary aims include an assessment of patient compliance with compression, quality of life scores, clinical effectiveness, rates of bruising and phlebitis, time taken to return to normal activities, patient satisfaction and occlusion rate at 6 months. Discussion The purpose of this study is to examine the effect of compression therapy in patients having mechano-chemical ablation (MOCA) therapy for truncal incompetence of their varicose veins using the ClariVein® device. This study may provide clarification on the role of compression therapy in patients undergoing MOCA. Trial registration ClinicalTrials.gov, NCT03685838. Registered on 26 September 2018.

A review of a new Dutch guideline for management of recurrent varicose veins

2016 ◽  
Vol 31 (1_suppl) ◽  
pp. 114-124
Author(s):  
James A Lawson ◽  
Irwin M Toonder
Keyword(s):  
Varicose Vein ◽  
Guideline Development ◽  
Varicose Veins ◽  
Compression Therapy ◽  
Venous Ulcer ◽  
Venous Disease ◽  
Dutch Guideline ◽  
Recurrent Varicose Veins ◽  
Natural Progression ◽  
Initial Intervention

In 2013, the new Dutch guideline for “Venous Pathology” was published. The guideline was a revision and update from the guideline “Diagnostics and Treatment of Varicose Veins” from 2009 and the guideline “Venous Ulcer” from 2005. A guideline for “Deep Venous Pathology” and one for “Compression Therapy” was added to the overall guideline “Venous Pathology.” The chapter about treatment of recurrent varicose veins after initial intervention was recently updated in 2015 and is reviewed here. The Dutch term “recidief varices” or the French “récidive de varices” should be used analogous to the English term “recurrent varicose veins.” The DCOP Guideline Development Group Neovarices concluded that “recidief” in Dutch actually suggests recurrence after apparent successful treatment and ignores the natural progression of venous disease in its own right. So the group opted to use the term “neovarices.” In the Dutch guideline, neovarices is meant to be an all embracing term for recurrent varicose veins caused by technical or tactical failure, evolvement from residual refluxing veins or natural progression of varicose vein disease at different locations of the treated leg after intervention. This report reviews the most important issues in the treatment of varicose vein recurrence, and discusses conclusions and recommendations of the Dutch Neovarices Guideline Committee.

scholarly journals Role of Fusion Imaging in Image-Guided Thermal Ablations

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 549
Author(s):  
Serena Carriero ◽  
Gianmarco Della Pepa ◽  
Lorenzo Monfardini ◽  
Renato Vitale ◽  
Duccio Rossi ◽  
...  
Keyword(s):  
Information Integration ◽  
Interventional Oncology ◽  
Imaging Technique ◽  
Fusion Imaging ◽  
Imaging Modalities ◽  
Ablation Therapy ◽  
Image Guided ◽  
Post Procedure ◽  
Ablation Success

Thermal ablation (TA) procedures are effective treatments for several kinds of cancers. In the recent years, several medical imaging advancements have improved the use of image-guided TA. Imaging technique plays a pivotal role in improving the ablation success, maximizing pre-procedure planning efficacy, intraprocedural targeting, post-procedure monitoring and assessing the achieved result. Fusion imaging (FI) techniques allow for information integration of different imaging modalities, improving all the ablation procedure steps. FI concedes exploitation of all imaging modalities’ strengths concurrently, eliminating or minimizing every single modality’s weaknesses. Our work aims to give an overview of FI, explain and analyze FI technical aspects and its clinical applications in ablation therapy and interventional oncology.

Hydrotherapy for Varicose Veins: A Randomized, Controlled Trial

1992 ◽  
Vol 7 (4) ◽  
pp. 154-157 ◽  
Author(s):  
E. Ernst ◽  
T. Saradeth ◽  
K. L. Resch
Keyword(s):  
Varicose Veins ◽  
Controlled Trial ◽  
Compression Therapy ◽  
Rehabilitation Center ◽  
External Application ◽  
Randomized Controlled ◽  
Group A ◽  
Primary Varicose Veins ◽  
Group B ◽  
Single Blind

Objective: To assess the effectiveness of regular hydrotherapy in primary varicose veins. Design: Randomized, single blind, prospective, controlled trial. Setting: Social security system related rehabilitation center for employees (nationwide assignment of inpatients). Patients: 122 patients with primary varicose veins. Interventions: Group A (n=60) received daily treatments during 24 days that consisted of external application of alternating cold and warm water to both lower extremities. Group B (n=62) served as controls and was not treated with hydrotherapy. Both groups were comparable in terms of concomitant diseases and treatments. Main outcome measures: Foot volume, ankle circumference and venous re-fill time, using light reflex rheo-graphy, served as objective variables, while a number of typical symptoms were recorded as subjective parameters. Results: A more pronounced improvement in all objective signs in group A compared to B was observed. Four out of seven subjective symptoms improved more frequently in group A than in B. Conclusions: Hydrotherapy is effective in treating primary varicose veins. It can be considered as an adjunct measure to compression therapy and other conservative treatments.

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