Scoping review of non-thermal technologies for endovenous ablation for treatment of venous insufficiency

2021 ◽  
Vol 62 (5) ◽  
Author(s):  
Amandeep S. JUNEJA ◽  
Shelley JAIN ◽  
Jeffrey SILPE ◽  
Gregg S. LANDIS ◽  
Firas F. MUSSA ◽  
...  
Keyword(s):  
Scoping Review ◽  
Venous Insufficiency ◽  
Endovenous Ablation

scholarly journals Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency

2020 ◽  
Vol 6 (4) ◽  
pp. 500-504
Author(s):  
Stephen Aditya Sumarli ◽  
Qing Wei Shaun Lee ◽  
Hao Yun Yap ◽  
Hsien Ts'ung Luke Tay ◽  
Tze Tec Chong ◽  
...  
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Exit Site ◽  
Cyanoacrylate Glue ◽  
Endovenous Ablation

A comparison between Caucasian and Asian superficial venous anatomy and reflux patterns – Implications for potential precision endovenous ablation therapy

2019 ◽  
Vol 35 (1) ◽  
pp. 39-45 ◽  
Author(s):  
QWS Lee ◽  
K Gibson ◽  
SL Chan ◽  
HP Rathnaweera ◽  
TT Chong ◽  
...  
Keyword(s):  
Lower Limb ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Venous Anatomy ◽  
Ablation Therapy ◽  
Asian Patients ◽  
The Us ◽  
Endovenous Ablation ◽  
Asian Cohort ◽  
Vein Reflux

Objectives The aim of this study is to investigate whether there are differences between predominantly Caucasians and Asians from two disparate cohorts around the globe, with regard to their pre-operative venous reflux patterns and truncal vein characteristics, which could potentially help clinicians tailor venous treatment for chronic venous insufficiency on a more individualised basis in different parts of the world. Methods A total of 200 lower limb chronic venous insufficiency duplex studies (127 Singaporean (predominantly Asian) patients) and 200 lower limb chronic venous insufficiency duplex scans (137 Americans predominantly Caucasians) were analysed and compared for differences in venous anatomy and reflux characteristics. Results Asian patients from Singapore presented with higher CEAP scores compared to the predominantly Caucasian cohort from the US (30% CEAP 4a or greater vs. 17.5%; p < 0.01). Singaporeans had more great saphenous vein reflux starting at the sapheno-femoral junction (86% vs. 73%; p < 0.01) and ending at the ankle (93% vs. 46%; p < 0.01). Vein diameters were generally larger in the US cohort of patients (median 5.7 mm vs. 2.9 mm; p < 0.01). Conclusions The predominantly Asian cohort from Singapore had smaller diameter truncal veins, longer segments of truncal vein reflux and present later with more advanced chronic venous insufficiency compared to their American counterparts. This information could help tailor endovenous ablation on a more individualised basis in the future.

Endovenous Ablation for the Treatment of Chronic Venous Insufficiency and Venous Ulcerations

2010 ◽  
Vol 34 (10) ◽  
pp. 2299-2304 ◽  
Author(s):  
Christopher J. Marrocco ◽  
Marvin D. Atkins ◽  
W. Todd Bohannon ◽  
Thomas R. Warren ◽  
Clifford J. Buckley ◽  
...  
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Endovenous Ablation

Compression regimes after endovenous ablation for superficial venous insufficiency – A survey of members of the Vascular Society of Great Britain and Ireland

2015 ◽  
Vol 31 (1) ◽  
pp. 16-22 ◽  
Author(s):  
J El-Sheikha ◽  
S Nandhra ◽  
D Carradice ◽  
C Acey ◽  
GE Smith ◽  
...  
Keyword(s):  
Great Britain ◽  
Venous Insufficiency ◽  
Current Practice ◽  
Varicose Veins ◽  
Postal Questionnaire ◽  
Compression Stockings ◽  
Foam Sclerotherapy ◽  
Endovenous Laser Ablation ◽  
Endovenous Ablation ◽  
Superficial Venous Insufficiency

Introduction The optimal compression regime following ultrasound guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) for varicose veins is not known. The aim of this study was to document current practice. Methods Postal questionnaire sent to 348 consultant members of the Vascular Society of Great Britain and Ireland. Results Valid replies were received from 41% ( n = 141) surgeons representing at least 68 (61%) vascular units. UGFS was used by 74% surgeons, RFA by 70% and EVLA by 32%, but fewer patients received UGFS (median 30) annually, than endothermal treatment (median 50) – P = 0.019. All surgeons prescribed compression: following UGFS for median seven days (range two days to three months) and after endothermal ablation for 10 days (range two days to six weeks) – P = 0.298. Seven different combinations of bandages, pads and compression stockings were reported following UGFS and four after endothermal ablation. Some surgeons advised changing from bandages to stockings from five days (range 1–14) after UGFS. Following endothermal ablation, 71% used bandages only, followed by compression stockings after two days (range 1–14). The majority of surgeons (87%) also treated varicose tributaries: 65% used phlebectomy, the majority (65%) synchronously with endothermal ablation. Concordance of compression regimes between surgeons within vascular units was uncommon. Only seven units using UGFS and six units using endothermal ablation had consistent compression regimes. Conclusion Compression regimes after treatments for varicose veins vary significantly: more evidence is needed to guide practice.

What is the Medical Rationale for the Treatment of Varicose Veins?

2012 ◽  
Vol 27 (1_suppl) ◽  
pp. 27-33 ◽  
Author(s):  
M H Meissner
Keyword(s):  
Venous Insufficiency ◽  
Varicose Veins ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Interventional Treatment ◽  
Invasive Treatment ◽  
Venous Ulceration ◽  
Endovenous Ablation

Varicose veins occur in up to one-third of Western populations and are associated with clinical manifestations ranging from asymptomatic, isolated varicose veins (C2 disease) to venous ulceration. While the development of less invasive treatment options, such as endovenous ablation and sclerotherapy, have been well accepted by patients they have led to increased utilization of scarce healthcare resources. While few would argue with the treatment of acute complications such as superficial venous thrombosis and variceal haemorrhage, the role of interventional treatment in the management of lifestyle limiting symptoms and the prevention of disease progression may be debatable. Good-quality evidence does suggest that surgical management of varicose veins is associated with improved quality of life at costs below the thresholds of many Western healthcare systems. However, the progression of isolated C2 disease to advanced chronic venous insufficiency occurs infrequently and the role of treatment to prevent such progression remains undefined at present.

Thrombus Extension into the Common Femoral Vein after Endovenous Ablation of the Greater Saphenous Vein for the Treatment of Venous Insufficiency

2006 ◽  
Vol 30 (3) ◽  
pp. 129-131 ◽  
Author(s):  
Todd L. Berland ◽  
Albert G. Hakaim ◽  
W. Andrew Oldenburg ◽  
Ricardo Paz-Fumagalli ◽  
Naciye Turan ◽  
...  
Keyword(s):  
Saphenous Vein ◽  
Venous Insufficiency ◽  
Femoral Vein ◽  
Common Femoral Vein ◽  
Endovenous Ablation ◽  
The Common
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