Treatment of Varicose Veins with minimal invasive strategies
Main Article Content
Abstract
The mode of treatment of varicose veins has changed substantially over the last 20 years. Minimal invasive techniques have been established and seek the most gentle and safest way of treatment. Ultrasound is the basic instrument to guide these techniques. Endothermal ablation with laser or radiofrequency has become the standard technique for treatment of axial reflux. It requires local tumescence anaesthesia. Other, tumescencless techniques have been developed and established. Today there are many minimal invasive ways to treat varicosity. The treatment strategy can be tailored to the individual patient.
Keywords:
Varicose Veins, , Chronic Venous Insufficiency, Minimal Invasive Treatment
Article Details
How to Cite
WILLENBERG, Torsten; BOSSART, Simon.
Treatment of Varicose Veins with minimal invasive strategies.
Medical Research Archives, [S.l.], v. 9, n. 5, may 2021.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/2421>. Date accessed: 26 dec. 2024.
doi: https://doi.org/10.18103/mra.v9i5.2421.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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26. Paravastu SCV, Horne M, Dodd PDF. Endovenous ablation therapy (laser or radiofrequency) or foam sclerotherapy versus conventional surgical repair for short saphenous varicose veins. Cochrane Database Syst Rev. Published online 2016. doi:10.1002/14651858.CD010878.pub2
27. Goode SD, Chowdhury A, Crockett M, et al. Laser and radiofrequency ablation study (LARA study): A randomised study comparing radiofrequency ablation and endovenous laser ablation (810 nm). Eur J Vasc Endovasc Surg. Published online 2010. doi:10.1016/j.ejvs.2010.02.026
28. Bossart, S; Amsler, F; Romer, G; Duchini, S; Willenberg T. Pain in the aftermath of minimal invasive treatment for unilateral incompetence of the great saphenous vein. Phlebology. Published online 2020.
29. Mueller RL, Raines JK. ClariVein mechanochemical ablation: Background and procedural details. Vasc Endovascular Surg. Published online 2013. doi:10.1177/1538574413477216
30. Elias S, Raines JK. Mechanochemical tumescentless endovenous ablation: Final results of the initial clinical trial. Phlebology. Published online 2012. doi:10.1258/phleb.2011.010100
31. Lam YL, De Maeseneer M, Lawson J, De Borst GJ, Boersma D. Expert review on the VenaSeal® system for endovenous cyano-acrylate adhesive ablation of incompetent saphenous trunks in patients with varicose veins. Expert Rev Med Devices. Published online 2017. doi:10.1080/17434440.2017.1378093
32. Gibson K, Minjarez R, Rinehardt E, Ferris B. Frequency and Severity of Hypersensitivity Reactions in Patients After VenaSeal Cyanoacrylate Treatment of Superficial Venous Insufficiency. J Vasc Surg Venous Lymphat Disord. Published online 2021. doi:10.1016/j.jvsv.2020.10.003
33. Cowpland CA, Cleese AL, Whiteley MS. Factors affecting optimal linear endovenous energy density for endovenous laser ablation in incompetent lower limb truncal veins – A review of the clinical evidence. Phlebology. Published online 2017. doi:10.1177/0268355516648067
2. Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D. The epidemiology of chronic venous insufficiency and varicose veins. Ann Epidemiol. Published online 2005. doi:10.1016/j.annepidem.2004.05.015
3. Fowkes FG, Evans CJ, Lee AJ. Prevalence and risk factors of chronic venous insufficiency. Angiology. Published online 2001.
4. Rabe E, Pannier-Fischer F, Bromen K, et al. Bonner Venenstudie der Deutschen Gesellschaft für Phlebologie. Phlebologie. Published online 2003. doi:10.1055/s-0037-1617353
5. Rabe E, Pannier-Fischer F, Bromen K, et al. Bonner Venenstudie der Deutschen Gesellschaft für Phlebologie: Epidemiologische Untersuchung zur Frage der Häufigkeit und Ausprägung von chronischen Venenkrankheiten in der städtischen und ländlichen Wohnbevölkerung. Phlebologie. Published online 2003.
6. Cavezzi A, Labropoulos N, Partsch H, et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part II. Anatomy. In: Vasa - Journal of Vascular Diseases. ; 2007. doi:10.1024/0301-1526.36.1.62
7. Coleridge-Smith P, Labropoulos N, Partsch H, Myers K, Nicolaides A, Cavezzi A. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part I. Basic principles. In: Vasa - Journal of Vascular Diseases. ; 2007. doi:10.1024/0301-1526.36.1.53
8. Cavezzi A, Labropoulos N, Partsch H, et al. Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs - UIP Consensus Document part II: Anatomy. In: Phlebologie. ; 2007. doi:10.1055/s-0037-1622166
9. Schadeck M. Doppler et échotomographie dans la sclérose des veines saphènes. Phlebologie. Published online 1986.
10. Cabrera J, Cabrera J. J, Garcia-Olmedo MA. Treatment of varicose long saphenous veins with sclerosant in microfoam form: Long-term outcomes. Phlebology. Published online 2000. doi:10.1007/s005230070032
11. NICE. National Institute for Health and Care Excellence. Varicose veins: Diagnosis and management. Nurs Times. Published online 2013.
12. Lurie F, Passman M, Meisner M, et al. The 2020 update of the CEAP classification system and reporting standards. J Vasc Surg Venous Lymphat Disord. Published online 2020. doi:10.1016/j.jvsv.2019.12.075
13. Hobbs JT. Surgery and Sclerotherapy in the Treatment of Varicose Veins: A Random Trial. Arch Surg. Published online 1974. doi:10.1001/archsurg.1974.01360060063016
14. Hafner F, Froehlich H, Gary T, Brodmann M. Intra-arterial injection, a rare but serious complication of sclerotherapy. Phlebology. Published online 2013. doi:10.1258/phleb.2011.011155
15. Coleridge Smith P. Sclerotherapy and foam sclerotherapy for varicose veins. Phlebology. Published online 2009. doi:10.1258/phleb.2009.009050
16. Brittenden J, Cooper D, Dimitrova M, et al. Five-Year Outcomes of a Randomized Trial of Treatments for Varicose Veins. N Engl J Med. Published online 2019. doi:10.1056/nejmoa1805186
17. Rasmussen LH, Lawaetz M, Bjoern L, Vennits B, Blemings A, Eklof B. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Surg. Published online 2011. doi:10.1002/bjs.7555
18. Willenberg T, Smith PC, Shepherd A, Davies AH. Visual disturbance following sclerotherapy for varicose veins, reticular veins and telangiectasias: A systematic literature review. Phlebology. Published online 2013. doi:10.1258/phleb.2012.012051
19. Morrison N, Neuhardt DL, Rogers CR, et al. Comparisons of side effects using air and carbon dioxide foam for endovenous chemical ablation. J Vasc Surg. Published online 2008. doi:10.1016/j.jvs.2007.11.020
20. Cavezzi A, Parsi K, Morrison N, et al. Complications of foam sclerotherapy. J Vasc Surg. Published online 2008. doi:10.1258/phleb.2012.012S09
21. Bossart S, Cazzaniga S, Willenberg T, et al. Skin hyperpigmentation index: a new practical method for unbiased automated quantification of skin hyperpigmentation. J Eur Acad Dermatology Venereol. Published online 2020. doi:10.1111/jdv.16312
22. Bossart S, Ramelet AA, Willenberg T, et al. Skin hyperpigmentation index facilitating quantification of hyperpigmentation in clinical practice. Dermatology. Published online 2020. doi:10.1159/000509160
23. Manfrini S, Gasbarro V, Danielsson G, et al. Endovenous management of saphenous vein reflux. Endovenous Reflux Management Study Group. J Vasc Surg. Published online 2000.
24. Boné, C; Navarro L. Endovenous laser: A new minimally invasive technique for the treatment of varicose veins. Endolaser. An Cir Card y Cir Vasc. Published online 2001.
25. van den Bos R, Arends L, Kockaert M, Neumann M, Nijsten T. Endovenous therapies of lower extremity varicosities: A meta-analysis. J Vasc Surg. Published online 2009. doi:10.1016/j.jvs.2008.06.030
26. Paravastu SCV, Horne M, Dodd PDF. Endovenous ablation therapy (laser or radiofrequency) or foam sclerotherapy versus conventional surgical repair for short saphenous varicose veins. Cochrane Database Syst Rev. Published online 2016. doi:10.1002/14651858.CD010878.pub2
27. Goode SD, Chowdhury A, Crockett M, et al. Laser and radiofrequency ablation study (LARA study): A randomised study comparing radiofrequency ablation and endovenous laser ablation (810 nm). Eur J Vasc Endovasc Surg. Published online 2010. doi:10.1016/j.ejvs.2010.02.026
28. Bossart, S; Amsler, F; Romer, G; Duchini, S; Willenberg T. Pain in the aftermath of minimal invasive treatment for unilateral incompetence of the great saphenous vein. Phlebology. Published online 2020.
29. Mueller RL, Raines JK. ClariVein mechanochemical ablation: Background and procedural details. Vasc Endovascular Surg. Published online 2013. doi:10.1177/1538574413477216
30. Elias S, Raines JK. Mechanochemical tumescentless endovenous ablation: Final results of the initial clinical trial. Phlebology. Published online 2012. doi:10.1258/phleb.2011.010100
31. Lam YL, De Maeseneer M, Lawson J, De Borst GJ, Boersma D. Expert review on the VenaSeal® system for endovenous cyano-acrylate adhesive ablation of incompetent saphenous trunks in patients with varicose veins. Expert Rev Med Devices. Published online 2017. doi:10.1080/17434440.2017.1378093
32. Gibson K, Minjarez R, Rinehardt E, Ferris B. Frequency and Severity of Hypersensitivity Reactions in Patients After VenaSeal Cyanoacrylate Treatment of Superficial Venous Insufficiency. J Vasc Surg Venous Lymphat Disord. Published online 2021. doi:10.1016/j.jvsv.2020.10.003
33. Cowpland CA, Cleese AL, Whiteley MS. Factors affecting optimal linear endovenous energy density for endovenous laser ablation in incompetent lower limb truncal veins – A review of the clinical evidence. Phlebology. Published online 2017. doi:10.1177/0268355516648067