Article
Surgery
Claudine Hamel-Desnos, Isaac Nyamekye, Bertrand Chauzat, Sebastien Gracia, Matthieu Josnin, Fabrice Abbadie
Summary: Objective of this study was to compare the outcomes of ultrasound guided foam sclerotherapy (UGFS) and endovenous laser ablation (EVLA) for the treatment of isolated small saphenous vein incompetence. The study found that technical success was better with EVLA than with UGFS after three years, but the clinical outcomes were similar for both groups.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Alina J. Chen, Jesus G. Ulloa, Timothy Torrez, Savannah L. Yeh, Christian M. de Virgilio, Hugh A. Gelabert, David A. Rigberg, Peter F. Lawrence, Jessica B. O'Connell
Summary: This study investigated the initial procedural experience and clinical presentation of patients undergoing mechanochemical ablation (MOCA) at a single institution. The results showed a successful thrombosis rate of 92.7% using MOCA, with no evidence of a learning curve. The study concluded that MOCA ablation of the greater saphenous vein is a safe procedure with good technical success.
ANNALS OF VASCULAR SURGERY
(2022)
Review
Surgery
Donagh A. Healy, Mark Twyford, Tony Moloney, Eamon G. Kavanagh
Summary: The systematic review and meta-analysis found that EHIT and other thrombotic complications occur infrequently and have a benign course, but there is inconsistency regarding the management strategy for EHIT.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2021)
Article
Surgery
Misaki M. Kiguchi, Kyle B. Reynolds, Bianca Cutler, Eshetu Tefera, Mariya Kochubey, Rachel Dirks, Steven D. Abramowitz, Edward Y. Woo, Leigh Ann O'Banion
Summary: This study compared the effectiveness of VenaSeal and ClosureFast RFA in treating CEAP 6 limbs, finding that VenaSeal resulted in shorter healing times and less need for perforator RFA intervention compared to RFA.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2021)
Article
Surgery
Christos Karathanos, Konstantinos Spanos, Konstantinos Batzalexis, Petroula Nana, Georgios Kouvelos, Nikolaos Rousas, Athanasios D. Giannoukas
Summary: The three endovenous thermal ablation modalities showed equal effectiveness and safety in the treatment of great saphenous vein reflux; EVLA with the 1470-nm radial fiber demonstrated better outcomes in terms of early postoperative VCSS, pain, and physical CIVIQ scores; Clinical and quality of life benefits were similar for all modalities at 1 year postoperatively.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2021)
Review
Cardiac & Cardiovascular Systems
Chiara Lomazzi, Daniele Bissacco, Meryl S. Logan, Viviana Grassi, Gabriele Piffaretti, Santi Trimarchi, Ruth L. Bush
Summary: Recanalization after RFA is a poorly studied issue, with limited data on clinical preoperative risk factors. BMI and saphenous trunk diameter are recognized as potential influences on recanalization rate, while other factors like CVI status and sex may also play a role. Physicians should consider these risk factors in patient selection and treatment recommendations.
JOURNAL OF CARDIOVASCULAR SURGERY
(2021)
Article
Medicine, General & Internal
Simon Bossart, Patricia Fiona Boesch, Hak Hong Keo, Daniel Staub, Heiko Uthoff
Summary: This study examined the impact of body weight on the effectiveness and safety of endovenous thermal ablation (ETA) for the treatment of symptomatic varicose veins. The results showed that obese patients experienced prolonged pain and higher infection rates after ETA, but the effectiveness and safety of ETA for varicose vein treatment were independent of the patient's body weight.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Scott D. Bendix, Edward L. Peterson, Loay S. Kabbani, Mitchell R. Weaver, Judith C. Lin
Summary: The study found that all patients demonstrated improvement in both clinical outcomes and patient-reported outcomes after endovenous ablation, regardless of the size of the great saphenous vein (GSV). However, patients with a preoperative GSV size >= 5 mm experienced similar improvement in symptoms but an increased complication rate compared to those with smaller vein sizes.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2021)
Article
Surgery
Domenico Baccellieri, Luca Apruzzi, Vincenzo Ardita, Nicola Favia, Concetta Saracino, Niccolo Carta, Germano Melissano, Roberto Chiesa
Summary: The study found that MOCA is a feasible, safe, and painless procedure for treating small saphenous vein incompetence, with an occlusion rate of 92.6% at the 12-month follow-up. There were no sural nerve injuries or major complications observed, and the procedure had positive effects on patient QoL.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2021)
Article
Medicine, General & Internal
Laura Fischer, Uldis Maurins, Eberhard Rabe, Juris Rits, Arnolds Kadiss, Sandra Prave, Rets Vigants, Felizitas Pannier
Summary: This study demonstrated that wearing a compression stocking after EVLA can significantly reduce post-interventional pain within the first week, but the difference is small and may not be clinically relevant.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Medicine, General & Internal
Jade Whing, Sandip Nandhra, Craig Nesbitt, Gerard Stansby
Summary: This study compared various treatments for varicose veins in the great saphenous vein, including endovenous laser ablation, radiofrequency ablation, endovenous steam ablation, ultrasound-guided foam sclerotherapy, cyanoacrylate glue, mechanochemical ablation, and high ligation and stripping. The results showed that most methods were comparable in technical success, with endovenous laser ablation possibly having an edge.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Medicine, General & Internal
Alfonso Pannone, Alessia Di Girolamo, Matteo Orrico, Nicola Mangialardi
Summary: RFA is a minimally invasive treatment approved by the FDA in 1999. It has become one of the most common alternatives for varicose veins due to its advantages such as decreased pain and shorter recovery time. A retrospective analysis of 503 limbs treated with RFA was conducted, showing a high technical success rate (99.8%) and some perioperative complications. The study highlighted the feasibility and benefits of RFA as an outpatient procedure for improving patients' quality of life.
Article
Engineering, Biomedical
Yalong Huang, Dengxiao Zhang, Cong Zhou, Yuan Zhang, Chaohai Shi, Quan Chen
Summary: Endovenous laser ablation (EVLA) is commonly used for varicose veins treatment. The effectiveness of combining EVLA with high ligation versus using EVLA alone in treating lower extremity varicose veins is investigated in this meta-analysis. The results show that combining EVLA with high ligation provides stable long-term clinical efficacy, but increases invasiveness.
LASERS IN MEDICAL SCIENCE
(2023)
Article
Surgery
Onerva Hurmerinta-Kurkijarvi, Eeva-Maija Weselius, Karoliina Halmesmaki, Pirkka Vikatmaa, Leena Vikatmaa, Maarit Venermo
Summary: Femoral nerve blockade (FNB) can reduce pain during endovenous laser ablation (EVLA) combined with local phlebectomy. Patients experienced the most pain when tumescence was injected before local phlebectomy, and the FNB group experienced significantly less pain than the placebo group. There is no indication for routine use of FNB, but it could be used to decrease pain for patients who experience strong pain during varicose vein surgery, especially if extensive local phlebectomies are required.
JOURNAL OF VASCULAR SURGERY-VENOUS AND LYMPHATIC DISORDERS
(2023)
Article
Multidisciplinary Sciences
Pecis Claudio, Bellandi-Alberti Pier Luca, Fumagalli Miriam
Summary: This study presents preliminary results of a longitudinal observational study evaluating the effectiveness and safety of vascular occlusion of the great and small saphenous veins using a modified cyanoacrylate surgical glue. The results show that this procedure is safe and provides persistent benefits after a one-year follow-up. The treatment can be performed under local anesthesia, allowing for a quick return to normal life.
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
(2022)