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Italian Journal of Vascular and Endovascular Surgery 2013 June;20(2):61-74

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English

Endovascular solutions for varicose vein disease

Darvall K. A. L.

Department of Vascular Surgery, Musgrove Park Hospital, Taunton and Somerset NHS Foundation Trust, Taunton, UK


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Over the last decade many endovenous techniques have been developed for the treatment of superficial venous insufficiency, in order to improve the side-effect profile of superficial venous surgery, shorten recovery times and increase durability. This review outlines the available techniques, focussing mainly on endovenous laser ablation, radiofrequency ablation and ultrasound-guided foam sclerotherapy. The evidence for the different techniques is discussed, including technical (anatomical) success in the short- and long-term; changes in clinical status (including symptom relief and cosmesis); improvements in health-related quality of life; patient satisfaction; and cost, both in terms of time away from normal activities and direct cost of treatment as measured in cost-effectiveness analyses. The side-effects and complications of the various techniques are discussed. While most available data focus on primary great saphenous treatment; the evidence for treatment of recurrent VV and small saphenous varicose veins is also discussed.

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