Five-year follow-up of a randomized, controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser.

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Five-year follow-up of a randomized, controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anesthesia Stefanie A. Gauw, CRC, James A. Lawson, MD, PhD, Clarissa J. van Vlijmen-van Keulen, MD, PhD, Pascal Pronk, MD, Menno T.W. Gaastra, MD, Michael C. Mooij, MD Journal of Vascular Surgery Volume 63, Issue 2, Pages 420-428 (February 2016) DOI: 10.1016/j.jvs.2015.08.084 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Consort diagram. Trial recruitment, randomization, treatment allocation and follow-up, in terms of legs. EVLA, Endovenous laser ablation; SFL/S, saphenofemoral ligation and stripping. Journal of Vascular Surgery 2016 63, 420-428DOI: (10.1016/j.jvs.2015.08.084) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplan-Meier curves for freedom from groin recurrence observed by duplex ultrasound only. EVLA, Endovenous laser ablation; SFL/S, saphenofemoral ligation and stripping. Journal of Vascular Surgery 2016 63, 420-428DOI: (10.1016/j.jvs.2015.08.084) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Kaplan-Meier curves for freedom from clinical groin recurrence. EVLA, Endovenous laser ablation; SFL/S, saphenofemoral ligation and stripping. Journal of Vascular Surgery 2016 63, 420-428DOI: (10.1016/j.jvs.2015.08.084) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Clinical class, Etiology, Anatomy and Pathophysiology (CEAP) classification in all patients. No difference between the groups. EVLA, Endovenous laser ablation; SFL/S, saphenofemoral ligation and stripping. Journal of Vascular Surgery 2016 63, 420-428DOI: (10.1016/j.jvs.2015.08.084) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 5 Cosmetic results (visual analog scale [VAS] 1-10) before saphenofemoral ligation and stripping (SFL/S) and endovenous laser ablation (EVLA), and at 6 months and 5 years follow-up. Preoperative median VAS in both groups (interquartile range [IQR], 2 for SFL/S; IQR, 4 for EVLA). After 6 months and 5 years median VAS was >7 (IQR, 2). At 5-year follow-up for EVLA, the IQR was 1. Journal of Vascular Surgery 2016 63, 420-428DOI: (10.1016/j.jvs.2015.08.084) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 6 Kaplan-Meier curves for freedom from treatment of clinical groin recurrence. EVLA, Endovenous laser ablation; SFL/S, saphenofemoral ligation and stripping. Journal of Vascular Surgery 2016 63, 420-428DOI: (10.1016/j.jvs.2015.08.084) Copyright © 2016 Society for Vascular Surgery Terms and Conditions