Ultrasound-guided foam sclerotherapy is a safe and clinically effective treatment for superficial venous reflux  Andrew W. Bradbury, BSc, MB, ChB, MBA,

Slides:



Advertisements
Similar presentations
A prospective study of the fate of venous leg perforators after varicose vein surgery  Andre M. van Rij, MD, Gerry Hill, BSc (Hons), Chris Gray, BSc, Ross.
Advertisements

Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation  Laura van Groenendael, MD, J.
Foot volumetry can predict recurrent ulceration after subfascial ligation of perforators and saphenous ligation  A.W. Bradbury, BSc, MD, FRCSEd, C.V.
Systematic review and meta-analysis of randomized controlled trials evaluating long- term outcomes of endovenous management of lower extremity varicose.
Outcome of Ultrasound-guided Sclerotherapy for Varicose Veins: Medium-term Results Assessed by Ultrasound Surveillance  K.A. Myers, D. Jolley, A. Clough,
Alfred Obermayer, MD, Katharina Garzon, MSc 
Changes in health-related quality of life after ultrasound-guided foam sclerotherapy for great and small saphenous varicose veins  Katy A.L. Darvall,
Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation  Laura van Groenendael, MD, J.
Combined endovenous laser therapy and microphlebectomy in the treatment of varicose veins: Efficacy and complications of a large single-center experience 
Changes in health-related quality of life after ultrasound-guided foam sclerotherapy for great and small saphenous varicose veins  Katy A.L. Darvall,
Endovenous laser and echo-guided foam ablation in great saphenous vein reflux: one- year follow-up results  Rodrigo Gonzalez-Zeh, MD, Ricardo Armisen,
Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: An intention-to- treat analysis of amputation-free and overall survival in patients.
Postthrombotic or non-postthrombotic severe venous insufficiency: Impact of removal of superficial venous reflux with or without subcutaneous fasciotomy 
Comparison of EVAR and open repair in patients with small abdominal aortic aneurysms: Can we predict results of the PIVOTAL trial?  Purandath Lall, MBBS,
Comparison of covered stents versus bare metal stents for treatment of chronic atherosclerotic mesenteric arterial disease  Gustavo S. Oderich, MD, Luke.
Deep axial reflux, an important contributor to skin changes or ulcer in chronic venous disease  Gudmundur Danielsson, MD, PhD, Bo Eklof, MD, PhD, Andrew.
Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial: Analysis of amputation free and overall survival by treatment received  Andrew.
Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency  Robert F. Merchant,
A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins  Sandip Nandhra, MBBS, MRCS, Joseph.
The importance of deep venous reflux velocity as a determinant of outcome in patients with combined superficial and deep venous reflux treated with endovenous.
Christine J. Evans, MB, ChB, Paul L. Allan, FRCR, Amanda J
The effect of ultrasound-guided sclerotherapy of incompetent perforator veins on venous clinical severity and disability scores  Elna M. Masuda, MD, Darcy.
Review of treatment for varicose veins
Bernhard Partsch, MD, Hugo Partsch, MD  Journal of Vascular Surgery 
Louis L. Nguyen, MD, MBA, MPH  Journal of Vascular Surgery 
Combined treatment with compression therapy and ablation of incompetent superficial and perforating veins reduces ulcer recurrence in patients with CEAP.
Endovenous therapies of lower extremity varicosities: A meta-analysis
Results of the randomized, placebo-controlled clopidogrel and acetylsalicylic acid in bypass surgery for peripheral arterial disease (CASPAR) trial  Jill.
Prevention of recurrence of venous ulceration: Randomized controlled trial of class 2 and class 3 elastic compression  E. Andrea Nelson, RN, PhD, Douglas.
Lowell S. Kabnick, MD  Journal of Vascular Surgery 
Alfred Obermayer, MD, Katharina Garzon, MSc 
Impaired renal function is associated with mortality and morbidity after endovascular abdominal aortic aneurysm repair  Athanasios Saratzis, MBBS, MRCS,
Sumit Gulati, MB Chb, Patrick A
Endovenous 980-nm laser treatment of saphenous veins in a series of 500 patients  Jacques Desmyttère, MD, Christophe Grard, MD, Benjamin Wassmer, MSc,
The effect of supervised exercise and cilostazol on coagulation and fibrinolysis in intermittent claudication: A randomized controlled trial  Simon D.
Long-term durability of open abdominal aortic aneurysm repair
Midterm results of the surgical treatment of varices by phlebectomy with conservation of a refluxing saphenous vein  Paul Pittaluga, MD, Sylvain Chastanet,
Comparing endovenous laser ablation, foam sclerotherapy, and conventional surgery for great saphenous varicose veins  Anke A.M. Biemans, MD, Michael Kockaert,
Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients  Kevin Lee, MD, Elaine.
Digital venous photoplethysmography in the seated position is a reproducible noninvasive measure of lower limb venous function in patients with isolated.
Infected aneurysm of the thoracic aorta
Retrospective evaluation of the need of a redo surgery at the groin for the surgical treatment of varicose vein  Paul Pittaluga, MD, Sylvain Chastanet,
Surgical revascularization versus endovascular therapy for chronic mesenteric ischemia: A comparative experience  Marvin D. Atkins, MD, Christopher J.
Cryopreserved saphenous vein graft in infrainguinal bypass
Patient characteristics and physician-determined variables affecting saphenofemoral reflux recurrence after ligation and stripping of the great saphenous.
Wesley P. Stuart, MB, ChB, FRCSE, Donald J
Virendra I. Patel, MD, Mark F. Conrad, MD, Christopher J
A comparison of tibial artery bypass performed with heparin-bonded expanded polytetrafluoroethylene and great saphenous vein to treat critical limb ischemia 
Randomized clinical trial comparing endovenous laser ablation and stripping of the great saphenous vein with clinical and duplex outcome after 5 years 
Current efficacy of open and endovascular interventions for advanced superficial femoral artery occlusive disease  Christopher J. Smolock, MD, Javier.
Three-year European follow-up of endovenous radiofrequency-powered segmental thermal ablation of the great saphenous vein with or without treatment of.
Reduced primary patency rate in diabetic patients after percutaneous intervention results from more frequent presentation with limb-threatening ischemia 
Safety and efficacy of antiplatelet/anticoagulation regimens after Viabahn stent graft treatment for femoropopliteal occlusive disease  Brant W. Ullery,
Determinants of mortality and treatment outcome following surgical interventions for acute mesenteric ischemia  Panagiotis Kougias, MD, Donald Lau, BS,
Great saphenous vein stripping with preservation of sapheno-femoral confluence: Hemodynamic and clinical results  Paul Pittaluga, MD, Sylvain Chastanet,
Mycotic aneurysm of the superior and inferior mesenteric artery
Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence  Kathleen Gibson,
Peripheral atherectomy in TransAtlantic InterSociety Consensus type C femoropopliteal lesions for limb salvage  Andrea E. Yancey, MD, David J. Minion,
Glauco Milio, MD, Chiara Minà, MD, Valentina Cospite, MD, Piero L
Hemodynamic and clinical impact of ultrasound-derived venous reflux parameters  Peter Neglén, MD, PhD, John F Egger, BA, Jake Olivier, PhD, Seshadri Raju,
Regarding “Venous ulcers and the superficial venous system”
Regarding “Ultrasound findings after radiofrequency ablation of the great saphenous vein: Descriptive analysis”  Olivier Pichot, MD, Denis Creton, MD 
Assessment of techniques to reduce sclerosant foam migration during ultrasound- guided sclerotherapy of the great saphenous vein  Douglas Hill, MD, FACPh,
Stephen M. Evans, BSc, FRCSEd, Donald J. Adam, FRCSEd, Andrew W
Axillary to saphenous vein bypass for treatment of central venous obstruction in patients receiving dialysis  Nikos Kavallieratos, MD, Antonios Kokkinos,
The effectiveness of percutaneous transluminal angioplasty for the treatment of critical limb ischemia: A 10-year experience  Toshifumi Kudo, MD, PhD,
Chronic venous leg ulcers benefit from surgery: Long-term results from 173 legs  Alfred Obermayer, MD, Katharina Göstl, MSc, Gerald Walli, MD, Thomas Benesch,
Midterm outcomes of the Zenith Renu AAA Ancillary Graft
Francisco Alcocer, MD, Marjan Mujib, MD, Bruce Lowman, MD, Mark A
Michael Harlander-Locke, Peter F
Presentation transcript:

Ultrasound-guided foam sclerotherapy is a safe and clinically effective treatment for superficial venous reflux  Andrew W. Bradbury, BSc, MB, ChB, MBA, MD, FRCSEd, Gareth Bate, RGN, Karl Pang, MB, ChB, Katy A. Darvall, MB, ChB, MRCS, Donald J. Adam, MB, ChB, MD, FRCSEd  Journal of Vascular Surgery  Volume 52, Issue 4, Pages 939-945 (October 2010) DOI: 10.1016/j.jvs.2010.04.077 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Volume of 3% and 1% sodium tetradecyl sulphate (STS) foam used in 1017 first ultrasound-guided foam sclerotherapy (UGFS) treatments performed after January 1, 2006. Journal of Vascular Surgery 2010 52, 939-945DOI: (10.1016/j.jvs.2010.04.077) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplan-Meier plot showing freedom for any reintervention of all 1417 treated venous segments. Journal of Vascular Surgery 2010 52, 939-945DOI: (10.1016/j.jvs.2010.04.077) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Kaplan-Meier plot comparing freedom from any re-intervention in patients undergoing ultrasound-guided foam sclerotherapy (UGFS) for great saphenous vein (GSV) (n = 1031) and SSV (n = 239) reflux (P = .701 log-rank test, 95% CI 4.94-5.20). Journal of Vascular Surgery 2010 52, 939-945DOI: (10.1016/j.jvs.2010.04.077) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Kaplan-Meier plot comparing freedom from any re-intervention in patients undergoing ultrasound-guided foam sclerotherapy (UGFS) for primary (n = 1035) and recurrent disease (n = 382) (P = .884 log-rank test; 95% CI 4.97- 5.27). Journal of Vascular Surgery 2010 52, 939-945DOI: (10.1016/j.jvs.2010.04.077) Copyright © 2010 Society for Vascular Surgery Terms and Conditions