Randomized clinical trial comparing endovenous laser ablation and stripping of the great saphenous vein with clinical and duplex outcome after 5 years 

Slides:



Advertisements
Similar presentations
The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.
Advertisements

Minimally invasive treatment of varicose veins: Endovenous laser ablation (EVLA) Georgios Galanopoulos, Constantinos Lambidis International Journal of.
Clinical Outcomes After Varicose Vein Procedures in Octogenarians Within the Vascular Quality Initiative Varicose Vein Registry (VQI VVR)  Danielle C.
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.
Outcome of Endovenous Laser Therapy for Saphenous Reflux and Varicose Veins: Medium-Term Results Assessed by Ultrasound Surveillance  K.A. Myers, D. Jolley 
Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation  Laura van Groenendael, MD, J.
Radiofrequency Ablation vs Conventional Surgery for Varicose Veins – a Comparison of Treatment Costs in a Randomised Trial  S. Subramonia, T. Lees  European.
Stroke after varicose vein foam injection sclerotherapy
Systematic review and meta-analysis of randomized controlled trials evaluating long- term outcomes of endovenous management of lower extremity varicose.
Alfred Obermayer, MD, Katharina Garzon, MSc 
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 
Postoperative pain and early quality of life after radiofrequency ablation and mechanochemical endovenous ablation of incompetent great saphenous veins 
Arteriovenous fistula after endovenous ablation for varicose veins
Kathleen D. Gibson, MD, Brian L
Endovenous laser and echo-guided foam ablation in great saphenous vein reflux: one- year follow-up results  Rodrigo Gonzalez-Zeh, MD, Ricardo Armisen,
Diffuse phlegmonous phlebitis after endovenous laser treatment of the greater saphenous vein  Karin M. Dunst, MD, Georg M. Huemer, MD, Wolfgang Wayand,
Postoperative pain and early quality of life after radiofrequency ablation and mechanochemical endovenous ablation of incompetent great saphenous veins 
Five-year follow-up of a randomized, controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser.
The utility of the venous clinical severity score in 682 limbs treated by radiofrequency saphenous vein ablation  Michael A. Vasquez, MD, Jiping Wang,
Postthrombotic or non-postthrombotic severe venous insufficiency: Impact of removal of superficial venous reflux with or without subcutaneous fasciotomy 
A randomized, controlled trial of endovenous thermal ablation using the 810-nm wavelength laser and the ClosurePLUS radiofrequency ablation methods for.
Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins  Renate R. van den Bos, MD, Rene Milleret, MD, Martino.
The effect of long saphenous vein stripping on quality of life
Deep axial reflux, an important contributor to skin changes or ulcer in chronic venous disease  Gudmundur Danielsson, MD, PhD, Bo Eklof, MD, PhD, Andrew.
Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered segmental thermal ablation: First clinical experience  Thomas Michael.
Mohammad Hassan Murad, MD, MPH, Anas Shahrour, Nilay D
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.
Retained Laser Fibre Following Endovenous Laser Ablation
The importance of deep venous reflux velocity as a determinant of outcome in patients with combined superficial and deep venous reflux treated with endovenous.
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
Endovenous therapies of lower extremity varicosities: A meta-analysis
Lowell S. Kabnick, MD  Journal of Vascular Surgery 
Alfred Obermayer, MD, Katharina Garzon, MSc 
Stroke after varicose vein foam injection sclerotherapy
Endovenous 980-nm laser treatment of saphenous veins in a series of 500 patients  Jacques Desmyttère, MD, Christophe Grard, MD, Benjamin Wassmer, MSc,
Michael S. Conte, MD  Journal of Vascular Surgery 
Midterm results of the surgical treatment of varices by phlebectomy with conservation of a refluxing saphenous vein  Paul Pittaluga, MD, Sylvain Chastanet,
Endovenous ablation of incompetent perforating veins is effective treatment for recalcitrant venous ulcers  Peter F. Lawrence, MD, Ali Alktaifi, MD, David.
Comparing endovenous laser ablation, foam sclerotherapy, and conventional surgery for great saphenous varicose veins  Anke A.M. Biemans, MD, Michael Kockaert,
The effect of long saphenous vein stripping on quality of life
Patient characteristics and physician-determined variables affecting saphenofemoral reflux recurrence after ligation and stripping of the great saphenous.
Saphenous pulsation on duplex may be a marker of severe chronic superficial venous insufficiency  Christopher R. Lattimer, MBBS, FRCS, MS, FDIT, Mustapha.
Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: Analysis of early efficacy and complications  Alessandra Puggioni, MD,
High ligation combined with stripping and endovenous laser ablation of the great saphenous vein: Early results of a randomized controlled study  Manfred.
Ultrasound-guided foam sclerotherapy is a safe and clinically effective treatment for superficial venous reflux  Andrew W. Bradbury, BSc, MB, ChB, MBA,
Randomized trial comparing endovenous laser ablation of the great saphenous vein with high ligation and stripping in patients with varicose veins: Short-term.
Prospective randomized trial comparing endovenous laser ablation and surgery for treatment of primary great saphenous varicose veins with a 2-year follow-up 
Retained Laser Fibre Following Endovenous Laser Ablation
Three-year European follow-up of endovenous radiofrequency-powered segmental thermal ablation of the great saphenous vein with or without treatment of.
Stroke following endovenous laser treatment of varicose veins
A study to compare disease-specific quality of life with clinical anatomical and hemodynamic assessments in patients with varicose veins  Amanda C. Shepherd,
Reply Journal of Vascular Surgery
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
Soma Brahmanandam, MD, MPH, Eric L. Ding, ScD, Michael S
The appropriate length of great saphenous vein stripping should be based on the extent of reflux and not on the intent to avoid saphenous nerve injury 
Calf raise exercise increases walking performance in patients with intermittent claudication  Michel Van Schaardenburgh, MD, Martin Wohlwend, MSc, Øivind.
Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence  Kathleen Gibson,
Diffuse phlegmonous phlebitis after endovenous laser treatment of the greater saphenous vein  Karin M. Dunst, MD, Georg M. Huemer, MD, Wolfgang Wayand,
Prevention of air travel–related deep venous thrombosis with mechanical devices: Active foot movements produce similar hemodynamic effects  Fedor Lurie,
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 
Chronic venous leg ulcers benefit from surgery: Long-term results from 173 legs  Alfred Obermayer, MD, Katharina Göstl, MSc, Gerald Walli, MD, Thomas Benesch,
Taco M. A. L. Klem, MD, J. Marco Schnater, MD, PhD, P
Ultrasonic vein mapping prior to infrainguinal autogenous bypass grafting reduces postoperative infections and readmissions  Klaus Linni, MD, Nina Mader,
A Comparison of Duplex Ultrasound Findings 2 Years After Cyanoacrylate Embolization Versus Endovenous Laser Ablation of the Great Saphenous Vein  Brandon.
Results of a single center vascular screening and education program
Presentation transcript:

Randomized clinical trial comparing endovenous laser ablation and stripping of the great saphenous vein with clinical and duplex outcome after 5 years  Lars Rasmussen, MD, Martin Lawaetz, MB, Lars Bjoern, MD, Allan Blemings, MSc, Bo Eklof, MD, PhD  Journal of Vascular Surgery  Volume 58, Issue 2, Pages 421-426 (August 2013) DOI: 10.1016/j.jvs.2012.12.048 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Consort diagram. EVLA, Endovenous laser ablation. Journal of Vascular Surgery 2013 58, 421-426DOI: (10.1016/j.jvs.2012.12.048) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Legs without open refluxing great saphenous vein (GSV) segments. CI, Confidence interval; EVLA, endovenous laser ablation. Journal of Vascular Surgery 2013 58, 421-426DOI: (10.1016/j.jvs.2012.12.048) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Legs without recurrent varicose veins. CI, Confidence interval; EVLA, endovenous laser ablation. Journal of Vascular Surgery 2013 58, 421-426DOI: (10.1016/j.jvs.2012.12.048) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 4 Legs without reoperations. CI, Confidence interval; EVLA, endovenous laser ablation. Journal of Vascular Surgery 2013 58, 421-426DOI: (10.1016/j.jvs.2012.12.048) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 5 VCSS from baseline to 5 years' follow-up. CI, Confidence interval; EVLA, endovenous laser ablation; VCSS, Venous Clinical Severity Score. Journal of Vascular Surgery 2013 58, 421-426DOI: (10.1016/j.jvs.2012.12.048) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 6 AVVSS from baseline to 5 years' follow-up. AVVSS, Aberdeen Varicose Vein Severity Score; CI, confidence interval; EVLA, endovenous laser ablation. Journal of Vascular Surgery 2013 58, 421-426DOI: (10.1016/j.jvs.2012.12.048) Copyright © 2013 Society for Vascular Surgery Terms and Conditions