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Combined treatment with compression therapy and ablation of incompetent superficial and perforating veins reduces ulcer recurrence in patients with CEAP.

Published byErika Hodges Modified over 6 years ago

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Presentation on theme: "Combined treatment with compression therapy and ablation of incompetent superficial and perforating veins reduces ulcer recurrence in patients with CEAP."— Presentation transcript:

1 Combined treatment with compression therapy and ablation of incompetent superficial and perforating veins reduces ulcer recurrence in patients with CEAP 5 venous disease  Michael Harlander-Locke, Peter Lawrence, MD, Juan Carlos Jimenez, MD, David Rigberg, MD, Brian DeRubertis, MD, Hugh Gelabert, MD  Journal of Vascular Surgery  Volume 55, Issue 2, Pages (February 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Algorithm of management of patients with CEAP 5 disease. After initial evaluation, patients were managed with compression for a minimum of 3 months. Patients with progressive symptoms/lipodermatosclerosis during this period of observation underwent ablation of incompetent superficial veins (great saphenous and anterior accessory) initially, if present. After 3 months, incompetent perforators, if present, were ablated. Failures of ablation occurred only in perforator veins, and when they occurred, repeat ablation was offered (and usually acceptable) to the patient. All patients had successful ablation of at least one incompetent vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Kaplan-Meier life-table of patient freedom from ulcer recurrence. All patients with CEAP 5 ulcers remain healed at a mean of 24.8 months with a maximum follow-up of 51 months. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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