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Michael Harlander-Locke, Peter F

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1 The impact of ablation of incompetent superficial and perforator veins on ulcer healing rates 
Michael Harlander-Locke, Peter F. Lawrence, MD, Ali Alktaifi, MD, Juan Carlos Jimenez, MD, David Rigberg, MD, Brian DeRubertis, 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 Each ulcer was electronically circumscribed and then area was calculated. A-C, The ulcer increased in size as compression therapy failed to promote ulcer healing. D-F, These ulcer decreased in size until completely healed after vein ablation of incompetent veins. G, The graph is of ulcer measurements throughout treatment before and after incompetent vein ablation for a single ulcer. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Algorithm of management of patients with CEAP 6 disease. After initial evaluation, patients were managed with compression therapy for a minimum of 5 weeks. Patients without evidence of ulcer healing underwent ablation of incompetent superficial veins (great and short saphenous) initially, if present. After 4 weeks, remaining incompetent superficial veins were ablated. Incompetent perforator veins were then ablated as necessary after 4 weeks. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 The anatomical locations and distribution of venous ulcers in 72 patients who underwent vein ablation. All ulcers were located distally in the calf and ankle. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Kaplan-Meier life table for healing venous ulcers.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

6 Fig 5 A, The healing rate for venous ulcers that have completely healed. Ulcer size increased during compression treatment before ablation and decreased after vein ablation. B, The healing rate for venous ulcers that have not yet healed. These patients started with venous ulcers that were more than twice as large as those that completely healed during the study. As with the healed ulcers, the size increased before ablation with a similar healing trend seen postablation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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