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Radiofrequency ablation of the long saphenous vein without high ligation versus high ligation and stripping for primary varicose veins: pros and cons.
Semin Vasc Surg. 2002 Mar; 15(1):34-8.SV

Abstract

Primary varicose vein disease is prevalent in our society, and although it is infrequently the cause of serious venous insufficiency, it often is associated with symptoms of local discomfort. These symptoms eventually may outweigh any cosmetic concerns of patients with this disease. Greater saphenous vein (GSV) reflux is the most important pathophysiologic component of primary venous insufficiency. To date, the surgical treatment of GSV reflux has evolved into 1 of 3 procedures: high ligation of the saphenofemoral junction, with or without perforator ligation; high ligation and stripping of the GSV; and high ligation with retrograde sclerotherapy of the GSV. High ligation and stripping of the GSV to below the knee enjoys the most durable success yet is associated with significant perioperative morbidity. A new treatment, radiofrequency ablation of the GSV without high ligation, recently has been described and promises a less invasive alternative to stripping with decreased morbidity and increased patient acceptance. The results of high ligation and stripping of the GSV will be compared with those with radiofrequency ablation of the GSV without high ligation.

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Publisher Full Text

Authors+Show Affiliations

Harris EJ
Division of Vascular Surgery, Stanford University, Stanford, CA, USA.

MeSH

Catheter AblationHumansLigationSaphenous VeinVaricose VeinsVascular Surgical Procedures

Pub Type(s)

Comparative Study
Journal Article
Review

Language

eng

PubMed ID

11840424

Citation

Harris, E John. "Radiofrequency Ablation of the Long Saphenous Vein Without High Ligation Versus High Ligation and Stripping for Primary Varicose Veins: Pros and Cons." Seminars in Vascular Surgery, vol. 15, no. 1, 2002, pp. 34-8.
Harris EJ. Radiofrequency ablation of the long saphenous vein without high ligation versus high ligation and stripping for primary varicose veins: pros and cons. Semin Vasc Surg. 2002;15(1):34-8.
Harris, E. J. (2002). Radiofrequency ablation of the long saphenous vein without high ligation versus high ligation and stripping for primary varicose veins: pros and cons. Seminars in Vascular Surgery, 15(1), 34-8.
Harris EJ. Radiofrequency Ablation of the Long Saphenous Vein Without High Ligation Versus High Ligation and Stripping for Primary Varicose Veins: Pros and Cons. Semin Vasc Surg. 2002;15(1):34-8. PubMed PMID: 11840424.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Radiofrequency ablation of the long saphenous vein without high ligation versus high ligation and stripping for primary varicose veins: pros and cons. A1 - Harris,E John, PY - 2002/2/13/pubmed PY - 2002/4/19/medline PY - 2002/2/13/entrez SP - 34 EP - 8 JF - Seminars in vascular surgery JO - Semin Vasc Surg VL - 15 IS - 1 N2 - Primary varicose vein disease is prevalent in our society, and although it is infrequently the cause of serious venous insufficiency, it often is associated with symptoms of local discomfort. These symptoms eventually may outweigh any cosmetic concerns of patients with this disease. Greater saphenous vein (GSV) reflux is the most important pathophysiologic component of primary venous insufficiency. To date, the surgical treatment of GSV reflux has evolved into 1 of 3 procedures: high ligation of the saphenofemoral junction, with or without perforator ligation; high ligation and stripping of the GSV; and high ligation with retrograde sclerotherapy of the GSV. High ligation and stripping of the GSV to below the knee enjoys the most durable success yet is associated with significant perioperative morbidity. A new treatment, radiofrequency ablation of the GSV without high ligation, recently has been described and promises a less invasive alternative to stripping with decreased morbidity and increased patient acceptance. The results of high ligation and stripping of the GSV will be compared with those with radiofrequency ablation of the GSV without high ligation. SN - 0895-7967 UR - https://www.unboundmedicine.com/medline/citation/11840424/Radiofrequency_ablation_of_the_long_saphenous_vein_without_high_ligation_versus_high_ligation_and_stripping_for_primary_varicose_veins:_pros_and_cons_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0895796702500168 DB - PRIME DP - Unbound Medicine ER -