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High ligation of the saphenofemoral junction in endovenous obliteration of varicose veins.
Vasc Endovascular Surg. 2008 Jun-Jul; 42(3):235-8.VE

Abstract

BACKGROUND

Endovenous radiofrequency (RF) ablation of the greater saphenous vein has become an accepted treatment modality. This study examines if it is necessary to perform high ligation of the saphenous vein to insure success of the procedure.

STUDY DESIGN

A retrospective chart analysis was conducted on 219 patients who underwent RF ablation for venous insufficiency. All procedures were performed by 3 board-certified vascular surgeons. One surgeon always ligated the saphenofemoral junction (SFJ), the second never ligated, and the third ligated selectively. Demographic data were collected and analyzed.

RESULTS

A total of 77 patients underwent RF ablation with ligation of the SFJ (group I), and 142 patients underwent ablation without ligation (group II). Both groups had similar ablation success rates (P = .0960), 92% (group I) and 84% (group II).

CONCLUSION

Saphenofemoral junction ligation is not indicated on a routine basis to achieve success with endovascular ablation of the greater saphenous vein.

Authors+Show Affiliations

Kalamazoo Center for Medical Studies, Michigan State University, 1000 Oakland Drive, Kalamazoo, MI 49008, USA. mboros_98@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18230872

Citation

Boros, Michael J., et al. "High Ligation of the Saphenofemoral Junction in Endovenous Obliteration of Varicose Veins." Vascular and Endovascular Surgery, vol. 42, no. 3, 2008, pp. 235-8.
Boros MJ, O'Brien SP, McLaren JT, et al. High ligation of the saphenofemoral junction in endovenous obliteration of varicose veins. Vasc Endovascular Surg. 2008;42(3):235-8.
Boros, M. J., O'Brien, S. P., McLaren, J. T., & Collins, J. T. (2008). High ligation of the saphenofemoral junction in endovenous obliteration of varicose veins. Vascular and Endovascular Surgery, 42(3), 235-8. https://doi.org/10.1177/1538574407312647
Boros MJ, et al. High Ligation of the Saphenofemoral Junction in Endovenous Obliteration of Varicose Veins. Vasc Endovascular Surg. 2008 Jun-Jul;42(3):235-8. PubMed PMID: 18230872.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - High ligation of the saphenofemoral junction in endovenous obliteration of varicose veins. AU - Boros,Michael J, AU - O'Brien,Sean P, AU - McLaren,James T, AU - Collins,John T, Y1 - 2008/01/29/ PY - 2008/1/31/pubmed PY - 2008/10/11/medline PY - 2008/1/31/entrez SP - 235 EP - 8 JF - Vascular and endovascular surgery JO - Vasc Endovascular Surg VL - 42 IS - 3 N2 - BACKGROUND: Endovenous radiofrequency (RF) ablation of the greater saphenous vein has become an accepted treatment modality. This study examines if it is necessary to perform high ligation of the saphenous vein to insure success of the procedure. STUDY DESIGN: A retrospective chart analysis was conducted on 219 patients who underwent RF ablation for venous insufficiency. All procedures were performed by 3 board-certified vascular surgeons. One surgeon always ligated the saphenofemoral junction (SFJ), the second never ligated, and the third ligated selectively. Demographic data were collected and analyzed. RESULTS: A total of 77 patients underwent RF ablation with ligation of the SFJ (group I), and 142 patients underwent ablation without ligation (group II). Both groups had similar ablation success rates (P = .0960), 92% (group I) and 84% (group II). CONCLUSION: Saphenofemoral junction ligation is not indicated on a routine basis to achieve success with endovascular ablation of the greater saphenous vein. SN - 1538-5744 UR - https://www.unboundmedicine.com/medline/citation/18230872/High_ligation_of_the_saphenofemoral_junction_in_endovenous_obliteration_of_varicose_veins_ DB - PRIME DP - Unbound Medicine ER -