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Minimally invasive techniques in the treatment of saphenous varicose veins.
J Am Acad Dermatol. 2009 Jan; 60(1):110-9.JA

Abstract

Lower extremity venous insufficiency is common and increases with age. In addition to classical symptoms, it may result in skin changes and venous ulcers. Chronic venous insufficiency has a great impact on patients' health-related quality of life and is associated with considerable health care costs. Surgical ligation of the junction with or without stripping has been the standard of care in the treatment of insufficient great and small saphenous veins. However, the recurrence rates are relatively high and surgery may be associated with serious adverse events and considerable down time; it is also cosmetically suboptimal. To improve efficacy, patients' health-related quality of life and treatment satisfaction and to reduce serious side effects, costs, and postoperative pain, several minimally invasive techniques have been introduced in the last decade. Dermatologists have played an important role in the development of these new therapies of truncal varicose veins. Of the new therapies, ultrasound-guided foam sclerotherapy, endovenous laser therapy, and radiofrequency ablation are the most common and challenge surgery as the "gold standard" of care for patients with varicose veins. The objective of this review is to inform clinicians about these 3 therapeutic options for truncal varicose veins and to describe and compare the procedures, indications, efficacy, and safety profile.

Authors+Show Affiliations

Department of Dermatology, Erasmus MC Rotterdam, Rotterdam, The Netherlands.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18835063

Citation

Nijsten, Tamar, et al. "Minimally Invasive Techniques in the Treatment of Saphenous Varicose Veins." Journal of the American Academy of Dermatology, vol. 60, no. 1, 2009, pp. 110-9.
Nijsten T, van den Bos RR, Goldman MP, et al. Minimally invasive techniques in the treatment of saphenous varicose veins. J Am Acad Dermatol. 2009;60(1):110-9.
Nijsten, T., van den Bos, R. R., Goldman, M. P., Kockaert, M. A., Proebstle, T. M., Rabe, E., Sadick, N. S., Weiss, R. A., & Neumann, M. H. (2009). Minimally invasive techniques in the treatment of saphenous varicose veins. Journal of the American Academy of Dermatology, 60(1), 110-9. https://doi.org/10.1016/j.jaad.2008.07.046
Nijsten T, et al. Minimally Invasive Techniques in the Treatment of Saphenous Varicose Veins. J Am Acad Dermatol. 2009;60(1):110-9. PubMed PMID: 18835063.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Minimally invasive techniques in the treatment of saphenous varicose veins. AU - Nijsten,Tamar, AU - van den Bos,Renate R, AU - Goldman,Mitchel P, AU - Kockaert,Michael A, AU - Proebstle,Thomas M, AU - Rabe,Eberhard, AU - Sadick,Neil S, AU - Weiss,Robert A, AU - Neumann,Martino H A, Y1 - 2008/10/02/ PY - 2008/02/28/received PY - 2008/06/09/revised PY - 2008/07/27/accepted PY - 2008/10/7/pubmed PY - 2009/1/23/medline PY - 2008/10/7/entrez SP - 110 EP - 9 JF - Journal of the American Academy of Dermatology JO - J Am Acad Dermatol VL - 60 IS - 1 N2 - Lower extremity venous insufficiency is common and increases with age. In addition to classical symptoms, it may result in skin changes and venous ulcers. Chronic venous insufficiency has a great impact on patients' health-related quality of life and is associated with considerable health care costs. Surgical ligation of the junction with or without stripping has been the standard of care in the treatment of insufficient great and small saphenous veins. However, the recurrence rates are relatively high and surgery may be associated with serious adverse events and considerable down time; it is also cosmetically suboptimal. To improve efficacy, patients' health-related quality of life and treatment satisfaction and to reduce serious side effects, costs, and postoperative pain, several minimally invasive techniques have been introduced in the last decade. Dermatologists have played an important role in the development of these new therapies of truncal varicose veins. Of the new therapies, ultrasound-guided foam sclerotherapy, endovenous laser therapy, and radiofrequency ablation are the most common and challenge surgery as the "gold standard" of care for patients with varicose veins. The objective of this review is to inform clinicians about these 3 therapeutic options for truncal varicose veins and to describe and compare the procedures, indications, efficacy, and safety profile. SN - 1097-6787 UR - https://www.unboundmedicine.com/medline/citation/18835063/Minimally_invasive_techniques_in_the_treatment_of_saphenous_varicose_veins_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0190-9622(08)00937-7 DB - PRIME DP - Unbound Medicine ER -