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Neovascularisation and recurrence 2 years after varicose vein treatment for sapheno-femoral and great saphenous vein reflux: a comparison of surgery and endovenous laser ablation.
Eur J Vasc Endovasc Surg. 2009 Aug; 38(2):203-7.EJ

Abstract

OBJECTIVE

Neovascularisation is a major cause of recurrent varicosities following surgery. This prospective cohort study compares recurrence rates and the occurrence of neovascularisation following surgery or endovenous laser ablation (EVLA) for great saphenous vein reflux.

METHOD

118 consecutive patients (72 female, 46 male, median age 48 [range 32-68 years]), 129 limbs were reviewed at a median of 24 months (range 18-30) after surgery (n=60 limbs) or EVLA (n=69 limbs) for primary sapheno-femoral and GSV reflux. Varicose vein recurrence, ultrasound detected groin neovascularisation and patient satisfaction (visual analogue scale) were recorded.

RESULTS

Recurrence rates at 2 years were: surgery group 4/60 (6.6%; mid-thigh perforator n=2, residual GSV with neovascularisation n=2), EVLA group 5/69 (7%; GSV recanalisation n=3 (all received <50 J/cm laser energy), mid-thigh perforator n=1, new anterior saphenous vein reflux n=1) p=0.631. Neovascularisation was detected in 11/60 (18%) of the surgery group and 1/69 (1%) of the EVLA group, p=0.001. Patient satisfaction rates were 90% and 88% respectively (p=0.37).

CONCLUSIONS

Although the frequency of recurrent varicosities 2 years after surgery and EVLA was similar, neovascularisation, a predictor of future recurrence, was less common following EVLA. Further, current recommendations on delivering > or =70 J/cm laser energy should reduce recanalisation rates and recurrence after EVLA.

Authors+Show Affiliations

The Leeds Vascular Institute, General Infirmary at Leeds, Leeds LS1 3EX, UK.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

19524460

Citation

Theivacumar, N S., et al. "Neovascularisation and Recurrence 2 Years After Varicose Vein Treatment for Sapheno-femoral and Great Saphenous Vein Reflux: a Comparison of Surgery and Endovenous Laser Ablation." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 38, no. 2, 2009, pp. 203-7.
Theivacumar NS, Darwood R, Gough MJ. Neovascularisation and recurrence 2 years after varicose vein treatment for sapheno-femoral and great saphenous vein reflux: a comparison of surgery and endovenous laser ablation. Eur J Vasc Endovasc Surg. 2009;38(2):203-7.
Theivacumar, N. S., Darwood, R., & Gough, M. J. (2009). Neovascularisation and recurrence 2 years after varicose vein treatment for sapheno-femoral and great saphenous vein reflux: a comparison of surgery and endovenous laser ablation. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 38(2), 203-7. https://doi.org/10.1016/j.ejvs.2009.03.031
Theivacumar NS, Darwood R, Gough MJ. Neovascularisation and Recurrence 2 Years After Varicose Vein Treatment for Sapheno-femoral and Great Saphenous Vein Reflux: a Comparison of Surgery and Endovenous Laser Ablation. Eur J Vasc Endovasc Surg. 2009;38(2):203-7. PubMed PMID: 19524460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neovascularisation and recurrence 2 years after varicose vein treatment for sapheno-femoral and great saphenous vein reflux: a comparison of surgery and endovenous laser ablation. AU - Theivacumar,N S, AU - Darwood,R, AU - Gough,M J, Y1 - 2009/06/12/ PY - 2008/10/26/received PY - 2009/03/28/accepted PY - 2009/6/16/entrez PY - 2009/6/16/pubmed PY - 2009/8/4/medline SP - 203 EP - 7 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 38 IS - 2 N2 - OBJECTIVE: Neovascularisation is a major cause of recurrent varicosities following surgery. This prospective cohort study compares recurrence rates and the occurrence of neovascularisation following surgery or endovenous laser ablation (EVLA) for great saphenous vein reflux. METHOD: 118 consecutive patients (72 female, 46 male, median age 48 [range 32-68 years]), 129 limbs were reviewed at a median of 24 months (range 18-30) after surgery (n=60 limbs) or EVLA (n=69 limbs) for primary sapheno-femoral and GSV reflux. Varicose vein recurrence, ultrasound detected groin neovascularisation and patient satisfaction (visual analogue scale) were recorded. RESULTS: Recurrence rates at 2 years were: surgery group 4/60 (6.6%; mid-thigh perforator n=2, residual GSV with neovascularisation n=2), EVLA group 5/69 (7%; GSV recanalisation n=3 (all received <50 J/cm laser energy), mid-thigh perforator n=1, new anterior saphenous vein reflux n=1) p=0.631. Neovascularisation was detected in 11/60 (18%) of the surgery group and 1/69 (1%) of the EVLA group, p=0.001. Patient satisfaction rates were 90% and 88% respectively (p=0.37). CONCLUSIONS: Although the frequency of recurrent varicosities 2 years after surgery and EVLA was similar, neovascularisation, a predictor of future recurrence, was less common following EVLA. Further, current recommendations on delivering > or =70 J/cm laser energy should reduce recanalisation rates and recurrence after EVLA. SN - 1532-2165 UR - https://www.unboundmedicine.com/medline/citation/19524460/Neovascularisation_and_recurrence_2_years_after_varicose_vein_treatment_for_sapheno_femoral_and_great_saphenous_vein_reflux:_a_comparison_of_surgery_and_endovenous_laser_ablation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(09)00209-3 DB - PRIME DP - Unbound Medicine ER -