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Endovenous laser ablation and foam sclerotherapy for varicose veins: does the presence of perforating vein insufficiency affect the treatment outcome?
Acta Radiol. 2011 Apr 01; 52(3):278-84.AR

Abstract

BACKGROUND

Superficial venous insufficiency is a common problem associated with varicose veins. Endovenous laser ablation (EVLA) and concomitant ultrasound (US)-guided foam sclerotherapy are recent treatment methods alternative to surgery in the treatment of superficial venous insufficiency.

PURPOSE

To compare the effectiveness of EVLA and concomitant US-guided foam sclerotherapy prospectively in two different subgroups of the disease (isolated truncal vs. truncal with perforating vein insufficiency).

MATERIAL AND METHODS

The study was approved by the institutional review board. Fifty-five patients with symptomatic saphenous vein insufficiency and varicose veins were included in the study. Seventy-three EVLA and concomitant foam sclerotherapy were performed for 60 lower extremities. To determine the severity of the venous disease, Venous Clinical Severity Score (VCSS) and Visual Analogue Scale (VAS) were carried out before and 6 months after the treatment. Patients were followed up clinically and with Doppler ultrasonography for 6 months after the procedures.

RESULTS

At the sixth month of the follow-up; the total occlusion rate for the saphenous veins was 98.64% (72/73), and re-canalization rate was 1.36% (1/73). The total occlusion rate for the perforating veins was 75% (18/24), re-canalization rate was 25% (6/24). There was no notable major complication. VCSS and VAS scores were decreased significantly following the treatment (p < 0.05). The patients who had isolated saphenous vein insufficiency (Group I: 36/60) and those who had saphenous and perforating vein reflux (Group II: 24/60) were compared. VAS scores were more prominently decreased after the treatment in the isolated saphenous vein insufficiency group (p < 0.05). VCSS were also decreased more prominently in Group I when compared to Group II.

CONCLUSION

EVLA and concomitant US-guided foam sclerotherapy are effective, safe, and minimally invasive treatment options, yielding good cosmetic and clinical results in both isolated truncal and truncal with perforating vein insufficiency groups. However, clinical results and satisfaction of the patients were remarkably superior in cases with isolated truncal vein insufficiency compared to truncal and perforating vein insufficiency.

Authors+Show Affiliations

Süleyman Demirel University, Faculty of Medicine, Department of Radiology, Isparta, Turkey. mertkoroglu@hotmail.comNo 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)

Comparative Study
Journal Article

Language

eng

PubMed ID

21498363

Citation

Köroglu, Mert, et al. "Endovenous Laser Ablation and Foam Sclerotherapy for Varicose Veins: Does the Presence of Perforating Vein Insufficiency Affect the Treatment Outcome?" Acta Radiologica (Stockholm, Sweden : 1987), vol. 52, no. 3, 2011, pp. 278-84.
Köroglu M, Eris HN, Aktas AR, et al. Endovenous laser ablation and foam sclerotherapy for varicose veins: does the presence of perforating vein insufficiency affect the treatment outcome? Acta Radiol. 2011;52(3):278-84.
Köroglu, M., Eris, H. N., Aktas, A. R., Kayan, M., Yeşildağ, A., Cetin, M., Parlak, C., Gürses, C., & Akhan, O. (2011). Endovenous laser ablation and foam sclerotherapy for varicose veins: does the presence of perforating vein insufficiency affect the treatment outcome? Acta Radiologica (Stockholm, Sweden : 1987), 52(3), 278-84. https://doi.org/10.1258/ar.2010.100356
Köroglu M, et al. Endovenous Laser Ablation and Foam Sclerotherapy for Varicose Veins: Does the Presence of Perforating Vein Insufficiency Affect the Treatment Outcome. Acta Radiol. 2011 Apr 1;52(3):278-84. PubMed PMID: 21498363.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous laser ablation and foam sclerotherapy for varicose veins: does the presence of perforating vein insufficiency affect the treatment outcome? AU - Köroglu,Mert, AU - Eris,Hüseyin Naim, AU - Aktas,Aykut Recep, AU - Kayan,Mustafa, AU - Yeşildağ,Ahmet, AU - Cetin,Meltem, AU - Parlak,Cem, AU - Gürses,Cemil, AU - Akhan,Okan, Y1 - 2011/03/03/ PY - 2011/4/19/entrez PY - 2011/4/19/pubmed PY - 2011/7/27/medline SP - 278 EP - 84 JF - Acta radiologica (Stockholm, Sweden : 1987) JO - Acta Radiol VL - 52 IS - 3 N2 - BACKGROUND: Superficial venous insufficiency is a common problem associated with varicose veins. Endovenous laser ablation (EVLA) and concomitant ultrasound (US)-guided foam sclerotherapy are recent treatment methods alternative to surgery in the treatment of superficial venous insufficiency. PURPOSE: To compare the effectiveness of EVLA and concomitant US-guided foam sclerotherapy prospectively in two different subgroups of the disease (isolated truncal vs. truncal with perforating vein insufficiency). MATERIAL AND METHODS: The study was approved by the institutional review board. Fifty-five patients with symptomatic saphenous vein insufficiency and varicose veins were included in the study. Seventy-three EVLA and concomitant foam sclerotherapy were performed for 60 lower extremities. To determine the severity of the venous disease, Venous Clinical Severity Score (VCSS) and Visual Analogue Scale (VAS) were carried out before and 6 months after the treatment. Patients were followed up clinically and with Doppler ultrasonography for 6 months after the procedures. RESULTS: At the sixth month of the follow-up; the total occlusion rate for the saphenous veins was 98.64% (72/73), and re-canalization rate was 1.36% (1/73). The total occlusion rate for the perforating veins was 75% (18/24), re-canalization rate was 25% (6/24). There was no notable major complication. VCSS and VAS scores were decreased significantly following the treatment (p < 0.05). The patients who had isolated saphenous vein insufficiency (Group I: 36/60) and those who had saphenous and perforating vein reflux (Group II: 24/60) were compared. VAS scores were more prominently decreased after the treatment in the isolated saphenous vein insufficiency group (p < 0.05). VCSS were also decreased more prominently in Group I when compared to Group II. CONCLUSION: EVLA and concomitant US-guided foam sclerotherapy are effective, safe, and minimally invasive treatment options, yielding good cosmetic and clinical results in both isolated truncal and truncal with perforating vein insufficiency groups. However, clinical results and satisfaction of the patients were remarkably superior in cases with isolated truncal vein insufficiency compared to truncal and perforating vein insufficiency. SN - 1600-0455 UR - https://www.unboundmedicine.com/medline/citation/21498363/Endovenous_laser_ablation_and_foam_sclerotherapy_for_varicose_veins:_does_the_presence_of_perforating_vein_insufficiency_affect_the_treatment_outcome DB - PRIME DP - Unbound Medicine ER -