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Endovenous laser ablation and sclerotherapy for incompetent vein of Giacomini.
Phlebology. 2014 Sep; 29(8):511-6.P

Abstract

PURPOSE

To retrospectively evaluate the feasibility and effectiveness of endovenous laser ablation or ultrasound-guided foam sclerotherapy for Giacomini vein insufficiency. This is the largest cohort of patients treated for Giacomini vein insufficiency with endovenous laser ablation or ultrasound-guided foam sclerotherapy.

MATERIAL AND METHODS

Over a three-year period, 23 females and nine males (age range, 19-67 years) treated for Giacomini vein insufficiency with or without saphenous vein insufficiency were retrospectively reviewed. Diagnosis of venous insufficiency was made by color Doppler ultrasonography. Symptomatic insufficiency of the Giacomini vein or the saphenous veins was treated with endovenous laser ablation. Ultrasound-guided foam sclerotherapy was used for tortuous incompetent Giacomini veins. The venous disease was categorized according to the clinical, etiological, anatomical, and pathological classification, and clinical severity was graded with the venous clinical severity score. Follow-up included clinical examination and color Doppler ultrasonography.

RESULTS

Thirty-nine limbs in 32 patients were treated (25 endovenous laser ablation and seven ultrasound-guided foam sclerotherapy). All procedures were technically successful. One patient in the ultrasound-guided foam sclerotherapy group had a recurrence with successful repeated treatment. Recurrence was not seen in the endovenous laser ablation group. No complications were observed. All patients had resolution and improvement in 100% of their symptoms at 12 months of follow-up.

CONCLUSION

Giacomini vein insufficiency is mostly seen with insufficiency of the great saphenous vein and can be effectively treated with endovenous laser ablation or ultrasound-guided foam sclerotherapy.

Authors+Show Affiliations

Department of Radiology, Mozaik Hospital, Hatay, Turkey igmansur@yahoo.com.Department of Radiology, Başkent University School of Medicine, Adana, Turkey.Department of Radiology, Başkent University School of Medicine, Adana, Turkey.Department of Radiology, Başkent University School of Medicine, Adana, Turkey.Department of Radiology, Başkent University School of Medicine, Adana, Turkey.Department of Radiology, Başkent University School of Medicine, Adana, Turkey.

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

23846579

Citation

Guzelmansur, Ismail, et al. "Endovenous Laser Ablation and Sclerotherapy for Incompetent Vein of Giacomini." Phlebology, vol. 29, no. 8, 2014, pp. 511-6.
Guzelmansur I, Oguzkurt L, Koca N, et al. Endovenous laser ablation and sclerotherapy for incompetent vein of Giacomini. Phlebology. 2014;29(8):511-6.
Guzelmansur, I., Oguzkurt, L., Koca, N., Andic, C., Gedikoglu, M., & Ozkan, U. (2014). Endovenous laser ablation and sclerotherapy for incompetent vein of Giacomini. Phlebology, 29(8), 511-6. https://doi.org/10.1177/0268355513496552
Guzelmansur I, et al. Endovenous Laser Ablation and Sclerotherapy for Incompetent Vein of Giacomini. Phlebology. 2014;29(8):511-6. PubMed PMID: 23846579.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous laser ablation and sclerotherapy for incompetent vein of Giacomini. AU - Guzelmansur,Ismail, AU - Oguzkurt,Levent, AU - Koca,Nihal, AU - Andic,Cagatay, AU - Gedikoglu,Murat, AU - Ozkan,Ugur, Y1 - 2013/07/11/ PY - 2013/7/13/entrez PY - 2013/7/13/pubmed PY - 2015/5/13/medline KW - Giacomini vein KW - Varicose veins KW - endovenous laser ablation SP - 511 EP - 6 JF - Phlebology JO - Phlebology VL - 29 IS - 8 N2 - PURPOSE: To retrospectively evaluate the feasibility and effectiveness of endovenous laser ablation or ultrasound-guided foam sclerotherapy for Giacomini vein insufficiency. This is the largest cohort of patients treated for Giacomini vein insufficiency with endovenous laser ablation or ultrasound-guided foam sclerotherapy. MATERIAL AND METHODS: Over a three-year period, 23 females and nine males (age range, 19-67 years) treated for Giacomini vein insufficiency with or without saphenous vein insufficiency were retrospectively reviewed. Diagnosis of venous insufficiency was made by color Doppler ultrasonography. Symptomatic insufficiency of the Giacomini vein or the saphenous veins was treated with endovenous laser ablation. Ultrasound-guided foam sclerotherapy was used for tortuous incompetent Giacomini veins. The venous disease was categorized according to the clinical, etiological, anatomical, and pathological classification, and clinical severity was graded with the venous clinical severity score. Follow-up included clinical examination and color Doppler ultrasonography. RESULTS: Thirty-nine limbs in 32 patients were treated (25 endovenous laser ablation and seven ultrasound-guided foam sclerotherapy). All procedures were technically successful. One patient in the ultrasound-guided foam sclerotherapy group had a recurrence with successful repeated treatment. Recurrence was not seen in the endovenous laser ablation group. No complications were observed. All patients had resolution and improvement in 100% of their symptoms at 12 months of follow-up. CONCLUSION: Giacomini vein insufficiency is mostly seen with insufficiency of the great saphenous vein and can be effectively treated with endovenous laser ablation or ultrasound-guided foam sclerotherapy. SN - 1758-1125 UR - https://www.unboundmedicine.com/medline/citation/23846579/Endovenous_laser_ablation_and_sclerotherapy_for_incompetent_vein_of_Giacomini_ L2 - https://journals.sagepub.com/doi/10.1177/0268355513496552?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -