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Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review.
Vascular. 2016 Dec; 24(6):649-657.V

Abstract

OBJECTIVE

The aim of this review article was to evaluate the long-term technical success rates of the known endovenous ablation procedures in the treatment of the incompetence of the great saphenous vein.

METHODS

A literature search was conducted in the PubMed-database until the 5 January 2016. All publications with four to five years follow-up were eligible. Meta-analysis was performed by the IVhet-model.

RESULTS

Eight hundred and sixty-two unique publications were found; 17 of them were appropriate for meta-analysis. Overall, 1420 limbs were included in the trial, 939 for endovenous laser ablation, 353 for radiofrequency ablation and 128 for ultrasound guided foam sclerotherapy. Overall, technical success rates were 84.8% for endovenous laser ablation, 88.7% for radiofrequency ablation and 32.8% for ultrasound guided foam sclerotherapy. There were no significant differences between endovenous laser ablation, radiofrequency ablation and ultrasound guided foam sclerotherapy regarding the great saphenous vein reopening (p = 0.66; OR: 0.22; 95% of CI: 0.08-0.62 for radiofrequency ablation vs. endovenous laser ablation; p = 0.96; OR: 0.11; 95% of CI: 0.06-0.20 for endovenous laser ablation vs. ultrasound guided foam sclerotherapy; p = 0.93; OR: 3.20; 95% of CI: 0.54-18.90 for ultrasound guided foam sclerotherapy vs. radiofrequency ablation).

CONCLUSION

Both endovenous laser ablation and radiofrequency ablation are efficient in great saphenous vein occlusion on the long term. Lacking long-conducted large trials, the efficacy and reliability of ultrasound guided foam sclerotherapy to treat great saphenous vein-reflux is not affirmed.

Authors+Show Affiliations

Faculty of Business and Economics, University of Pannonia, Nagykanizsa, Hungary.Department of Surgery, Kanizsai Dorottya Hospital, Nagykanizsa, Hungary.Department of Surgery, Kanizsai Dorottya Hospital, Nagykanizsa, Hungary.Department of Surgery, Kanizsai Dorottya Hospital, Nagykanizsa, Hungary.Department of Surgery, Kanizsai Dorottya Hospital, Nagykanizsa, Hungary.Department of Vascular Surgery, University of Pecs, Pecs, Hungary.Department of Surgery, Kanizsai Dorottya Hospital, Nagykanizsa, Hungary balint_istvan_bence@yahoo.com.

Pub Type(s)

Journal Article
Meta-Analysis
Review

Language

eng

PubMed ID

27126643

Citation

Balint, Renata, et al. "Which Endovenous Ablation Method Does Offer a Better Long-term Technical Success in the Treatment of the Incompetent Great Saphenous Vein? Review." Vascular, vol. 24, no. 6, 2016, pp. 649-657.
Balint R, Farics A, Parti K, et al. Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review. Vascular. 2016;24(6):649-657.
Balint, R., Farics, A., Parti, K., Vizsy, L., Batorfi, J., Menyhei, G., & Balint, I. B. (2016). Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review. Vascular, 24(6), 649-657.
Balint R, et al. Which Endovenous Ablation Method Does Offer a Better Long-term Technical Success in the Treatment of the Incompetent Great Saphenous Vein? Review. Vascular. 2016;24(6):649-657. PubMed PMID: 27126643.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review. AU - Balint,Renata, AU - Farics,Akos, AU - Parti,Krisztina, AU - Vizsy,Laszlo, AU - Batorfi,Jozsef, AU - Menyhei,Gabor, AU - Balint,Istvan B, Y1 - 2016/04/28/ PY - 2016/11/5/pubmed PY - 2017/3/10/medline PY - 2016/4/30/entrez KW - Great saphenous vein KW - endovenous laser ablation KW - radiofrequency ablation KW - ultrasound guided foam sclerotherapy SP - 649 EP - 657 JF - Vascular JO - Vascular VL - 24 IS - 6 N2 - OBJECTIVE: The aim of this review article was to evaluate the long-term technical success rates of the known endovenous ablation procedures in the treatment of the incompetence of the great saphenous vein. METHODS: A literature search was conducted in the PubMed-database until the 5 January 2016. All publications with four to five years follow-up were eligible. Meta-analysis was performed by the IVhet-model. RESULTS: Eight hundred and sixty-two unique publications were found; 17 of them were appropriate for meta-analysis. Overall, 1420 limbs were included in the trial, 939 for endovenous laser ablation, 353 for radiofrequency ablation and 128 for ultrasound guided foam sclerotherapy. Overall, technical success rates were 84.8% for endovenous laser ablation, 88.7% for radiofrequency ablation and 32.8% for ultrasound guided foam sclerotherapy. There were no significant differences between endovenous laser ablation, radiofrequency ablation and ultrasound guided foam sclerotherapy regarding the great saphenous vein reopening (p = 0.66; OR: 0.22; 95% of CI: 0.08-0.62 for radiofrequency ablation vs. endovenous laser ablation; p = 0.96; OR: 0.11; 95% of CI: 0.06-0.20 for endovenous laser ablation vs. ultrasound guided foam sclerotherapy; p = 0.93; OR: 3.20; 95% of CI: 0.54-18.90 for ultrasound guided foam sclerotherapy vs. radiofrequency ablation). CONCLUSION: Both endovenous laser ablation and radiofrequency ablation are efficient in great saphenous vein occlusion on the long term. Lacking long-conducted large trials, the efficacy and reliability of ultrasound guided foam sclerotherapy to treat great saphenous vein-reflux is not affirmed. SN - 1708-539X UR - https://www.unboundmedicine.com/medline/citation/27126643/Which_endovenous_ablation_method_does_offer_a_better_long_term_technical_success_in_the_treatment_of_the_incompetent_great_saphenous_vein_Review_ DB - PRIME DP - Unbound Medicine ER -