What can we learn from randomized trials comparing endovenous and open surgery for primary varicosis? an overview Prof. Dr. Thomas M.
|
|
- Aubrey Parsons
- 6 years ago
- Views:
Transcription
1 What can we learn from randomized trials comparing endovenous and open surgery for primary varicosis? an overview Prof. Dr. Thomas M. Proebstle Department of Dermatology, University Medical Center Mainz, Germany Privatklinik Proebstle, Mannheim, Germany
2 Disclosure Speaker name:.thomas Proebstle I have the following potential conflicts of interest to report: X x X Consulting, Speaker Bureau Employment in industry Stockholder of a healthcare company Owner of a healthcare company Other(s) I do not have any potential conflict of interest 2
3 Recommendations of Scientific Societies NICE, ESVS, AVF,...: Endovenous... over Foam... over Surgery Why??? 3
4 4
5 5
6 6
7 Occlusion of GSV Hautklinik 7
8 Reflux at SFJ Hautklinik 8
9 Proportion of non-refluxing Ultrasound-detectable Anterior Accessory Saphenous Veins (AASVs) in Patients with Ablation of a Refluxing GSV at T = 0. + O Donnell TF et al J Vasc Surg Venous Lymphat Disord 2016;4: after endothermal Tx + Garner JP et al, 2003 after surgery Proebstle TM, Möhler T. J Vasc Surg Venous Lymphat Disord. 2015;3:265-9
10 Ann R Coll Surg Engl 2003; 85: Audit The lateral accessory saphenous vein a common cause of recurrent varicose veins JP Garner, PSJ Heppell*, PW Leopold Department of Vascular Surgery, Frimley Park Hospital, Camberley, Surrey GU16 5UJ, UK 3Y-Follow-Up Background: Varicose veins commonly recur after surgery and present a large burden to the NHS. The aim of this study was to demonstrate that the 1ateral accessory saphenous vein is the commonest cause of groin recurrence of varicose veins and we discuss a possible anatomical reason for this. Patients and Methods: The case notes of all patients presenting to two vascular surgeons with recurrent varicose veins over a 3-year period were studied. All limbs were assessed by duplex ultrasound scanning. These scans were reviewed to identify the site of recurrence. When recurrence occurred in the groin, the scans were further evaluated to identify the cause of groin recurrence. Results: A total of 216 limbs in 186 patients were evaluated over a 36-month period. Of these, 141 (65%) demonstrated a recurrence in the groin: 56 (26%) recurrences were due to either incompetent thigh or calf perforators and there were 19 (9%) cases of saphenopopliteal or short saphenous vein incompetence. Out of 141 groin recurrences, 61 (43%) were due to a persistent lateral accessory saphenous vein. Conclusions: The lateral accessory saphenous vein is the commonest cause of recurrence in the groin of varicose veins. It should be looked for specifically during pre-operative assessment duplex scanning and at primary surgery. If identified at operation, we believe it should be either stripped or avulsed to reduce the risk of recurrence. N =216 limbs N = 143 (63%) groin recurrences N = 61 of 216 (28%) due to incompetent AASV 10
11 The Accessory Anterior Saphenous Vein Issue Overtreatment with HL/Stripping Undertreatment with EVLA? -> Focus on AASV during Follow-up Duplex As long as AASV directed RCTs are missing 11
12 CONCLUSION What can we learn from randomized trials comparing endovenous and open surgery for primary varicosis? 12
13 At 5Y Follow-Up USG Foam shows significantly worse anatomical results. Equal clinical results for HL/S and EVLA... with less morbidity for EVLA?! Slightly more SFJ recurrences in the EVLA Group compared to HL/S -- mainly due to AASV reflux 13
14 However, current 5Y-Meta-Analysis reflects ancient technology status, almost 10Y (Laser) vs > 100Y (HL/S) Throwback EVLA mostly with bare fiber technology no comparison to RF (segmental ablation) no comparison to non-thermal ablation methods 14
Closurefast radiofrequency ablation for the treatment of GSV: Technique and outcome results
Closurefast radiofrequency ablation for the treatment of GSV: Technique and outcome results Stephen Black Consultant Vascular Surgeon Clinical Lead for Venous and Lymphoedema Surgery Guy s and St Thomas
More informationConflict of Interest. None
Conflict of Interest None American Venous Forum Guidelines on Superficial Venous Disease TOP 10 GUIDELINES 10. We recommend using the CEAP classification to describe chronic venous disorders. (GRADE 1B)
More informationClinical case. Symptomatic anterior accessory great saphenous vein (AAGSV) reflux
Clinical case Symptomatic anterior accessory great saphenous vein (AAGSV) reflux A 70 year-old female presents with symptomatic varicose veins on left leg for more than 10 years. She complains of heaviness,
More informationLe varici recidive Recurrent varices: how to manage them?
Le varici recidive Recurrent varices: how to manage them? Marianne De Maeseneer MD PhD, Vascular Surgeon Department of Dermatology, Rotterdam, Netherlands & Faculty of Medicine and Health Sciences University
More informationPatient assessment and strategy making for endovenous treatment
Patient assessment and strategy making for endovenous treatment Raghu Kolluri, MD Director Vascular Medicine OhioHealth Riverside Methodist Hospital Columbus, OH Disclosures Current Medtronic Consultant/
More informationThe Use of Adjunctive Venography and Endovascular Manoeuvres In The Treatment of Saphenous Vein Insufficiency. A Prospective, Multi-centre Study
The Use of Adjunctive Venography and Endovascular Manoeuvres In The Treatment of Saphenous Vein Insufficiency A Prospective, Multi-centre Study Ramon L. Varcoe, MBBS, MS, FRACS, PhD Associate Professor
More informationVeClose trial Cyanoacylate closure vs. RF ablation 36-month results
VeClose trial Cyanoacylate closure vs. RF ablation 36-month results LINC 2018, Leipzig 31 st Jan 2018 Tobias Hirsch, Halle, Germany www.gefaessmedizin-hirsch.de Disclosure Tobias Hirsch I have the following
More informationComparison of Monopolar and Segmental Radiofrequency Ablation in the Treatment of Lower Limb Chronic Venous Insufficiency
ARC Journal of Surgery Volume 4, Issue 3, 218, PP 5-1 ISSN 2455-572X DOI: http://dx.doi.org/1.2431/2455-572x.432 www.arcjournals.org Comparison of Monopolar and Segmental Radiofrequency Ablation in the
More informationAre there differences in guidelines for management of CVD between Europe and the US? Bo Eklöf, MD, PhD Lund University Sweden
Are there differences in guidelines for management of CVD between Europe and the US? Bo Eklöf, MD, PhD Lund University Sweden Disclosures No disclosures Five sources for comparison SVS/AVF US guidelines
More informationEndothermal Ablation for Venous Insufficiency. Dr. S. Kundu Medical Director The Vein Institute of Toronto
Endothermal Ablation for Venous Insufficiency Dr. S. Kundu Medical Director The Vein Institute of Toronto Objective: remove the GSV from the circulation 1. Surgical - HL & stripping 2. Chemical sclerotherapy
More informationManagement of Superficial Reflux: Which option, when? Kathleen Gibson, MD Lake Washington Vascular Surgeons Bellevue, WA
Management of Superficial Reflux: Which option, when? Kathleen Gibson, MD Lake Washington Vascular Surgeons Bellevue, WA DISCLOSURES Kathleen Gibson, MD Consultant/Advisory Board: BTG, Medtronic Speakers
More informationEndo-Thermal Heat Induced Thrombosis (E-HIT)
Endo-Thermal Heat Induced Thrombosis (E-HIT) Michael Ombrellino MD FACS The Cardiovascular Care Group Clinical Associate Professor of Surgery Rutgers School of Medicine Objectives: What is E-HIT? How do
More informationThe role of new reflux of accessory veins in clinical recurrence of varicose veins after endovascular laser ablation (EVLA)
Cyprus Society of Vascular and Endovascular Surgery The role of new reflux of accessory veins in clinical recurrence of varicose veins after endovascular laser ablation (EVLA) Toursidis Achilleas, MD,
More informationThermal Techniques: Outcomes and Complications
Thermal Techniques: Outcomes and Complications Meet The Experts: Thermal and Non-Thermal Ablation Techniques Joseph D. Raffetto MD VA Boston HCS, West Roxbury, MA, Harvard Medical School, Boston, MA; Brigham
More informationChronic Venous Insufficiency Compression and Beyond
Disclosure of Conflict of Interest Chronic Venous Insufficiency Compression and Beyond Shawn Amyot, MD, CCFP Fellow of the Canadian Society of Phlebology Ottawa Vein Centre I do not have relevant financial
More informationTREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY
TREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY TL LUK Consultant Vascular Surgeon Sarawak General Hospital HKL Vascular Conference 19/06/2013 PREVALENCE OF LOWER LIMB VENOUS DISEASE Affects half of
More informationHow to choose which treatment method(s) to use for a particular varicose veins patient ESTABLISHING A TREATMENT PLAN.
How to choose which treatment method(s) to use for a particular varicose veins patient ESTABLISHING A TREATMENT PLAN Surgeon Dr G Mark Malouf Sydney Australia Following History and Physical examination
More informationN.S. Theivacumar, R. Darwood, M.J. Gough* KEYWORDS Neovascularisation; Recurrence; Varicose vein; EVLA; Sapheno-femoral junction; GSV
Eur J Vasc Endovasc Surg (2009) 38, 203e207 Neovascularisation and Recurrence 2 Years After Varicose Vein Treatment for Sapheno-Femoral and Great Saphenous Vein Reflux: A Comparison of Surgery and Endovenous
More informationLong-term follow up for different varicose vein therapies: is surgery still. the best?
Long-term follow up for different varicose vein therapies: is surgery still the best? Mr Roshan BOOTUN [BSc, MBBS, MRCS] Clinical Research Fellow in Vascular Surgery Professor Alun H. DAVIES [BA, BM BCh,
More informationCompression after sclerotherapy and endovenous ablations, the Italian point of view
Compression after sclerotherapy and endovenous ablations, the Italian point of view Fabrizio Mariani Siena (Italy) General Secretary "Multidisciplinary Joint Committee in Phlebology" - UEMS (EU) General
More informationWhich place for liquid sclerotherapy? Eberhard Rabe Department of Dermatology University of Bonn Germany
Which place for liquid sclerotherapy? Eberhard Rabe Department of Dermatology University of Bonn Germany Liquid Foam or GSV, foam / liquid sclerosant n diameter[mm] Follow up effectivity Hamel Desnos 2003
More informationEndovenous Thermal vs. Endovenous Chemical Ablation What is the Best for the Patient
Endovenous Thermal vs. Endovenous Chemical Ablation What is the Best for the Patient T. Noppeney, J. Noppeney Center for Vascular Diseases: Outpatient Dept. Obere Turnstrasse, Dept. for Vascular Surgery
More informationRecurrent Varicose Veins We All See Them
We All See Them November 4, 2017 Austin, TX Arlington Heights, IL No conflicts Terminology REVAS REcurrent Varices After Surgery PREVAIT PREsence of Varices After Interventional Treatment Recurrent varices
More informationEXTERNAL VALVULOPLASTY
Preservation of Saphenous Trunks: EXTERNAL VALVULOPLASTY Sante Camilli MD Rome, Italy sante.camilli@gmail.com Faculty disclosure Sante Camilli MD I am the proposer of the Stretching Valvuloplasty technique,
More informationEndovenous Laser Ablation (EVLA) to Treat Recurrent Varicose Veins
Eur J Vasc Endovasc Surg (2011) 41, 691e696 Endovenous Laser Ablation (EVLA) to Treat Recurrent Varicose Veins N.S. Theivacumar, M.J. Gough* Leeds Vascular Institute, The General Infirmary at Leeds, Great
More informationChronic Venous Insufficiency
Chronic Venous Insufficiency None Disclosures Lesley Enfinger, MSN,NP-C Chronic Venous Insufficiency Over 24 Million Americans affected by Chronic Venous Insufficiency (CVI) 10 x More Americans suffer
More informationVenous Disease and Leg Ulcers. Edward G Mackay MD St. Petersburg, FL NCVH 2015 Orlando, FL
Venous Disease and Leg Ulcers Edward G Mackay MD St. Petersburg, FL NCVH 2015 Orlando, FL Disclosures Stocks Endoshape Sapheon Medical Advisory Board BTG, Boston Scientific Venous Leg Ulcer Most common
More informationManagement of Side Branches and Perforating Veins
Management of Side Branches and Perforating Veins T. Noppeney Center for Vascular Diseases: Outpatient Dept. Obere Turnstrasse, Dept. for Vascular Surgery Martha-Maria Hospital (Academic Teaching Hospital
More informationPhlebectomy vs sclerotherapy ALESSANDRO FRULLINI MD FLORENCE - ITALY
Phlebectomy vs sclerotherapy ALESSANDRO FRULLINI MD FLORENCE - ITALY DISCLOSURE Consultant for: GloriaMed Personal background General and vascular surgeon More than 3500 stripping performed 33 years of
More informationN.S. Theivacumar, R.J. Darwood, M.J. Gough*
Eur J Vasc Endovasc Surg (2009) 37, 477e481 Endovenous Laser Ablation (EVLA) of the Anterior Accessory Great Saphenous Vein (): Abolition of Sapheno-Femoral Reflux with Preservation of the Great Saphenous
More informationPriorities Forum Statement
Priorities Forum Statement Number 9 Subject Varicose Vein Surgery Date of decision September 2014 Date refreshed March 2017 Date of review September 2018 Relevant OPCS codes: L841-46, L848-49, L851-53,
More informationB.C.V.M. Disselhoff a, *, D.J. der Kinderen b, J.C. Kelder c, F.L. Moll d
Eur J Vasc Endovasc Surg (2011) 41, 685e690 Five-year Results of a Randomised Clinical Trial of Endovenous Laser Ablation of the Great Saphenous Vein with and without Ligation of the Saphenofemoral Junction
More informationTreatment of Varicose Veins/Venous Insufficiency Corporate Medical Policy
Treatment of Varicose Veins/Venous Insufficiency Corporate Medical Policy File name: Treatment of Varicose Veins/Venous Insufficiency File code: UM.SURG.03 Origination: 9/01/2010 Last Review: 03/2015 Next
More informationResults and Significance of Colour Duplex Assessment of the Deep Venous System in Recurrent Varicose Veins
Eur J Vasc Endovasc Surg 34, 97e101 (2007) doi:10.1016/j.ejvs.2007.02.011, available online at http://www.sciencedirect.com on Results and Significance of Colour Duplex Assessment of the Deep Venous System
More informationRECOGNITION AND ENDOVASCULAR TREATMENT OF CHRONIC VENOUS INSUFFICIENCY
RECOGNITION AND ENDOVASCULAR TREATMENT OF CHRONIC VENOUS INSUFFICIENCY Paul Kramer, MD, FACC, FSCAI Liberty Cardiovascular Specialists Liberty Regional Heart and Vascular Center DISCLOSURES NONE Venous
More informationMOCA and GLUE: results and analyses of the RCTs
MOCA and GLUE: results and analyses of the RCTs Faculty disclosure Research Grant Medtronic Educational Grant mediusa Speakers Bureau Medtronic Pierre Fabre mediusa Medical Director Morrison Vein/Training
More informationWhy Tumescent-Free Therapy Will Replace RF and Laser
C SCOTT MCENROE Medical Director Vein Center of Virginia Sentara Medical Group April 27, 2018 Why Tumescent-Free Therapy Will Replace RF and Laser History of Venous Surgery 1950 s GSV/SSV stripping became
More informationNon-Saphenous Vein Treatments. Jessica Ochs PA-C Albert Vein Institute Colorado Springs and Lone Tree, CO
Non-Saphenous Vein Treatments Jessica Ochs PA-C Albert Vein Institute Colorado Springs and Lone Tree, CO I have no financial disclosures Types of Veins Treated Perforator Veins Tributary Veins Varicose
More informationTable VIII. OS versus EVLA. New article
Table VIII. OS EVLA. New article Operative procedure OS EVLA for for GSV or SSV incompetence Reference Abstracts corresponding to references can be found using the listing RCTs by alphabetical order or
More informationSURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
UnitedHealthcare Community Plan Medical Policy SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: CS117.N Effective Date: April 1, 2019 Instructions for Use Table
More informationComplete Evaluation of the Chronic Venous Patient: Recognizing deep venous obstruction. Erin H. Murphy, MD Rane Center
Complete Evaluation of the Chronic Venous Patient: Recognizing deep venous obstruction Erin H. Murphy, MD Rane Center Disclosure Speaker name: Erin H. Murphy... I have the following potential conflicts
More informationVenous Reflux Duplex Exam
Venous Reflux Duplex Exam GWENDOLYN CARMEL, RVT PHYSIOLOGIST, DEPARTMENT OF VASCULAR SURGERY NEW JERSEY VETERANS HEALTHCARE CENTER EAST ORANGE, NJ PURPOSE: To identify patterns of incompetence and which
More informationInfluence of Warfarin on the Success of Endovenous Laser Ablation (EVLA) of the Great Saphenous Vein (GSV)
Eur J Vasc Endovasc Surg (2009) 38, 506e510 Influence of Warfarin on the Success of Endovenous Laser Ablation (EVLA) of the Great Saphenous Vein (GSV) N.S. Theivacumar, M.J. Gough* Leeds Vascular Institute,
More informationNew Guideline in venous ulcer treatment: dressing, medication, intervention
New Guideline in venous ulcer treatment: dressing, medication, intervention Kittipan Rerkasem, FRCS(T), PhD Department of Surgery Faculty of Medicine Chiang Mai University Topic Overview venous ulcer treatment
More informationVein Disease Treatment
MP9241 Covered Service: Yes when meets criteria below Prior Authorization Required: Yes as indicated in 2.0, 3.0, 4.0 and 5.0 Additional Information: None Prevea360 Health Plan Medical Policy: Vein disease
More informationThe role of ultrasound duplex in endovenous procedures
The role of ultrasound duplex in endovenous procedures Neophytos A. Zambas MD, PhD Vascular Surgeon Polyclinic Ygia, Limassol, Cyprus ΚΕΑΕΧ ΚΥΠΡΙΑΚΗ ΕΤΑΙΡΕΙΑ ΑΓΓΕΙΑΚΗΣ ΚΑΙ ΕΝΔΑΓΓΕΙΑΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ Pre
More informationWhat might bring a new wavelength for endovenous laser? Lowell S. Kabnick, MD, RPhS, FACS
What might bring a new wavelength for endovenous laser? Lowell S. Kabnick, MD, RPhS, FACS Division of Vascular and Endovascular Surgery Faculty disclosure Lowell Kabnick, MD NOTHING TO DISCLOSE IS 1950nm
More informationCyanoacrylate vs laser ablation. Turkish experience. A. Kursat Bozkurt MD University of Istanbul
Cyanoacrylate vs laser ablation. Turkish experience A. Kursat Bozkurt MD University of Istanbul Disclosure Speaker name: A. Kursat Bozkurt I have the following potential conflicts of interest to report:
More informationMedical Policy. Description/Scope. Position Statement
Subject: Document #: Publish Date: 12/27/2017 Status: Revised Last Review Date: 05/04/2017 Description/Scope This document addresses various modalities (listed below) for the treatment of valvular incompetence
More informationAbstracts Vaeshartelt 14 mei 2011 Résumés Vaeshartelt mai 2011
Abstracts Vaeshartelt 14 mei 2011 Résumés Vaeshartelt mai 2011 1. Treatment of ileofemoral venous occlusive disease: clinical experience M. de Wolf, MD 1 ; J. Grommes, MD 2 ; C. Arnoldussen, MD 3 ; R.
More informationMedStar Health, Inc. POLICY AND PROCEDURE MANUAL Policy Number: MP.066.MH Last Review Date: 11/08/2018 Effective Date: 01/01/2019
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL This policy applies to the following lines of business: MedStar Employee (Select) MedStar CareFirst PPO MedStar Health considers the treatment of Varicose
More informationProtocols for the evaluation of lower extremity venous reflux: supine, sitting, or standing?
Protocols for the evaluation of lower extremity venous reflux: supine, sitting, or standing? Susan Whitelaw RVT, RDMS PURPOSE Duplex imaging of the lower extremity veins is performed to assess the deep
More informationEpidemiology: Prevalence
Epidemiology: Prevalence More than 30 million Americans suffer from varicose veins or a more serious form of venous disease called Chronic Venous Insufficiency (CVI). 1 Of the over 30 million Americans
More informationGENTLE ABLATION WITH RFITT TECHNOLOGY. For varicose vein treatment
GENTLE ABLATION WITH RFITT TECHNOLOGY For varicose vein treatment CELON RFITT METHOD For healthy and beautiful legs CELON has developed a leading bipolar radiofrequency ablation (RFA) system that can be
More informationSrovnání 2 typů radiálních laserových vláken (1-ringových a 2-ringových) v nitrožilní léčbě křečových žil pomocí laseru o vlnové délce 1470 nm
Srovnání 2 typů radiálních laserových vláken (1-ringových a 2-ringových) v nitrožilní léčbě křečových žil pomocí laseru o vlnové délce 1470 nm Robert Vlachovský, Robert Staffa, Ernest Biroš II. chirurgická
More informationRandomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous vein
Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous vein Raghu Kolluri, MD, Director Vascular Medicine OhioHealth Riverside Methodist Hospital
More informationTreatment of Varicose Veins
Treatment of Varicose Veins Policy Number: Original Effective Date: MM.06.016 04/15/2005 Line(s) of Business: Current Effective Date: PPO; HMO; QUEST Integration 09/28/2018 Section: Surgery Place(s) of
More informationPerforators: When to Treat and How Best to Do It? Eric Hager, MD September 10, 2015
Perforators: When to Treat and How Best to Do It? Eric Hager, MD September 10, 2015 Anatomy of Perforating veins Cadaveric studies 1 have shown >60 vein perforating veins from superficial to deep Normal
More informationCEAP <.0001) < % (98.0%) 245 (95.7%) (74.1%) ( P
Three-year European follow-up of endovenous radiofrequency-powered segmental thermal ablation of the great saphenous vein with or without treatment of calf varicosities Thomas M. Proebstle, MD, PhD, a
More informationStep by step ultrasound examination of varicose veins. Dr. Özgün Sensebat Vascular Surgeon Private Vascular Clinic Dorsten & Borken, Germany
Step by step ultrasound examination of varicose Dr. Özgün Sensebat Vascular Surgeon Private Vascular Clinic Dorsten & Borken, Germany Required technical setup: B-mode vessel imaging combined with color
More informationClinical/Duplex Evaluation of Varicose Veins: Who to Treat?
Clinical/Duplex Evaluation of Varicose Veins: Who to Treat? Sanjoy Kundu MD, FASA, FCIRSE, FSIR The Vein Institute of Toronto Scarborough Vascular Group Scarborough Vascular Ultrasound Scarborough Vascular
More informationRandomized Clinical Trial Comparing Endovenous Laser Ablation and. Stripping of the Great Saphenous Vein with Clinical and Duplex
Randomized Clinical Trial Comparing Endovenous Laser Ablation and Stripping of the Great Saphenous Vein with Clinical and Duplex outcome after 5 years Authors: Rasmussen LH, Lawaetz M, Bjoern L, Blemings
More informationR. G. Bush, 1 P. Bush, 1 J. Flanagan, 2 R. Fritz, 3 T. Gueldner, 4 J. Koziarski, 5 K. McMullen, 6 and G. Zumbro Introduction
e Scientific World Journal, Article ID 505843, 7 pages http://dx.doi.org/10.1155/2014/505843 Research Article Factors Associated with Recurrence of Varicose Veins after Thermal Ablation: Results of The
More informationPreservation of saphenous trunks ASVAL
Preservation of saphenous trunks ASVAL S. Chastanet, P. Pittaluga DISCLOSURE OF INTEREST I do not have any relevant financial relationships with any commercial interest Traditionnal Concept of SVI Descending
More informationChronic venous leg ulcers: Effects of foam sclerotherapy on healing and recurrence
Original Article Chronic venous leg ulcers: Effects of foam sclerotherapy on healing and recurrence Phlebology 2016, Vol. 31(1) 34 41! The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalspermissions.nav
More informationWHAT ABOUT FOAM SCLEROTHERAPY IN REVAS? Dr O CRETON Ste FOY LES LYON
WHAT ABOUT FOAM SCLEROTHERAPY IN REVAS? Dr O CRETON Ste FOY LES LYON Disclosure of Interest I have the following potential conflicts of interest to report: Consulting: Medtronic WHAT ABOUT REVAS? Source
More informationPROVIDER POLICIES & PROCEDURES
PROVIDER POLICIES & PROCEDURES TREATMENT OF VARICOSE VEINS OF THE LOWER EXTREMITIES STAB PHLEBECTOMY AND SCLEROTHERAPY TREATMENT The primary purpose of this document is to assist providers enrolled in
More informationTreatment of Venous ulcers utilizing n-butyl Cyanoacrylate (Super Glue)
Treatment of Venous ulcers utilizing n-butyl Cyanoacrylate (Super Glue) Awais Siddique MD Endovascular Radiologist AZH WAVE CENTERS Milwaukee WI Venous disease Etiology Are the result of Venous valvular
More informationTreatment of Varicose Veins/Venous Insufficiency. Description
Page: 1 of 24 Last Review Status/Date: March 2015 Description A variety of treatment modalities are available to treat varicose veins/venous insufficiency, including surgical approaches, thermal ablation,
More informationThermal Ablation 101: Basics of RF and Laser
1:48-2:00 Now 11 min flying Thermal ablation indications, contraindications, results, complications (30 min) Thermal Ablation 101: Basics of RF and Laser Nick Morrison, MD, FACPh, FACS, RPhS President,
More informationTable XI. Reference Abstracts corresponding to references can be found using the listing RCTs by alphabetical order or RCTs by topic.
Table XI. Operative procedure EVLA with different wavelengths HL+ EVLA EVLA without HL EVLA GSV ablation AK GSV ablation AK+BK Reference Abstracts corresponding to references can be found using the listing
More informationLaser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810 nm)
Eur J Vasc Endovasc Surg (2010) 40, 246e253 Laser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810 nm) S.D. Goode,
More informationTreatment of telangiectasias by. foam sclerotherapy? under. ultrasound guidance. How to ensure the success of. 10 rules to respect
How to ensure the success of foam sclerotherapy? under 10 rules to respect Treatment of telangiectasias by ultrasound guidance Claudine Claudine Hamel-Desnos MD Hôpital Privé Caen- Saint France Martin
More informationORIGINAL ARTICLES. Masatoshi Jibiki 1, Tetsuro Miyata 1,2, Sachiko Futatsugi 3, Mitsumasa Iso 3 and Yasutaka Sakanushi 3.
Effect of the wide-spread use of endovenous laser ablation on the treatment of varicose veins in Japan: a large-scale, single institute study Masatoshi Jibiki 1, Tetsuro Miyata 1,2, Sachiko Futatsugi 3,
More information2017 Florida Vascular Society
Current Management of Venous Leg Ulcers: How to Identify Patients with Correctable Venous Disease and Interventional Procedures to Heal and Prevent Recurrence 2017 Florida Vascular Society Bill Marston
More informationSURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
UnitedHealthcare Commercial Medical Policy SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: 2017T0447T Effective Date: July 1, 2017 Table of Contents Page INSTRUCTIONS
More informationLong-term vein diameter reduction by perivenous hyaluronan instead of tumescence for endovenous procedures
Long-term vein diameter reduction by perivenous hyaluronan instead of tumescence for endovenous procedures Johann Chris Ragg, MD founder & head of angioclinic Vein Centers Europe founder & head of SWISS
More informationUnderstanding venous disease and treatment options for your patients. Christopher Wulff, MD
Understanding venous disease and treatment options for your patients Christopher Wulff, MD Understanding Chronic venous insufficiency (CVI) Important Statistics About CVI Affects all age groups 1 Is ten
More informationSaphenous Vein Wall Thickness in Age and Venous Reflux-Associated Remodeling in Adults
Saphenous Vein Wall Thickness in Age and Venous Reflux-Associated Remodeling in Adults Nicos Labropoulos Professor of Surgery Director, Vascular Laboratory Division of Vascular Surgery Stony Brook Medicine
More informationAdditional Information S-55
Additional Information S-55 Network providers are encouraged, but not required to participate in the on-line American Venous Forum Registry (AVR) - The First National Registry for the Treatment of Varicose
More informationLondon Choosing Wisely. Draft Policy Template: Varicose Veins. Version Date Notes. Draft for T&F 1 25/04/18 Initial Draft
London Choosing Wisely Draft Policy Template: Varicose Veins Version Date Notes Draft for T&F 1 25/04/18 Initial Draft Revised version post T&F 1 15/05/18 Revised version 07/06/18 Revised version 25/06/18
More informationSelection and work up for the right patients suspected of deep venous disease
Selection and work up for the right patients suspected of deep venous disease R A G H U K O L L U R I, M S, M D, R V T S Y S T E M M E D I C A L D I R E C T O R V A S C U L A R M E D I C I N E / V A S
More informationSuperficial Thrombophlebitis Treatment Guideline Review
Superficial Thrombophlebitis Treatment Guideline Review Suman M. Wasan, MD, MS Regents Professor Director, Vascular Medicine College of Medicine University of Oklahoma Health Sciences Center Disclosure
More informationSingle-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins
VASCULAR Ann R Coll Surg Engl 2014; 96: 279 283 doi 10.1308/003588414X13814021679474 Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins LS Alder,
More informationNCVH. Ultrasongraphy: State of the Art Vein Forum 2015 A Multidisciplinary Approach to Otptimizing Venous Circulation From Wounds to WOW
Ultrasongraphy: State of the Art 2015 NCVH New Cardiovascular Horizons Vein Forum 2015 A Multidisciplinary Approach to Otptimizing Venous Circulation From Wounds to WOW Anil K. Chagarlamudi, M.D. Cardiovascular
More informationRADIOFREQUENCY ABLATION. Drs PIRET V, BERGERON P MEET CANNES 2009
RADIOFREQUENCY ABLATION Drs PIRET V, BERGERON P MEET CANNES 2009 Superficial Venous Disease: EPIDEMIOLOGY Touch 75% of french population at different degrees (45.10 6 ) 25% needs medical care (11.10 6
More informationFrom the American Venous Forum. Thomas Michael Proebstle, MD, MSc, a Thomas Moehler, b and Sylvia Herdemann, MD, a,b Heidelberg and Mainz, Germany
From the American Venous Forum Reduced recanalization rates of the great saphenous vein after endovenous laser treatment with increased energy dosing: Definition of a threshold for the endovenous fluence
More informationControversies & updates in Vascular Surgery. Paris - february
Controversies & updates in Vascular Surgery Paris - february 09 2019 Venous session Recurrence at the popliteal fossea Pathogenesis and duplex investigation Philippe LEMASLE Le Chesnay - France I have
More informationSURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
UnitedHealthcare Oxford Clinical Policy SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: OUTPATIENT 013.32 T2 Effective Date: February 1, 2018 Table of Contents
More informationKathleen Gibson, MD. Lake Washington Vascular Surgeons Bellevue, WA
Cyanoacrylate Closure of Incompetent Great, Small and Accessory Saphenous Veins without the use of Post-Procedure Compression: a Post-Market Evaluation of the VenaSeal System (WAVES trial): Three Month
More informationEndovenous laser obliteration for the treatment of primary varicose veins Vuylsteke M, Van den Bussche D, Audenaert E A, Lissens P
Endovenous laser obliteration for the treatment of primary varicose veins Vuylsteke M, Van den Bussche D, Audenaert E A, Lissens P Record Status This is a critical abstract of an economic evaluation that
More informationSegmental GSV reflux
Segmental GSV reflux History of presentation A 43 year old female presented with right lower extremity varicose veins and swelling. She had symptoms of aching, heaviness and tiredness in the right leg.
More informationPOLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY
Original Issue Date (Created): July 12, 2003 Most Recent Review Date (Revised): May 20, 2014 Effective Date: October 1, 2014 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT
More informationSURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
UnitedHealthcare Commercial Medical Policy SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: 2018T0447V Effective Date: March 1, 2018 Table of Contents Page INSTRUCTIONS
More informationDuplex Ultrasound Outcomes following Ultrasound-guided Foam Sclerotherapy of Symptomatic Recurrent Great Saphenous Varicose Veins
Eur J Vasc Endovasc Surg (2011) 42, 107e114 Duplex Ultrasound Outcomes following Ultrasound-guided Foam Sclerotherapy of Symptomatic Recurrent Great Saphenous Varicose Veins K.A.L. Darvall a,b, *, G.R.
More informationLINC, Christine Teichert, MD University Medicine of Rostock, Dept. of diagnostic and interventional radiology, Germany
Comparison of the efficacy, safety, the primary and secondary technical success of the endovenous nonthermal, tumescensless mechanochemical ablation of varicose veins with the subjective outcome using
More informationAl-Metwaly Ragab Ibrahim Vascular Surgery; Al-Azhar faculty of Medicine- New Damietta, Egypt.
International Journal of Basic and applied Sciences. Vol. 4. No. 4. 2015. Pp. 259-264 Copyright by CRDEEP Journals. All Rights Reserved Full Length Research Paper Comparative Study between Endovenous Laser
More informationClinico-Anatomical and Radiological Correlation of Varicose Veins of Lower Limb A Cross-sectional Study
ORIGINAL RESEARCH www.ijcmr.com Clinico-Anatomical and Radiological Correlation of Varicose Veins of Lower Limb A Cross-sectional Study Lalatendu Swain 1, Mamata Singh 2, Prabhat Nalini Rautray 3 ABSTRACT
More information