Do surgeries for varicose veins carry a risk of deep vein thrombosis? Endovenous laser ablation and conventional saphenectomy – a comparison
Venous diseases, in particular varicose veins of the lower extremities, are one of the most common chronic diseases and a significant cause of morbidity in Europe and the USA. Varicose veins are considered a risk factor for deep vein thrombosis. Most patients with varicose veins have great sapheno...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
Published: |
Medical Communications Sp. z o.o.
2017-09-01
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Series: | Pediatria i Medycyna Rodzinna |
Subjects: | |
Online Access: | http://www.pimr.pl/index.php/issues/2017-vol-13-no-3/do-surgeries-for-varicose-veins-carry-a-risk-of-deep-vein-thrombosis-endovenous-laser-ablation-and-conventional-saphenectomy-a-comparison?aid=1098 |
Summary: | Venous diseases, in particular varicose veins of the lower extremities, are one of the most common chronic diseases and a significant
cause of morbidity in Europe and the USA. Varicose veins are considered a risk factor for deep vein thrombosis. Most patients
with varicose veins have great saphenous vein ostial insufficiency and reflux of varying degrees. Standard treatment in these
cases is high ligation and stripping of the great saphenous vein. This surgery, however, carries a risk of thrombotic
complications. Minimally invasive procedures, which include endovenous laser ablation of the great saphenous vein, are the
current world trends. This method is a relatively new treatment option for great saphenous vein reflux. The authors present
the current state of knowledge on the risk of deep vein thrombosis after different surgical procedures for the treatment
of varicose veins in the lower extremity. The literature analysis has led to a hypothesis that lower limb varicose vein surgeries
that involve laser obliteration of the great or small saphenous veins carry a lower risk of deep vein thrombosis compared with
conventional surgeries. Tumescent anaesthesia, short duration of the procedure and rapid return to physical activity may play
a role in deep vein thrombosis prevention. The authors underline that thromboprophylaxis should be implemented
irrespective of the method, using risk evaluation, e.g. based on the Caprini scale. |
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ISSN: | 1734-1531 2451-0742 |