Concomitant therapies for varicose veins: Our high-volume, single-center experiences in the UK

Objectives: This study aims to assess the feasibility of combined truncal endothermal ablation (ETA) and ultrasound-guided foam sclerotherapy (UGFS) in a single treatment session and compare this technique to published re-intervention rates following truncal ablation alone. Patients and methods: The...

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Bibliographic Details
Published in:Turkish Journal of Vascular Surgery
Main Authors: Ahmed Elshiekh, Nick M Matharu, Abhinav Vepa
Format: Article
Language:English
Published: Turkish National Vascular and Endovascular Surgery Society 2020-03-01
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Online Access:https://turkishjournalofvascularsurgery.org//?mno=116414
Description
Summary:Objectives: This study aims to assess the feasibility of combined truncal endothermal ablation (ETA) and ultrasound-guided foam sclerotherapy (UGFS) in a single treatment session and compare this technique to published re-intervention rates following truncal ablation alone. Patients and methods: The study was a retrospective data analysis of prospectively collected data. The patients had a preoperative US and then Endothermal Ablation (ETA) with concomitant UGFS. The need for a secondary treatment, technical success, operation time, patient satisfaction, complications, and recurrence were evaluated. Results: The mean follow-up was 4.4±3.7 months. The technical success was achieved in all patients. Sixty-six (93%) of the patients did not need further treatments. Five patients (7%) needed further interventions with repeated combined ETA and UGFS (n=1, 1.4%) and sclerotherapy (n=4, 5.6%). These interventions did not increase the financial cost of treatment, compared to ETA alone. Conclusion: Our study results suggest that one-stop dual therapy for the treatment of VV is associated with less need for further treatment, compared to truncal ETA alone without increasing the treatment cost. [Turk J Vasc Surg 2020; 29(2.000): 90-4]
ISSN:2667-5080