Document Detail


Endovenous ablation plus microphlebectomy/sclerotherapy for the treatment of varicose veins: single or two-stage procedure?
MedLine Citation:
PMID:  20675329     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to establish how often after the performance of endovenous ablation (EA), a second stage is required.
METHODS: Eighty-six consecutive lower extremities in 76 patients treated with laser EA were the cohort of this study. The clinical result after EA at 1 month was classified as excellent (no varicosities), good (major reduction in size), and poor (no change). Need for further intervention (sclerotherapy or microphlebectomy) was determined at the 1-month follow-up.
RESULTS: Complete resolution of varicosities after EA was found in 36 extremities (41.8%), reduction in size in 48 extremities (55.8%), and no change in 2 extremities (2.3%). Of the 86 extremities studied, 36 (41.8%) were considered in need of a second stage procedure.
CONCLUSION: After EA, 58.2% of extremities did not require further treatment. These results add further justification to the performance of EA alone as a first stage.
Authors:
Harry Schanzer
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Publication Detail:
Type:  Journal Article     Date:  2010-07-30
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  44     ISSN:  1938-9116     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-15     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  545-9     Citation Subset:  IM    
Affiliation:
Division of Vascular Surgery, Mount Sinai School of Medicine, New York, NY, USA. harryschanzer@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Combined Modality Therapy
Female
Humans
Laser Therapy*
Male
Microsurgery*
Middle Aged
New York City
Reoperation
Retrospective Studies
Sclerotherapy*
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Duplex
Varicose Veins / surgery,  therapy*,  ultrasonography
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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