Document Detail


[Will foam sclerotherapy and endovenous thermal ablation replace varicose vein stripping?].
MedLine Citation:
PMID:  23032495     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Minimally invasive treatments of varicosis are increasingly establishing. Short and intermediate-term outcomes of endovenous treatments are satisfying: success rates are comparable with conventional surgery, whereas recovery is faster and complication rates are lower. Success rates are highest for endovenous laser ablation (EVLA). However, endovenous radiofrequency ablation (RFA) has advanced. Its short term outcomes are now comparable to EVLA, but with less side-effects. Ultrasound guided foam sclerotherapy (UGFS) replaced other forms of liquid sclerotherapy. In principle, this treatment can be combined with every other treatment for varicosis, but it loses its position as a monotherapy, due to poorer intermediate-term outcomes compared with EVLA and RFA. More prospective randomized controlled trials are needed in order to state an evidence based hierarchy of treatments for varicosis. With the minimally invasive treatments it is possible to treat patients on an outpatient basis. It will have to be assessed whether this will lead to higher cost-effectiveness.
Authors:
S Djalali; F Mikulicic; H Berwarth; T Rosemann; A Rosemann
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Praxis     Volume:  101     ISSN:  1661-8157     ISO Abbreviation:  Praxis (Bern 1994)     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101468093     Medline TA:  Praxis (Bern 1994)     Country:  Switzerland    
Other Details:
Languages:  ger     Pagination:  1297-307     Citation Subset:  IM    
Affiliation:
Institut für Hausarztmedizin, Universität Zürich.
Vernacular Title:
Können Schaumverödung und Thermoablation das chirurgische Venenstripping ersetzen?
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