This is currently the largest trial with long-term outcome data comparing these two types of stents in saphenous vein
graft disease, and will reassure clinicians about the use of DES for this specific indication, noted principal investigator Raban Jeger, MD, from University Hospital, in Basel, Switzerland.
The patients were divided into three groups according to the size of olive heads used for stripping and the sections where greater saphenous veins
Interventional management includes venous sclerotherapy either as a primary therapy or in combination with surgical procedure, endovenous radiofrequency and thermal ablation, venous valve reconstruction of the deep veins, open perforator ligation surgery or SEPS (Subfascial Endoscopic Perforator Surgery), saphenofemoral junction (SFJ) ligation and stripping of Great saphenous vein
(GSV) for SFJ incompetence.
The authors suggest supplementing supine chest radiographs with contrast or ultrasound when the line tip position is unclear, and that supine and lateral abdominal radiographs are useful to ensure placement in the inferior vena cava when placing a PICC in the saphenous vein
of a neonate.
Those who have never undergone vein stripping often need a combination of thermal and chemical ablation, as well, with ECA reserved for saphenous veins
that are inaccessible by RFA or laser.
14-Week Results of Hybrid Technique for Varicose Veins Patients' symptoms resolved or markedly improved 94% Partial improvement 4% No change 2% Note: Based on a retrospective study of 96 patients with incompetent saphenous veins
at a mean age of 53 years.
The authors presented their experience with ITA and saphenous vein
composite grafts used in 8 patients because of insufficient length, inadequate flow and inadequate diameter of the distal third of ITA.
Laser and radiofrequency EVTA of the saphenous veins
and their primary tributaries utilizes catheters inserted into the abnormal vein peripherally and advanced to the most central level of reflux.
Preliminary data from a multicenter European study, involving 172 patients and 187 treated veins, show the procedure is nearly 100% effective at completely occluding the saphenous veins
, said Dr.
Almeida of Vascular Device Partners said: "Last week we performed a carefully controlled cohort study of 30 patients with incompetent great saphenous veins
and signs and symptoms of chronic venous disease.
KEY WORDS: Endovenous laser treatment, Great saphenous veins
, Varicose veins.
Histologic changes demonstrate that accessory saphenous veins
have thinner walls with less elastic fibres and muscle cells than adjacent segment of great saphenous vein