Assessment of the efficacy and safety of steam vein sclerosis as compared to classic surgery in lower extremity varicose vein management
- PMID:25960788
- PMCID: PMC4414100
- DOI: 10.5114/wiitm.2015.48573
Assessment of the efficacy and safety of steam vein sclerosis as compared to classic surgery in lower extremity varicose vein management
Abstract
Introduction: For the last 10 years, endovenous thermal ablation methods have gradually predominated over the classic Babcock procedure in varicose vein treatment. Steam vein sclerosis is the newest thermal ablation technique.
Aim: To assess the efficacy and safety of steam vein sclerosis as compared to the Babcock procedure in lower extremity varicose vein treatment.
Material and methods: One hundred and two adult subjects with varicose veins of clinical grade C2 to C6 according to the CEAP classification, treated with varicose vein surgery between 2010 and 2012, were enrolled in the study. These were subdivided into two groups: the study group of 52 patients treated with endovenous steam vein sclerosis and the control group of 50 patients treated with the Babcock procedure. A single lower extremity with isolated great or small saphenous vein insufficiency was operated on in each subject. The groups were compared for demography, disease severity, involved veins, potential perioperative and postoperative complications, as well as treatment efficacy based on the VCSS score reduction.
Results: There were no statistically significant differences between the groups in terms of demography, disease severity, involved veins, or perioperative and postoperative complications. The treatment efficacy of both methods, assessed based on the recurrence rate and the quantitative VCSS score reduction, was similar. Clinically significant recanalisation was observed in 1 (1.9%) patient in the study group.
Conclusions: The efficacy and safety analysis shows that steam vein sclerosis is a safe, simple method which can be recommended as effective varicose vein treatment.
Keywords: chronic venous insufficiency; endovenous; percutaneous ablation; steam; varicose veins.
Figures
Similar articles
- Complications and Failure of Endovenous Laser Ablation and Radiofrequency Ablation Procedures in Patients With Lower Extremity Varicose Veins in a 5-Year Follow-Up.Woźniak W, Mlosek RK, Ciostek P.Woźniak W, et al.Vasc Endovascular Surg. 2016 Oct;50(7):475-483. doi: 10.1177/1538574416671247. Epub 2016 Sep 28.Vasc Endovascular Surg. 2016.PMID:27681171
- Clinical response to combination therapy in the treatment of varicose veins.Conway RG, Almeida JI, Kabnick L, Wakefield TW, Buchwald AG, Lal BK.Conway RG, et al.J Vasc Surg Venous Lymphat Disord. 2020 Mar;8(2):216-223. doi: 10.1016/j.jvsv.2019.10.015. Epub 2019 Dec 14.J Vasc Surg Venous Lymphat Disord. 2020.PMID:31843482
- Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins.van den Bos RR, Milleret R, Neumann M, Nijsten T.van den Bos RR, et al.J Vasc Surg. 2011 Jan;53(1):181-6. doi: 10.1016/j.jvs.2010.06.171.J Vasc Surg. 2011.PMID:20801604
- Glue, steam and Clarivein--Best practice techniques and evidence.Whiteley MS.Whiteley MS.Phlebology. 2015 Nov;30(2 Suppl):24-8. doi: 10.1177/0268355515591447.Phlebology. 2015.PMID:26556699Review.
- Systematic review and meta-analysis of randomized controlled trials evaluating long-term outcomes of endovenous management of lower extremity varicose veins.Kheirelseid EAH, Crowe G, Sehgal R, Liakopoulos D, Bela H, Mulkern E, McDonnell C, O'Donohoe M.Kheirelseid EAH, et al.J Vasc Surg Venous Lymphat Disord. 2018 Mar;6(2):256-270. doi: 10.1016/j.jvsv.2017.10.012. Epub 2017 Dec 29.J Vasc Surg Venous Lymphat Disord. 2018.PMID:29292115Review.
Cited by
- Interventions for great saphenous vein incompetence.Whing J, Nandhra S, Nesbitt C, Stansby G.Whing J, et al.Cochrane Database Syst Rev. 2021 Aug 11;8(8):CD005624. doi: 10.1002/14651858.CD005624.pub4.Cochrane Database Syst Rev. 2021.PMID:34378180Free PMC article.Review.
- A new option for endovascular treatment of leg ulcers caused by venous insufficiency with fluoroscopically guided sclerotherapy.Garcarek J, Falkowski A, Rybak Z, Jargiello T, Łokaj M, Czapla N, Sroczyk-Jaszczyńska M.Garcarek J, et al.Wideochir Inne Tech Maloinwazyjne. 2015 Sep;10(3):423-9. doi: 10.5114/wiitm.2015.54059. Epub 2015 Sep 14.Wideochir Inne Tech Maloinwazyjne. 2015.PMID:26649090Free PMC article.
- S2k guidelines: diagnosis and treatment of varicose veins.Pannier F, Noppeney T, Alm J, Breu FX, Bruning G, Flessenkämper I, Gerlach H, Hartmann K, Kahle B, Kluess H, Mendoza E, Mühlberger D, Mumme A, Nüllen H, Rass K, Reich-Schupke S, Stenger D, Stücker M, Schmedt CG, Schwarz T, Tesmann J, Teßarek J, Werth S, Valesky E.Pannier F, et al.Hautarzt. 2022 May;73(Suppl 1):1-44. doi: 10.1007/s00105-022-04977-8. Epub 2022 Apr 19.Hautarzt. 2022.PMID:35438355Free PMC article.Review.No abstract available.
References
- Perrin M, Guidicelli H, Rastel D. Surgical techniques used for the treatment of varicose veins: survey of practice in France. J Mal Vasc. 2003;28:277–86. - PubMed
- Perkins JM. Standard varicose vein surgery. Phlebology. 2009;24:34–41. - PubMed
- Wood JJ, Chant H, Laugharne M, et al. A prospective study of cutaneous nerve injury following long saphenous vein surgery. Eur J Vasc Endovasc Surg. 2005;30:654–8. - PubMed
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous