An update on the currently available nonthermal ablative options in the management of superficial venous disease. J Vasc Surg Venous Lymphat Disord 2017 May;5(3):422-429
Date
04/17/2017Pubmed ID
28411711DOI
10.1016/j.jvsv.2017.01.014Scopus ID
2-s2.0-85017544049 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
BACKGROUND: Chronic venous insufficiency affects millions of Americans with symptoms spanning a broad range. Saphenous incompetence resulting in chronic reflux is at the root of most disease and is amenable to surgical correction.
METHODS: We conducted a systematic review of the literature on nonthermal ablative techniques using a MEDLINE (Ovid) search from January 2000 to August 2016. Only prospective studies and literature review articles in the English language were included for final analysis.
RESULTS: A total of 358 unique articles were identified, with a total of 60 articles meeting the stated inclusion and exclusion criteria. Historically, nonthermal ablative techniques have not demonstrated clinical results on par with thermal ablative interventions. However, three newer nonthermal ablative techniques have become available for use in the United States. Review of the literature demonstrated significant improvements in nonthermal ablative results, with intermediate-term data suggesting improved durability.
CONCLUSIONS: Advances in nonthermal ablative techniques have led to a developing role and acceptance in the primary management of varicose veins and venous insufficiency, even in the setting of challenging cases.
Author List
Kugler NW, Brown KRAuthors
Kellie R. Brown MD Professor in the Surgery department at Medical College of WisconsinNathan W. Kugler MD Assistant Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Ablation TechniquesChronic Disease
Endovascular Procedures
Equipment Design
Humans
Saphenous Vein
Sclerotherapy
Venous Insufficiency
Wound Closure Techniques
