European College of Phlebology guideline for truncal ablation

被引：29

作者：

Bozkurt, A. Kursat ^{[1
]}

Lawaetz, Martin ^{[2
,3
]}

Danielsson, Gudmundur ^{[4
]}

Lazaris, Andreas M. ^{[5
]}

Pavlovic, Milos ^{[6
]}

Olariu, Sorin ^{[7
]}

Rasmussen, Lars ^{[3
]}

机构：

[1] Istanbul Univ Cerrahpasa, Dept Cardiovasc Surg, Cerrahpasa Med Fac, Istanbul, Turkey

[2] Rigshosp, Dept Vasc Surg, Copenhagen, Denmark

[3] Danish Vein Ctr, Naestved, Denmark

[4] Reykjavik Venous Ctr, Reykjavik, Iceland

[5] Natl & Kapodistrian Univ Athens, Sch Med, Dept Vasc Surg, Athens, Greece

[6] Infin Family Med Clin, Dubai, U Arab Emirates

[7] Victor Babes Univ Med & Pharm Timisoara UMFT, Surg 1, Timisoara, Romania

来源：

PHLEBOLOGY | 2020年 / 35卷 / 02期

关键词：

Chronic venous disease; chronic venous insufficiency; endovascular treatment; endovenous thermal ablation; foam sclerotherapy; ENDOVENOUS LASER-ABLATION; RANDOMIZED CLINICAL-TRIAL; GREAT SAPHENOUS-VEIN; SEGMENTAL THERMAL ABLATION; HEAT-INDUCED THROMBOSIS; 5-YEAR FOLLOW-UP; 1ST HUMAN USE; VARICOSE-VEINS; FOAM SCLEROTHERAPY; RADIOFREQUENCY ABLATION;

D O I：

10.1177/0268355519857362

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background The purpose of the guideline was to achieve consensus in the care and treatment of patients with chronic venous disease, based on current evidence. Method A systematic literature search was performed in PubMed, Embase, Cinahl, and the Cochrane library up until 1 February 2019. Additional relevant literature were added through checking of references. Level of evidence was graded through the GRADE scale and recommendations were concluded. Results For the treatment of great and small saphenous vein reflux, endovenous ablation with laser or radiofrequency was recommended in preference to surgery or foam sclerotherapy. If tributaries are to be treated it should be done in the same procedure. Treatment with mecanicochemical ablation and glue can be used but we still need long term follow up results. Conclusion For the treatment of truncal varicosities, endovenous ablation with laser or radiofrequency combined with phlebectomies is recommended before surgery or foam.

引用

页码：73 / 83

页数：11

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