Skip to main content

Varikose

  • Chapter
  • First Online:
  • 2083 Accesses

Part of the book series: Evidenzbasierte Chirurgie ((EC))

Zusammenfassung

Für die Behandlung des Refluxes der V. saphena magna bei Patienten mit Symptomen und Zeichen der chronischen Venenerkrankung werden bevorzugt die Techniken der endovenösen thermalen Ablation (Radiofrequenzablation [RFA] und endovenöse Lasertherapie [ELT]) empfohlen. Sie bieten bei ähnlichen Langzeitergebnissen den höheren postprozeduralen Komfort im Vergleich zur offenen Chirurgie. Inwieweit sich die neuen nicht-thermischen Ablationsverfahren (Cyanoacrylat-Kleber, CAC und mechanochemische endovenöse Ablation, MOCA) durchsetzen können, ist aufgrund fehlender Langzeitergebnisse offen, die kurzfristigen Ergebnisse sind aber durchaus akzeptabel.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   59.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Literatur

  • Arslan Ü, Çalık E, Tort M, Yıldız Z, Tekin Aİ, Limandal HK, Kaygın MA, Dağ Ö, Erkut B (2017) More successful results with less energy in endovenous laser ablation treatment: long-term comparison of Bare-tip Fiber 980 nm laser and Radial-tip Fiber 1470 nm laser application. Ann Vasc Surg 45:166–172

    Article  Google Scholar 

  • Bellam Premnath KP, Joy B, Raghavendra VA, Toms A, Sleeba T (2018) Cyanoacrylate adhesive embolization and sclerotherapy for primary varicose veins. Phlebology 33(8):547–557

    Article  Google Scholar 

  • Beteli CB, Rossi FH, Almeida BL de, Izukawa NM, Onofre Rossi CB, Gabriel SA, Kambara AM, Moraes Rego Sousa AG de, Thorpe P (2018) Prospective, double-blind, randomized controlled trial comparing electrocoagulation and radiofrequency in the treatment of patients with great saphenous vein insufficiency and lower limb varicose veins. J Vasc Surg Venous Lymphat Disord 6:212–219

    Article  Google Scholar 

  • Bissacco D, Stegher S, Calliari FM, Viani MP (2018) Saphenous vein ablation with a new cyanoacrylate glue device: a systematic review on 1000 cases. Minim Invasive Ther Allied Technol 19:1–9

    Google Scholar 

  • Boersma D, Kornmann VN, Eekeren RR van, Tromp E, Ünlü Ç, Reijnen MM, Vries JP de (2016) Treatment modalities for small saphenous vein insufficiency: systematic review and meta-analysis. J Endovasc Ther 23:199–211

    Article  Google Scholar 

  • Brittenden J, Cotton SC, Elders A et al (2014) A randomized trial comparing treatments for varicose veins. N Engl J Med 371:1218–1227

    Article  CAS  Google Scholar 

  • Cabrero Fernandez M, Martinez Lopez I, Hernandez Mateo MM, Marques de Marino P, Cernuda Artero I, Serrano Hernando FJ (2017) Prospective study of safety and effectiveness in the use of radiofrequency ablation for incompetent great saphenous vein ≥12 mm. J Vasc Surg Venous Lymphat Disord 5:810–816

    Article  Google Scholar 

  • Cavezzi A, Mosti G, Campana F, Tessari L, Bastiani L, Urso SU (2017) Catheter foam sclerotherapy of the great saphenous vein, with perisaphenous tumescence infiltration and saphenous irrigation. Eur J Vasc Endovasc Surg 54:629–635

    Article  Google Scholar 

  • Eklöf B et al., American Venous Forum International Ad Hoc Committee for Revision of the CEAP Classification (2004) Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg 40:1248–1252

    Google Scholar 

  • Eroglu E, Yasim A, Ari M, Ekerbicer H, Kocarslan A, Kabalci M, Acıpayam M (2017) Mid-term results in the treatment of varicose veins with N-butyl cyanoacrylate. Phlebology 32:665–669

    Article  Google Scholar 

  • Gauw SA, Lawson JA, Vlijmen-van Keulen CJ van, Pronk P, Gaastra MT, Mooij MC (2016) Five-year follow-up of a randomized, controlled trial comparing saphenofemoral ligation and stripping of the great saphenous vein with endovenous laser ablation (980 nm) using local tumescent anesthesia. J Vasc Surg 63:420–428

    Article  Google Scholar 

  • Hamann SAS, Giang J, De Maeseneer MGR, Nijsten TEC, Bos RR van den (2017) Editor’s choice – five year results of great saphenous vein treatment: a meta-analysis. Eur J Vasc Endovasc Surg 54:760–770

    Article  Google Scholar 

  • Kheirelseid EAH, Crowe G, Sehgal R, Liakopoulos D, Bela H, Mulkern E, McDonnell C, O’Donohoe M (2018) Systematic review and meta-analysis of randomized controlled trials evaluating long-term outcomes of endovenous management of lower extremity varicose veins. J Vasc Surg Venous Lymphat Disord 6:256–270

    Article  Google Scholar 

  • Kim PS, Bishawi M, Draughn D, Boter M, Gould C, Koziarski J, Bernstein R, Hamilton R (2017) Mechanochemical ablation for symptomatic great saphenous vein reflux: a two-year follow-up. Phlebology 32:43–48

    Article  Google Scholar 

  • Koramaz İ, El Kılıç H, Gökalp F, Bitargil M, Bektaş N, Engin E, Egici MT, Bozkurt AK (2017) Ablation of the great saphenous vein with nontumescent n-butyl cyanoacrylate versus endovenous laser therapy. J Vasc Surg Venous Lymphat Disord 5:210–215

    Article  Google Scholar 

  • Lane T, Bootun R, Dharmarajah B, Lim C, Najem M, Renton S, Sritharan K, Davies AH (2017) A multi-centre randomised controlled trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins – Final results of the Venefit versus Clarivein for varicose veins trial. Phlebology 32:89–98

    Article  Google Scholar 

  • Lawaetz M, Serup J, Lawaetz B, Bjoern L, Blemings A, Eklof B, Rasmussen L (2017) Comparison of endovenous ablation techniques, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Extended 5-year follow-up of a RCT. Int Angiol 36:281–288

    PubMed  Google Scholar 

  • Lawson JA, Gauw SA, Vlijmen CJ van, Pronk P, Gaastra MTW, Tangelder MJ, Mooij MC (2018) Prospective comparative cohort study evaluating incompetent great saphenous vein closure using radiofrequency-powered segmental ablation or 1470-nm endovenous laser ablation with radial-tip fibers (Varico 2 study). J Vasc Surg Venous Lymphat Disord 6:31–40

    Article  Google Scholar 

  • Marston WA, Crowner J, Kouri A, Kalbaugh CA (2017) Incidence of venous leg ulcer healing and recurrence after treatment with endovenous laser ablation. J Vasc Surg Venous Lymphat Disord 5:525–532

    Article  Google Scholar 

  • Morrison N, Gibson K, Vasquez M, Weiss R, Cher D, Madsen M, Jones A (2017) VeClose trial 12-month outcomes of cyanoacrylate closure versus radiofrequency ablation for incompetent great saphenous veins. J Vasc Surg Venous Lymphat Disord 5:321–330

    Article  Google Scholar 

  • National Institute for Health and Care Excellence (UK) (2013) Varicose veins in the legs: the diagnosis and management of varicose veins. National Clinical Guideline Centre, UK

    Google Scholar 

  • Nesbitt C, Bedenis R, Bhattacharya V, Stansby G (2014) Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus open surgery for great saphenous vein varices. Cochrane Database Syst Rev (7):CD005624

    Google Scholar 

  • Paravastu SC, Horne M, Dodd PD (2016) Endovenous ablation therapy (laser or radiofrequency) or foam sclerotherapy versus conventional surgical repair for short saphenous varicose veins. Cochrane Database Syst Rev 11:CD010878

    Google Scholar 

  • Sinabulya H, Östmyren R, Blomgren L (2017) Editor’s choice – mid-term outcomes of endovenous laser ablation in patients with active and healed venous ulcers: a follow-up study. Eur J Vasc Endovasc Surg 53:710–716

    Article  CAS  Google Scholar 

  • Sydnor M, Mavropoulos J, Slobodnik N, Wolfe L, Strife B, Komorowski D (2017) A randomized prospective long-term (>1 year) clinical trial comparing the efficacy and safety of radiofrequency ablation to 980 nm laser ablation of the great saphenous vein. Phlebology 32:415–424

    Article  Google Scholar 

  • Tang TY, Kam JW, Gaunt ME (2017) ClariVein® – Early results from a large single-centre series of mechanochemical endovenous ablation for varicose veins. Phlebology 32:6–12

    Article  CAS  Google Scholar 

  • Vähäaho S, Halmesmäki K, Albäck A, Saarinen E, Venermo M (2018) Five-year follow-up of a randomized clinical trial comparing open surgery, foam sclerotherapy and endovenous laser ablation for great saphenous varicose veins. Br J Surg 105:686–691

    Article  Google Scholar 

  • Vemulapalli S, Parikh K, Coeytaux R et al (2018) Systematic review and meta-analysis of endovascular and surgical revascularization for patients with chronic lower extremity venous insufficiency and varicose veins. Am Heart J 196:131–143

    Article  Google Scholar 

  • Venermo M, Saarinen J, Eskelinen E, Vähäaho S, Saarinen E, Railo M, Uurto I, Salenius J, Albäck A, Finnish Venous Study Collaborators (2016) Randomized clinical trial comparing surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy for the treatment of great saphenous varicose veins. Br J Surg 103:1438–1444

    Article  CAS  Google Scholar 

  • Vos CG, Ünlü Ç, Bosma J, Vlijmen CJ van, Nie AJ de, Schreve MA (2017) A systematic review and meta-analysis of two novel techniques of nonthermal endovenous ablation of the great saphenous vein. J Vasc Surg Venous Lymphat Disord 5:880–896

    Article  Google Scholar 

  • Whiteley MS, Shiangoli I, Dos Santos SJ, Dabbs EB, Fernandez-Hart TJ, Holdstock JM (2017) Fifteen year results of radiofrequency ablation, using VNUS closure, for the abolition of truncal venous reflux in patients with varicose veins. Eur J Vasc Endovasc Surg 54:357–362

    Article  CAS  Google Scholar 

  • Witte ME, Zeebregts CJ, Borst GJ de, Reijnen MMPJ, Boersma D (2017) Mechanochemical endovenous ablation of saphenous veins using the ClariVein: A systematic review. Phlebology 32:649–657

    Article  Google Scholar 

  • Wittens C, Davies AH, Bækgaard N et al (2015) Editor’s choice – management of chronic venous disease: clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 49:678–737

    Article  CAS  Google Scholar 

  • Yasim A, Eroglu E, Bozoglan O, Mese B, Acipayam M, Kara H (2017) A new non-tumescent endovenous ablation method for varicose vein treatment: Early results of N-butyl cyanoacrylate (VariClose®). Phlebology 32:194–199

    Article  Google Scholar 

  • Ye K, Wang R, Qin J, Yang X, Yin M, Liu X, Jiang M, Lu X (2016) Post-operative benefit of compression therapy after endovenous laser ablation for uncomplicated varicose veins: a randomised clinical trial. Eur J Vasc Endovasc Surg 52:847–853

    Article  CAS  Google Scholar 

  • Yin H, He H, Wang M, Li Z, Hu Z, Yao C, Wang J, Wang S, Chang G (2017) Prospective randomized study of ultrasound-guided foam sclerotherapy combined with great saphenous vein high ligation in the treatment of severe lower extremity varicosis. Ann Vasc Surg 39:256–263

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. Sebastian Debus .

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer-Verlag Berlin Heidelberg

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Debus, E.S., Grundmann, R.T. (2019). Varikose. In: Evidenzbasierte Gefäßchirurgie. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57709-7_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-57709-7_18

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57708-0

  • Online ISBN: 978-3-662-57709-7

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics