Recent developments on foaming mechanical and electronic techniques for the management of varicose veins.

Recent developments on foaming mechanical and electronic techniques for the management of varicose veins. Expert Rev Med Devices. 2019 Oct 17;: Authors: Critello CD, Pullano SA, Matula TJ, de Franciscis S, Serra R, Fiorillo AS Abstract Introduction: Varicose veins are a common disease, causing significant impairment of quality of life to afflicted individuals. Conventional surgery has represented the traditional treatment for years, with significant post-operative complications. By the end of the 20th century, novel approaches had been developed to induce biochemical sclerosis into the treated vein in order to exclude it from blood circulation. Areas Covered: Foaming techniques for treatment of varicose veins, both clinically-approved methods and those under experimental studies. A brief description of cavitation, which is the basis of microbubbles formation, and an overview of foam properties have been also provided, including a discussion on clinical efficacy and safety profile. Expert Opinion: Foam sclerotherapy has rapidly gained popularity since it represents the most minimally invasive and cost-effective procedure in the short term. Several different methods of foam preparation have been described in literature. In general, the foam generation method may affect characteristics such as stability and bubble size distribution, which in turn affect the therapeutic action of foam itself. Therefore, the selection of a suitable foaming technique is of impo...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research

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Authors: Mitschang C, Mühlberger D, Goerge T Abstract The chronic venous insufficiency (CVI) of the leg veins is one of the most common diseases in our society. Thus, it is important to know the clinical picture of CVI and the pros and cons of the different treatment options. Of the various treatments available for varicose veins (conservative therapy, operative procedures, endoluminal techniques, foam sclerotherapy), an evidence-based, treatment option should be individually chosen for each patient. In this article, the pros and cons of surgery are compared with endoluminal therapy in order to draw practical ...
Source: Der Hautarzt: Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete - Category: Dermatology Tags: Hautarzt Source Type: research
Endovenous treatment of varicose veins has increased in popularity over the last decade. There remains, however, a degree of uncertainty regarding the role of compression bandaging or hosiery following this in...
Source: Trials - Category: General Medicine Authors: Tags: Study protocol Source Type: research
New England Journal of Medicine,Volume 381, Issue 23, Page 2275-2276, December 2019.
Source: New England Journal of Medicine - Category: Internal Medicine Source Type: research
This study may provide clarification on the role of compression therapy in patients undergoing MOCA.Trial registrationClinicalTrials.gov,NCT03685838. Registered on 26 September 2018.
Source: Trials - Category: Research Source Type: clinical trials
In varicose veins, vascular smooth muscle cells (VSMCs) often shows phenotypic transition and abnormal proliferation and migration. Evidence suggests the FOXC2 –Notch pathway may be involved in the pathogenesis...
Source: Biological Research - Category: Biomedical Science Authors: Tags: Research article Source Type: research
This study included 170 patients who underwent their first HLS for varicose veins in an ambulatory center from November 2016 to October 2017 at West China Hospital. The patients were categorized as two groups: the ≤60 years old group and the>60 years old group. We collected the two age groups data included Clinical, Etiology, Anatomy, and Pathophysiology (CEAP) classification, Venous Clinical Severity Score (VCSS), Visual Analogue Score (VAS), Aberdeen Varicose Veins Questionnaire (AVVQ), Quality of Recovery (QoR-15), and postoperative complications at predetermined time points. The clinical correlation between age a...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Introduction - Cyanoacrylate embolization (CAE) for varicose veins has recently been introdued for treatment of the incompetent saphenous vein. Although the preliminary studies have been limited to moderate-sized great saphenous veins, larger diameter of the saphenous vein up to 20mm has been included in some report. The purpose of our study is to investigate the correlation between the stump length and preoperative duplex parameters including the diameter, reflux time (RT), and peak reflux velocity (PRV) of the saphenous vein after CAE.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
Introduction: Ultrasound-guided foam sclerotherapy (UGFS) is an alternative and supplementary method for endovenous thermal ablation (EVTA) to treat incompetent saphenous reflux (ISR) and branch varicose veins (BVV).[1] The long-term result is not as satisfactory as EVTA, even while administered by catheter-directed method with or without tumescent local anesthesia.[2,3,4] Combined high ligation(HS) of sapheno-femoral junction(SFJ)/ sapheno-popliteal junction (SPJ) and reversed catheter-directed foam sclerotherapy (rCDFS) to treat ISR is an idea to assure SFJ/SPJ closure, avoid foam leaking into deep vein and enhance foam-...
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
Introduction - Anterior accessory saphenous vein (AASV) insufficiency is one of the most common causes of late recurrence after endovenous laser ablation (EVLA) for great saphenous vein (GSV) insufficiency1)2). Therefore, reduction of the AASV patency rate after EVLA can be associated with better long-term results. The aim of this study is to compare the patency rate of saphenofemoral junction tributaries after EVLA between bare-tip and radial fibers.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
Introduction: Endovenous laser ablation (EVLA) is one of the treatment options for lower limb varicose veins. Recent development of newer optical fibres requires clinical studies to explore the technical aspects of their use and to define the optimal energy parameters in EVLA.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Source Type: research
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