Randomized clinical trial comparing surgery, endovenous laser ablation and ultrasound-guided foam sclerotherapy for the treatment of great saphenous varicose veins

Background Endovenous ablation techniques and ultrasound‐guided foam sclerotherapy (UGFS) have largely replaced open surgery for treatment of great saphenous varicose veins. This was a randomized trial to compare the effect of surgery, endovenous laser ablation (EVLA) (with phlebectomies) and UGFS o...

Full description

Saved in:
Bibliographic Details
Published in:British journal of surgery 2016-10, Vol.103 (11), p.1438-1444
Main Authors: Venermo, M., Saarinen, J., Eskelinen, E., Vähäaho, S., Saarinen, E., Railo, M., Uurto, I., Salenius, J., Albäck, A.
Format: Article
Language:English
Subjects:
Adult
Aged
Clinical trials
Endovascular Procedures - methods
Female
Humans
Laser Therapy - methods
Length of Stay - statistics & numerical data
Male
Middle Aged
Quality of Life
Randomized Clinical Trial
Saphenous Vein
Sclerosing Solutions - therapeutic use
Sclerotherapy
Sclerotherapy - methods
Sick Leave - statistics & numerical data
Surgery
Surgery, Computer-Assisted - methods
Treatment Outcome
Ultrasonic imaging
Ultrasonography, Doppler, Duplex
Ultrasonography, Interventional - methods
Varicose veins
Varicose Veins - therapy
Young Adult
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Endovenous ablation techniques and ultrasound‐guided foam sclerotherapy (UGFS) have largely replaced open surgery for treatment of great saphenous varicose veins. This was a randomized trial to compare the effect of surgery, endovenous laser ablation (EVLA) (with phlebectomies) and UGFS on quality of life and the occlusion rate of the great saphenous vein (GSV) 12 months after surgery. Methods Patients with symptomatic, uncomplicated varicose veins (CEAP class C2–C4) were examined at baseline, 1 month and 1 year. Before discharge and at 1 week, patients reported a pain score on a visual analogue scale. Preoperative and 1‐year assessments included duplex ultrasound imaging and the Aberdeen Varicose Vein Severity Score (AVVSS). Results The study included 214 patients: 65 had surgery, 73 had EVLA and 76 had UGFS. At 1 year, the GSV was occluded or absent in 59 (97 per cent) of 61 patients after surgery, 71 (97 per cent) of 73 after EVLA and 37 (51 per cent) of 72 after UGFS (P 
ISSN:0007-1323
1365-2168
DOI:10.1002/bjs.10260