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Gefässchirurgie

, Volume 23, Issue 4, pp 219–224 | Cite as

Therapie der Varikose: Ist die endovenöse Therapie besser als die Operation?

  • I. Flessenkämper
Leitthema
  • 128 Downloads

Zusammenfassung

Seit der Einführung der endoluminalen Methoden zur Versorgung der Varikose der V. saphena magna (VSM) sind fast 20 Jahre vergangen, sodass es an der Zeit ist, den initialen Anspruch an diese Methoden an der Erfahrung und aufgearbeiteten Evidenz zu messen. Es liegen Studien vor, aus denen ausreichend Rückschlüsse auf die derzeitige Leistungfähigkeit der endoluminalen Strategien abzuleiten sind. Die gefundene Evidenz hat manchen Anspruch der neueren Methoden relativiert, aber dadurch auch die weitere technische Entwicklung vorangetrieben. Mit der offen operativen Methode, den thermischen und nichtthermischen Verfahren liegen Alternativen vor, die einerseits aneinander gemessen werden können, andererseits ergänzend bzw. gemäß einer individualisierten Indikationsstellung eingesetzt werden können. Weitere Entwicklungen zur Ergebnisoptimierung sind zu erwarten.

Schlüsselwörter

Endoluminale Behandlung Varikosis Randomisierte Studien Offene Venenoperation Thermische Ablation 

Treatment of varicose veins: are endoluminal strategies better than open surgery?

Abstract

Since the introduction of endovascular options for the treatment of varicose truncal veins approximately 20 years have passed. It seems to be justified to measure the fulfilling of initial promises in relation to the experience and evidence produced by these methods. Studies are now available from which a conclusion about the capabilities of endoluminal strategies can be drawn. The evidence from these studies led to thinking in relative terms about the claims of the new methods and this knowledge also initiated further technical innovations. Open operative strategies, thermal and non-thermal options represent validated treatment variations that enable a direct comparison. In the sense of individualized indications they can be combined for optimal results in the current treatment of varicose veins. The development of further innovations to optimize treatment results is ongoing.

Keywords

Endoluminal treatment Varicosis Randomized controlled trials Open operation Thermal ablation 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

I. Flessenkämper gibt an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.BerlinDeutschland

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