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Management of Venous Insufficiency

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Vascular Interventional Radiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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18.9 Conclusion

Minimally invasive techniques are becoming much more important in the management of venous disorders. These, carefully and logically applied, promise to improve the quality of life of the large proportion of the population of the developed world, whose lives are affected in some way, either by cosmetic problems and symptoms of primary varicose veins, or the far more serious and disabling chronic venous insufficiency.

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References

  • Abu-Own A, Scurr JH, Coleridge et al (1986) Saphenous vein reflux without incompetence at the saphenofemoral junction Br J Surg 81:1452–1454

    Google Scholar 

  • Barrett JM, Allen B, Ockelford A et al (2004) Microfoam ultrasound-guided sclerotherapy of varicose veins in 100 legs Dermatologic surgery 30:6–12

    Article  PubMed  Google Scholar 

  • Bergan JJ, Pascarella L (2005) Severe chronic venous insufficiency: primary treatment with Sclerofoam. Semin Vasc Surg 18:49–56

    PubMed  Google Scholar 

  • Blattler W, Heller G, Largiarder J et al (2004) Combined regional thrombolysis and surgical thrombectomy for treatment of iliofemoral vein thrombosis J Vasc Surg 40:620–625

    Article  PubMed  Google Scholar 

  • Bouissou H, Julian M, Piraggi M et al (1988) Vein morphology. Phlebology 3[Suppl 1]:1

    Google Scholar 

  • Bradbury AW, Evans CJ, Allan PL et al (1999) Vascular society of Great Britain and Ireland: symptoms of varicose veins. Br J Surg 86:700

    Article  PubMed  Google Scholar 

  • Browse NL, Burnand KG, Irvine AT et al (1999) Diseases of the veins. Edward Arnold and Co, London

    Google Scholar 

  • Cabrera G, Cabrera G, Garcia-Olmedo D (1997) Elargissement des limites de la sclerotherapie: nouveaux produits sclerosants Phlebologie 50:181–188

    Google Scholar 

  • Callam M (1994) Epidemiology of varicose veins. Br J Surg 81:167–173

    PubMed  CAS  Google Scholar 

  • Cavezzi A, Frullini A, Ricci S et al (2002) Treatment of varicose veins by foam sclerotherapy: two clinical series. Phlebology 17:13–18

    Article  Google Scholar 

  • Davies AH, Steffen C, Cosgrove C Wilikns DC (1995) Varicose vein surgery: patient satisfaction. J R Coll Surg Edinb 40:298–299

    PubMed  CAS  Google Scholar 

  • De Borst GJ, Teijink JA, Patterson M et al (2003) A percutaneous approach to deep venous valve insufficiency with a new self-expanding venous frame valve. J Endovasc Ther 10:341–349

    Article  PubMed  Google Scholar 

  • Dodd H, Cockett FB (1986) The pathology and surgery of the veins of the lower limb, 2nd edn. Churchill Livingstone, London

    Google Scholar 

  • Dwerryhouse S, Davies B, Harradine K et al (1999) Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomised trial. J Vasc Surg 29:589–592

    Article  PubMed  CAS  Google Scholar 

  • Evans C, Fowkes FG, Ruckley CV et al (1999) Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health 53:149–153

    Article  PubMed  CAS  Google Scholar 

  • Fegan WG (1965) Injection with compression as a treatment for varicose veins. Proc R Soc Med 58(11 Part 1):874–876

    PubMed  CAS  Google Scholar 

  • Frullini A, Cavezzi A (2002) Sclerosing foam in the treatment of varicose veins and telangiectases: history and analysis of safety and complications Dermatologic surgery 28:11–15

    Article  PubMed  Google Scholar 

  • Goldman MP (2000) Closure of the great saphenous vein with endoluminal radiofrequency thermal heating of the vein wall in combination with ambulatory phlebectomy: preliminary 6 month follow up. Dermatolog Surg 26:452–6

    Article  CAS  Google Scholar 

  • Hamel-Desnos C, Desnos P, Wollman JC et al (2003) Evaluation of the efficacy of polidocanol in the form of foam compared with liquid form in sclerotherapy of the great saphenous vein: initial results Dermatologic Surgery 29:1170–1175

    Article  PubMed  Google Scholar 

  • Henriet J (1999) Experience covering three years with polidocanol foam in the treatment of reticular varices and varicosities. Phlebologie 52:277–282

    Google Scholar 

  • Hobbs JT (1974) Surgery and sclerotherapy in the treatment of varicose veins. A random trial. Arch Surg 109:793–796

    PubMed  CAS  Google Scholar 

  • Labropoulos N, Haughton SH (1999) Catheter-directed thrombolysis for lower extremity deep venous thrombosis: report of a national multicenter registry. Radiology 211:39–49

    PubMed  Google Scholar 

  • Lord DJ, Haughton SH (2003) Pediatric varicocele embolization. Tech Vasc Interv Radiol 6:169–175

    Article  PubMed  Google Scholar 

  • Lurie F, Creton D, Eklof B et al (2003) Prospective randomized study of endovenous radiofrequency obliteration (closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS study). J Vasc Surg 38:207–214

    Article  PubMed  CAS  Google Scholar 

  • Min RJ, Khilnani N, Zimmet SE (2003) Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol 14:991–996

    PubMed  Google Scholar 

  • Min RJ, Roizental M, Fernandez CF (2004) EVLT of the SSV and other truncal veins. Endovasc Today Supplement Dec 11–14

    Google Scholar 

  • Morrow PL, Hardiss NJ, Karn CM et al (1994) Fatal haemorrhage caused by varicose veins. Am J Forensic Med Pathgol 15:100–104

    Article  CAS  Google Scholar 

  • Munn SR, Morton JB, Macbeth WA et al (1981) To strip or not to strip the long saphenous vein? A varicose veins trial. Br J Surg 68:426–428

    PubMed  CAS  Google Scholar 

  • Murphy KD (2004) Mechanical thrombectomy for DVT. Tech Vasc Interv Radiol 7:79–85

    Article  PubMed  Google Scholar 

  • Neglen P, Raju S (2002) Proximal lower extremity chronic venous outflow obstruction: recognition and treatment. Semin Vasc Surg 15:57–64

    Article  PubMed  Google Scholar 

  • Neglen P, Thrasher TL, Raju S (2003) Venous outflow obstruction: an underestimated contributor to chronic venous disease. J Vasc Surg 38:879–885

    Article  PubMed  Google Scholar 

  • NICE (2001) NICE referral practice booklet. National Institute for Clinical Excellence, London

    Google Scholar 

  • Nicolini P, Closure Group (2005) Treatment of primary varicose veins by endovenous obliteration with the VNUS closure system: results of a prospective multicenter study. Eur J Vasc Endovasc Surg 29:433–439

    PubMed  Google Scholar 

  • Orbach EJ (1944) Sclerotherapy of varicose veins: utilisation of an intravenous air-block. Am J Surg 66:362–366

    Article  Google Scholar 

  • O’Reilly K (1977) Endovenous diathermy sclerosis of varicose veins. Aust N Z J Surg 47:393–395

    PubMed  CAS  Google Scholar 

  • Pavcnik D, Machan L, Uchida B et al (2003) Percutaneous prosthetic venous valves: current state and possible applications. Tech Vasc Interv Radiol 6:137–142

    Article  PubMed  Google Scholar 

  • Pavcnik D, Kaufman J, Uchida B et al (2004) Second-generation percutaneous bioprosthetic valve: a short-term study in sheep. J Vasc Surg 40:1223–1227

    Article  PubMed  Google Scholar 

  • Politowski M, Zelazny M (1966) Complications and difficulties in electrocoagulation of varices of the lower extremities. Surgery 59:932–934

    PubMed  CAS  Google Scholar 

  • Proebstle TM, Sandhofer M, Kargl A et al (2002a) Thermal damage of the inner vein wall during endovenous laser treatment: key role of energy absorption by intravascular blood. Dermatol Surg 28:596–600

    Article  PubMed  CAS  Google Scholar 

  • Proebstle TM, Lehr HA, Kargl A et al (2002b) Endovenous treatment of the great saphenous vein with a 940-nm diode laser: thrombotic occlusion after endoluminal thermal damage by laser-generated steam bubbles. J Vasc Surg 35:729–736

    Article  PubMed  CAS  Google Scholar 

  • Raju S, Neglen P (2004) Laser, “closure”, stents and other new technology in the treatment of venous disease. J Miss State Med Assoc 45:290–297

    PubMed  Google Scholar 

  • Rautio TT, Perula JM, Wiik HT et al (2002) Endovenous obliteration with radiofrequency-resistive heating for great saphenous vein insufficiency: a feasibility study. J Vasc Interv Radiol 13:569–575

    PubMed  Google Scholar 

  • Roizental M, Fernandez CF (2004) EVLT of the GSV. Endovasc Today Supplement Dec 8–10

    Google Scholar 

  • Rutherford RB (2000) Rutherford’s vascular surgery, 5th edn. WB Saunders Philadelphia

    Google Scholar 

  • Sarin S, Scurr JH, Coleridge Smith PD (1994) Stripping of the long saphenous vein in the treatment of primary varicose veins. Br J Surg 81:1455–1458

    PubMed  CAS  Google Scholar 

  • Schadek M, Allaert F (1991) Endotomographie de la sclerose. Phlebologie 44:111–130

    Google Scholar 

  • Stonebridge PA, Chalmers N, Beggs I et al (1995) Recurrent varicose veins. A varicographic analysis leading to a new practical classification. Br J Surg 82:60–62

    PubMed  CAS  Google Scholar 

  • Tessari L, Cavezzi A Frullini A (2001) Preliminary experience with a new sclerosing foam in the treatment of varicose veins. Dermatol Surg 27:58–60

    Article  PubMed  CAS  Google Scholar 

  • Timpernan PE (2004) Arteriovenous fistula after endovenous laser treatment of the short saphenous vein. J Vasc Interv Radiol 15:625–627

    Google Scholar 

  • Turton EP, Scott DJ, Richards SP et al (1999) Duplex derived evidence of reflux after varicose vein surgery: neoreflux or veovascularisation? Eur J Vasc Endovasc Surg 3VI:230–233

    Article  Google Scholar 

  • Vin F (1991) Echo-sclerotherapie de la veine saphene externe. Phlebologie 44:79–84

    PubMed  CAS  Google Scholar 

  • Watts GT (1972) Endovenous diathermy destruction of internal saphenous. Br Med J 4:53

    PubMed  CAS  Google Scholar 

  • Watson LL, Armon MP (2004) Thrombolysis for acute deep vein thrombosis. Cochrane Database Syst Rev 18:CD002783

    Google Scholar 

Download references

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Authors and Affiliations

  1. University Hospital of North Staffordshire NHS Trust, Newcastle Road, Stoke-on-Trent, ST4 6QG, UK

    David J. West MD

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  1. David J. West MD
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Editors and Affiliations

  1. Radiology Department, University Hospital of North Staffordshire, Rusell Building, City Central Newcastle Road, Stoke-on-Trent, Staffordshire, ST4 6QG, UK

    Mark G. Cowling MD

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© 2007 Springer-Verlag Berlin Heidelberg

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West, D.J. (2007). Management of Venous Insufficiency. In: Cowling, M.G. (eds) Vascular Interventional Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33255-8_18

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  • DOI: https://doi.org/10.1007/978-3-540-33255-8_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-22259-0

  • Online ISBN: 978-3-540-33255-8

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