A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins
Sandip Nandhra,Joseph El-Sheikha,Daniel Carradice,Tom Wallace,Panos Souroullas,Nehemiah Samuel,George Davey Smith,Ian Chetter +7 more
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TL;DR: The study does not appear to suggest that the improved abolition of reflux after EVLA compared with surgery is associated with superior outcomes than those seen after surgery by this time point, because equal effect was shown in both groups.
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About: This article is published in Journal of Vascular Surgery. The article was published on 01 Mar 2015. and is currently open access. The article focuses on the topics: Varicose veins.
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Citations
European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs.
Marianne De Maeseneer,Stavros K. Kakkos,Thomas Aherne,N Baekgaard,Stephen M. Black,Lena Blomgren,Athanasios D. Giannoukas,Manjit S. Gohel,R. de Graaf,C. Hamel-Desnos,Arkadiusz Jawień,Aleksandra Jaworucka-Kaczorowska,Christopher R. Lattimer,Giovanni Mosti,Thomas Noppeney,Marie Josee Van Rijn,Gerard Stansby,Esvs Guidelines Committee,Philippe Kolh,Frederico Bastos Gonçalves,Nabil Chakfe,Raphaël Coscas,Gert J. de Borst,Nuno Dias,Robert J. Hinchliffe,Igor Koncar,Jes S. Lindholt,Santi Trimarchi,Riikka Tulamo,Christopher P. Twine,Frank Vermassen,Anders Wanhainen,Document Reviewers,Martin Björck,Nicos Labropoulos,Fedor Lurie,Armando Mansilha,I. Nyamekye,M. Ramirez Ortega,Jorge H. Ulloa,Tomáš Urbánek,Andre M. van Rij,Marc E. Vuylsteke +42 more
TL;DR: In this article , the authors present guidelines for the management of chronic venous disease in outpatients, including the use of ultrasound guided foam sclerotherapy and endovenous non-thermal ablation.
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Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus open surgery for great saphenous vein varices
TL;DR: The overall quality of the evidence was moderate due to the variations in the reporting of results, which limited meaningful meta-analyses for the majority of proposed outcome measures.
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Endovenous ablation therapy (LASER or radiofrequency) or foam sclerotherapy versus conventional surgical repair for short saphenous varicose veins
TL;DR: Recurrence of reflux at one year was also less frequent in the EVLA group than in the surgery group, and the quality of evidence according to GRADE was moderate to low for the outcome measures in theEVLA versus surgery comparison, but low in the UGFS versus Surgery comparison.
Five-Year Outcomes of a Randomized Trial of Treatments for Varicose Veins.
Julie Brittenden,David A. Cooper,Maria Dimitrova,Graham Scotland,Seonaidh Cotton,Andrew Elders,Graeme MacLennan,Craig R Ramsay,John Norrie,Jennifer Burr,Bruce Campbell,Paul Bachoo,Ian Chetter,Michael Gough,Jonothan Earnshaw,Tim Lees,Julian Scott,Sara A Baker,Emma Tassie,Jill J Francis,Marion K Campbell +20 more
TL;DR: Disease-specific quality of life 5 years after treatment was better after laser ablation or surgery than after foam sclerotherapy, and the majority of the probabilistic cost-effectiveness model iterations favored lasers ablation at a willingness-to-pay ratio of £20,000 per QALY.
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Treatment Modalities for Small Saphenous Vein Insufficiency: Systematic Review and Meta-analysis
Doeke Boersma,Verena N.N. Kornmann,Ramon R.J.P. van Eekeren,Ellen Tromp,Çağdaş Ünlü,Michel M.J.P. Reijnen,Jean-Paul P.M. de Vries +6 more
TL;DR: Endovenous thermal ablation (EVLA/RFA) should be preferred to surgery and foam sclerotherapy in the treatment of SSV incompetence, although data on nonthermal techniques in SSV are still sparse.
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