TY - JOUR
T1 - European College of Phlebology guideline for truncal ablation
AU - Kürşat Bozkurt, A
AU - Lawaetz, Martin
AU - Danielsson, Gudmundur
AU - Lazaris, Andreas M
AU - Pavlovic, Milos
AU - Olariu, Sorin
AU - Rasmussen, Lars
PY - 2020
Y1 - 2020
N2 - Background: The purpose of the guideline was to achieve consensus in the care and treatment of patients with chronic venous disease, based on current evidence. Method: A systematic literature search was performed in PubMed, Embase, Cinahl, and the Cochrane library up until 1 February 2019. Additional relevant literature were added through checking of references. Level of evidence was graded through the GRADE scale and recommendations were concluded. Results: For the treatment of great and small saphenous vein reflux, endovenous ablation with laser or radiofrequency was recommended in preference to surgery or foam sclerotherapy. If tributaries are to be treated it should be done in the same procedure. Treatment with mecanicochemical ablation and glue can be used but we still need long term follow up results. Conclusion: For the treatment of truncal varicosities, endovenous ablation with laser or radiofrequency combined with phlebectomies is recommended before surgery or foam.
AB - Background: The purpose of the guideline was to achieve consensus in the care and treatment of patients with chronic venous disease, based on current evidence. Method: A systematic literature search was performed in PubMed, Embase, Cinahl, and the Cochrane library up until 1 February 2019. Additional relevant literature were added through checking of references. Level of evidence was graded through the GRADE scale and recommendations were concluded. Results: For the treatment of great and small saphenous vein reflux, endovenous ablation with laser or radiofrequency was recommended in preference to surgery or foam sclerotherapy. If tributaries are to be treated it should be done in the same procedure. Treatment with mecanicochemical ablation and glue can be used but we still need long term follow up results. Conclusion: For the treatment of truncal varicosities, endovenous ablation with laser or radiofrequency combined with phlebectomies is recommended before surgery or foam.
KW - Chronic venous disease
KW - chronic venous insufficiency
KW - endovascular treatment
KW - endovenous thermal ablation
KW - foam sclerotherapy
UR - http://www.scopus.com/inward/record.url?scp=85068385133&partnerID=8YFLogxK
U2 - 10.1177/0268355519857362
DO - 10.1177/0268355519857362
M3 - Journal article
C2 - 31248336
SN - 1433-3031
VL - 35
SP - 73
EP - 83
JO - Phlebology
JF - Phlebology
IS - 2
ER -