COMPREHENSIVE APPROACH TO ISOLATED ELIMINATION OF SUPERFICIAL TRUNCAL REFLUX
Abstract
The aim of this work was a comprehensive analysis of a two-stage treatment strategy - isolated endovenous laser ablation (EVLA) of the main superficial vein, followed by assessment of the left suprafascial tributaries and their elimination, if necessary. Material: in a prospective study we analyzed the results of treatment of 374 patients who had 420 EVLA of the truncal superficial veins. Results: at the second month, in 83 (19.8%) limbs was complete regression of tributaries. In 276 (65.7%) cases, a significant decrease in the number of tributaries or their diameter was noted. There was no clinical improvement in 61 (14.5%) limbs. At the sixth month 98 (23.3%) limbs were assigned to the first group, 265 (63.1%) to the second, and in 57 (13.6%) cases the tributaries remained unchanged. In 271 cases with chronic venous disorders symptoms, they regressed on 220 (81.2%) limbs at the second, and on 226 (83.4%) at the sixth month. Thrombophlebitis of the left suprafascial veins developed in 46 (10.9%) limbs. Conclusions: 1) Complete regression of tributaries was observed in 19.8% of the limbs at the second, and in 23.3% at the sixth month. In 63.1–65.7% of cases, there was a significant decrease of the number of tributaries or their diameter. 2) Symptoms of chronic venous disorders regressed in 83.4% of the extremities by the sixth month. 3) The incidence of thrombophlebitis of the tributaries was in 10.9% of cases.
About the Authors
A. A. Fokin
South Ural State Medical University
Russian Federation
Russian Federation
D. A. Borsuk
South Ural State Medical University
Russian Federation
Russian Federation
M. V. Shaldina
Phlebology clinic “VenoClinica” LLC “Vasculab”
Russian Federation
Russian Federation
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For citations:
Fokin A.A., Borsuk D.A., Shaldina M.V. COMPREHENSIVE APPROACH TO ISOLATED ELIMINATION OF SUPERFICIAL TRUNCAL REFLUX. Title in english. 2022;17(4):73-81. (In Russ.)
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