title: The use of a novel method of endovenous steam ablation in treatment of great saphenous vein insufficiency: own experiences.
abstract: OBJECTIVE
  Endovascular procedures are gaining more and more popularity as treatment of great saphenous vein (GSV) incompetence. The purpose of the present study was to assess the efficacy of steam GSV ablation.
  
  
  METHODS
  Steam ablation using the steam vein sclerosis system (CERMA, France) was performed in 20 patients with GSV incompetence. The efficacy of the procedure was evaluated using ultrasound and the following parameters were assessed: changes in lumen diameter, GSV wall thickness, reflux and presence/absence of blood flow.
  
  
  RESULTS
  The GSV steam ablation resulted in the obliteration of the vein lumen in all patients - reflux or blood flow were not observed in any subject. A significant decrease of GSV lumen diameter and an increase of GSV wall thickness were also observed in all subjects following the procedure. No postoperative complications were noted. The steam ablation technique was also positively assessed by the patients.
  
  
  CONCLUSIONS
  Steam ablation is an endovascular surgical technique, which can become popular and widely used due to its efficacy and safety. It is also easy to use and patient-friendly. The research on its use should be continued.
authors.affiliation: Department of Diagnostic Imaging of the II Medical Faculty of the Medical University of Warsaw.
authors.forename: R K
authors.initials: RK
authors.lastname: Mlosek
authors.forename: W
authors.initials: W
authors.lastname: Woźniak
authors.forename: L
authors.initials: L
authors.lastname: Gruszecki
authors.forename: R Z
authors.initials: RZ
authors.lastname: Stapa
mesh_terms: D000328:Adult; D017115:Catheter Ablation; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D005268:Femoral Vein / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012501:Saphenous Vein / Q000473:pathology*; D013227:Steam; D016896:Treatment Outcome; D014463:Ultrasonography; D018616:Ultrasonography, Doppler, Duplex; D014648:Varicose Veins / Q000209:etiology; D014689:Venous Insufficiency / Q000628:therapy*
chemical_list: D013227:Steam
keywords: Doppler ultrasound; duplex ultrasound; endovascular treatment; endovenous technique; great saphenous vein