title: Compression regimes after endovenous ablation for superficial venous insufficiency--A survey of members of the Vascular Society of Great Britain and Ireland.
abstract: BACKGROUND
  The optimal compression regime following ultrasound guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) for varicose veins is not known. The aim of this study was to document current practice.
  
  
  METHODS
  Postal questionnaire sent to 348 consultant members of the Vascular Society of Great Britain and Ireland.
  
  
  RESULTS
  Valid replies were received from 41% (n = 141) surgeons representing at least 68 (61%) vascular units. UGFS was used by 74% surgeons, RFA by 70% and EVLA by 32%, but fewer patients received UGFS (median 30) annually, than endothermal treatment (median 50)--P = 0.019. All surgeons prescribed compression: following UGFS for median seven days (range two days to three months) and after endothermal ablation for 10 days (range two days to six weeks)--P = 0.298. Seven different combinations of bandages, pads and compression stockings were reported following UGFS and four after endothermal ablation. Some surgeons advised changing from bandages to stockings from five days (range 1–14) after UGFS. Following endothermal ablation, 71% used bandages only, followed by compression stockings after two days (range 1–14). The majority of surgeons (87%) also treated varicose tributaries: 65% used phlebectomy, the majority (65%) synchronously with endothermal ablation. Concordance of compression regimes between surgeons within vascular units was uncommon. Only seven units using UGFS and six units using endothermal ablation had consistent compression regimes.
  
  
  CONCLUSIONS
  Compression regimes after treatments for varicose veins vary significantly: more evidence is needed to guide practice.
authors.forename: J
authors.initials: J
authors.lastname: El-Sheikha
authors.forename: S
authors.initials: S
authors.lastname: Nandhra
authors.forename: D
authors.initials: D
authors.lastname: Carradice
authors.forename: C
authors.initials: C
authors.lastname: Acey
authors.forename: G E
authors.initials: GE
authors.lastname: Smith
authors.forename: B
authors.initials: B
authors.lastname: Campbell
authors.forename: I C
authors.initials: IC
authors.lastname: Chetter
mesh_terms: D016342:Angioplasty, Laser / Q000379:methods*; D017115:Catheter Ablation / Q000379:methods*; D005260:Female; D006801:Humans; D007494:Ireland; D008297:Male; D017410:Practice Guidelines as Topic; D015911:Sclerotherapy / Q000379:methods*; D053828:Stockings, Compression; D006113:United Kingdom; D014689:Venous Insufficiency / Q000628:therapy*