title: Update of endovenous treatment modalities for insufficient saphenous veins--a review of literature.
abstract: Lower-limb venous insufficiency resulting from saphenous vein incompetence is a common disorder, increasing with age. For decades, surgical stripping of the great saphenous vein has been the gold standard in varicose vein treatment. The desire to optimize outcomes of treatment and reduce surgical trauma has led to the development of endovenous techniques. Today, several endovenous techniques are available to ablate the saphenous vein segments with abnormal vein valve function. In this review, we discuss the techniques, mechanisms of action, outcomes, and complications of all endovenous treatment modalities for the treatment of symptomatic lower-limb varicose veins.
authors: Department of Surgery, Rijnstate Hospital, P.O. Box 9555, 6800 TA, Arnhem, The Netherlands. Electronic address: rvaneekeren@rijnstate.nl.
authors: Ramon R J P
authors: RR
authors: van Eekeren
authors: Department of Vascular Surgery, St Antonius Hospital, P.O. Box 2500, 3430 EM, Nieuwegein, The Netherlands.
authors: Doeke
authors: D
authors: Boersma
authors: Department of Vascular Surgery, St Antonius Hospital, P.O. Box 2500, 3430 EM, Nieuwegein, The Netherlands.
authors: Jean-Paul P M
authors: JP
authors: de Vries
authors: Department of Surgery, Division of Vascular Surgery, University Medical Center Groningen, University of Groningen, P.O. Box 30 001, 9700 RB, Groningen, The Netherlands.
authors: Clark J
authors: CJ
authors: Zeebregts
authors: Department of Surgery, Rijnstate Hospital, P.O. Box 9555, 6800 TA, Arnhem, The Netherlands.
authors: Michel M P J
authors: MM
authors: Reijnen
mesh_terms: D055011:Ablation Techniques / Q000009:adverse effects / Q000295:instrumentation; D000818:Animals; D002908:Chronic Disease; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D004867:Equipment Design; D006801:Humans; D012501:Saphenous Vein / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D015911:Sclerotherapy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D062666:Vascular Access Devices; D014689:Venous Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D055422:Venous Valves / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*