title: American College of Phlebology Guidelines - Treatment of refluxing accessory saphenous veins.
abstract: The American College of Phlebology Guidelines Committee performed a systematic review of the literature regarding the clinical impact and treatment of incompetent accessory saphenous veins. Using an accepted process for guideline developments, we developed a consensus opinion that patients with symptomatic incompetence of the accessory great saphenous veins (anterior and posterior accessory saphenous veins) be treated with endovenous thermal ablation (laser or radiofrequency) or ultrasound-guided foam sclerotherapy to eliminate symptomatology (Recommendation Grade 1C).
authors.affiliation: 1 Lake Washington Vascular Surgeons, Bellevue, WA, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Gibson
authors.affiliation: 2 Weill Cornell Vascular Comprehensive Vein Care, Weill Cornell Medicine, New York, NY, USA.
authors.forename: Neil
authors.initials: N
authors.lastname: Khilnani
authors.affiliation: 3 Lafayette Regional Vein and Laser Center, Lafayette, IN, USA.
authors.forename: Marlin
authors.initials: M
authors.lastname: Schul
authors.affiliation: 4 Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Meissner
mesh_terms: D002309:Cardiology / Q000592:standards*; D017115:Catheter Ablation; D057510:Endovascular Procedures; D006801:Humans; D017410:Practice Guidelines as Topic; D011788:Quality of Life; D011846:Radio Waves; D012008:Recurrence; D012501:Saphenous Vein / Q000503:physiopathology* / Q000601:surgery*; D015911:Sclerotherapy; D012955:Societies, Medical; D016896:Treatment Outcome; D014465:Ultrasonics; D018084:Ultrasonography, Interventional; D014481:United States; D014648:Varicose Veins / Q000628:therapy; D014689:Venous Insufficiency / Q000628:therapy
keywords: Chronic venous disease; chronic venous insufficiency; endovenous thermal ablation; foam sclerotherapy; varicose veins