TREATMENT OF VARICOSE DISEASE: THERMAL METHODS AGAINST NONTHERMAL ONES (PROFESSIONAL COMMUNITY OPINION)
https://doi.org/10.35266/2949-3447-2025-1-5
Abstract
The article presents the survey results of 97 practicing phlebologists, vascular surgeons, general surgeons, ultrasound/functional diagnosticians and specialists in X-ray endovascular diagnostics and treatment on tactical approaches to non-thermal non-tumescent methods of varicose disease treatment.
About the Authors
S. M. Markin
Saint Petersburg Clinical Hospital, Saint Petersburg
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Surgeon
K. S. Novitskaya
Surgut State University, Surgut
Russian Federation
Russian Federation
Assistant of the Department of Physiology and Morphology, Surgeon
P. F. Kravtsov
Samara State Medical University, Samara
Russian Federation
Russian Federation
Candidate of Sciences (Medicine), Сardiovascular Surgeon
A. S. Artemova
LLC “Dinastiya”, Saint Petersburg
Russian Federation
Russian Federation
Cardiovascular Surgeon
References
1. Бокерия Л. А., Михайличенко М. В., Прядко С. И. и др. Хирургическое лечение больных с варикозной болезнью нижних конечностей. Эволюция проблемы – прошлое и настоящее // Анналы хирургии. 2014. № 4. С. 5–12.
2. Malskat W. S. J., Engels L. K., Hollestein L. M. et al. Commonly used endovenous laser ablation (EVLA) parameters do not influence efficacy: results of a systematic review and meta-analysis // European Journal of Vascular & Endovascular Surgery. 2019. Vol. 58, no. 2. P. 230–242. https://doi.org/10.1016/j.ejvs.2018.10.036.
3. Агаларов Р. М., Мазайшвили К. В., Маркин С. М. и др. Сравнение повреждений венозной стенки при механо-химической и цианоакрилатной облитерации вен в остром эксперименте // Вестник Национального медико-хирургического Центра им. Н. И. Пирогова. 2019. Т. 14, № 4. С. 32–35.
4. Elias S., Raines J. K. Mechanochemical tumescentless endovenous ablation: final results of the initial clinical trial // Phlebology: The Journal of Venous Disease. 2012. Vol. 27, no. 2. P. 67–72. https://doi.org/10.1258/phleb.2011.010100.
5. Almeida J. I., Javier J. J., Mackay E. et al. First human use of cyanoacrylate adhesive or treatment of saphenous vein incompetence // Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2013. Vol. 1, no. 2. P. 174–180. https://doi.org/10.1016/j.jvsv.2012.09.010.
6. Маркин C. М., Мазайшвили К. В., Агаларов Р. М. и др. Оценка жизненного цикла нетермальных нетумесцентных методов по mckinlay // Вестник Национального медико-хирургического Центра им. Н. И. Пирогова. 2019. Т. 14, № 3, С. 110–115.
7. Bootun R., Lane T., Dharmarajah B. et al. Intra-procedural pain score in a randomised controlled trial comparing mechanochemical ablation to radiofrequency ablation: The Multicentre Venefit™ versus ClariVein® for varicose veins trial // Phlebology: The Journal of Venous Disease. 2014. Vol. 31, no. 1. P. 61–65. https://doi.org/10.1177/0268355514551085.
8. Lane T., Bootun R., Dharmarajah B. et al. A multi-centre randomised controlled trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins – Final results of the Venefit versus Clarivein for varicose veins trial // Phlebology: The Journal of Venous Disease. 2016. Vol. 32, no. 2. P. 89–98. https://doi.org/10.1177/0268355516651026.
9. Amshar M., Nugraha R. A., Batubara E. A. D. et al. Cyanoacrylate Embolization versus Endovenous Laser Ablation in Treating Saphenous Vein Insufficiency: A Systematic Review and MetaAnalysis // Annals of Vascular Surgery. 2022. Vol. 80. P. 313–324. https://doi.org/10.1016/j.avsg.2021.09.041.
10. Gao R.-D., Qian S.-Y., Wang H.-H. et al. Strategies and challenges in treatment of varicose veins and venous insufficiency // World Journal of Clinical Cases. 2022. Vol. 10, no. 18. P. 5946–5956. https://doi.org/10.12998/wjcc.v10.i18.5946.
11. Vähäaho S., Mahmoud O., Halmesmäki K. et al. Randomized clinical trial of mechanochemical and endovenous thermal ablation of great saphenous varicose veins // British Journal of Surgery. 2019. Vol. 106, no. 5. P. 548–554. https://doi.org/10.1002/bjs.11158.
12. Bootun R., Lane T. R. A., Davies A. H. The advent of non-thermal, non-tumescent techniques for treatment of varicose veins // Phlebology: The Journal of Venous Disease. 2016. Vol. 31, no. 1. P. 5–14. https://doi.org/10.1177/0268355515593186.
13. Proebstle T. M., Alm J., Dimitri S. et al. The European multicenter cohort study on cyanoacrylate embolization of refluxing great saphenous veins // Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2015. Vol. 3, no. 1. P. 2–7. https://doi.org/10.1016/j.jvsv.2014.09.001.
14. Park I. Initial Outcomes of Cyanoacrylate Closure, VenaSeal System, for the Treatment of the Incompetent Great and Small Saphenous Veins // Vascular and Endovascular Surgery. 2017. Vol. 51, no. 8. P. 545–549. https://doi.org/10.1177/1538574417729272.
15. Koramaz İ., El Kılıç H., Gökalp F. et al. Ablation of the great saphenous vein with nontumescent n-butyl cyanoacrylate versus endovenous laser therapy // Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2016. Vol. 5, no. 2. P. 210–215. https://doi.org/10.1016/j.jvsv.2016.09.007.
16. Kolluri R., Gibson K., Cher D. et al. Roll-in phase analysis of clinical study of cyanoacrylate closure for incompetent great saphenous veins // Journal of Vascular Surgery: Venous and Lymphatic Disorders. 2016. Vol. 4, no. 4. P. 407–415. https://doi.org/10.1016/j.jvsv.2016.06.017.
17. Vun S. V., Rashid S. T., Blest N. C. et al. Lower pain and faster treatment with mechanic-chemical endovenous ablation using ClariVein® // Phlebology: The Journal of Venous Disease. 2015. Vol. 30, no. 10. P. 688–692. https://doi.org/10.1177/0268355514553693.
18. Witte M. E., Holewijn S., van Eekeren R. R. et al. Midterm Outcome of Mechanochemical Endovenous Ablation for the Treatment of Great Saphenous Vein Insufficiency // Journal of Endovascular Therapy. 2017. Vol. 24, no. 1. P. 149–155. https://doi.org/10.1177/1526602816674455.
19. Van Eekeren R. R. J. P., Boersma D., Konijn V. et al. Postoperative pain and early quality of life after radiofrequency ablation and mechanochemical endovenous ablation of incompetent great saphenous veins // Journal of Vascular Surgery. 2013. Vol. 57, no. 2. P. 445–450. https://doi.org/10.1016/J.JVS.2012.07.049.
20. Sadek M., Kabnick L. S. Are Non-Tumescent Ablation Procedures Ready to Take Over? // Phlebology: The Journal of Venous Disease. 2014. Vol. 29. P. 55–60. https://doi.org/10.1177/0268355514526681.
Review
For citations:
Markin S.M., Novitskaya K.S., Kravtsov P.F., Artemova A.S. TREATMENT OF VARICOSE DISEASE: THERMAL METHODS AGAINST NONTHERMAL ONES (PROFESSIONAL COMMUNITY OPINION). Vestnik SurGU. Meditsina. 2025;18(1):44-53. (In Russ.) https://doi.org/10.35266/2949-3447-2025-1-5
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