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Choosing the Best Treatment Approach for Axial Vein Reflux: Thermal versus Nonthermal Approaches
- Source :
- Semin Intervent Radiol
- Publication Year :
- 2021
- Publisher :
- Georg Thieme Verlag KG, 2021.
-
Abstract
- Chronic venous insufficiency is a common and treatable medical condition which has a high morbidity if left untreated, progressing to lower extremity edema, skin changes of lipodermatosclerosis, and venous ulceration. Treatment options have significantly expanded over the last several decades, shifting away from the traditional surgical approach to more minimally invasive procedures such as endoluminal venous laser ablation or radiofrequency ablation. Even more recently, several techniques using nonthermal methods to ablate varicose veins have been developed, which offer the advantage of not requiring labor-intensive and painful tumescent anesthesia to protect the surrounding tissues. These techniques include mechanochemical ablation, cyanoacrylate closure, or polidocanol microfoam injection and can be offered to a wider range of patients without the need for sedation while offering similar closure rates and improved postprocedure symptom profile. Furthermore, certain patient characteristics which might preclude or complicate the use of thermal ablation methods might not pose a problem with nonthermal nontumescent methods.
- Subjects :
- medicine.medical_specialty
Radiofrequency ablation
Chronic venous insufficiency
030204 cardiovascular system & hematology
030230 surgery
law.invention
Polidocanol
03 medical and health sciences
0302 clinical medicine
law
Varicose veins
medicine
Radiology, Nuclear Medicine and imaging
Lipodermatosclerosis
Vein
Tumescent anesthesia
medicine.diagnostic_test
business.industry
Interventional radiology
medicine.disease
Surgery
medicine.anatomical_structure
medicine.symptom
Cardiology and Cardiovascular Medicine
business
medicine.drug
Subjects
Details
- ISSN :
- 10988963 and 07399529
- Volume :
- 38
- Database :
- OpenAIRE
- Journal :
- Seminars in Interventional Radiology
- Accession number :
- edsair.doi.dedup.....8ebe305c1587fe2924bd86a3e3995230