Article

Venenverklebung versus Radiofrequenztherapie bei Varikosis: Verlaufsstudie über 36 Monate mit 1139 Behandlungen

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Abstract

We report about 3-years-results in a large retrospective comparative study with VenaSeal® Closure System in 1139 veins (799 great saphenous veins (GSV), 340 small saphenous veins (SSV)) versus RFITT in 256 veins (163 GSV, 93 SSV). Our scientific paper compares advantages and disadvantages of both methods and represents the 46-month results of an ambulant clinical single-center study.

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... Thus, in the course of the last nine years, plenty of experience has been gathered with endoluminal therapy, quality criteria have been defined and standards for the different techniques have been developed [2][3][4][7][8][9][10][12][13][14][15]17,19,20,[27][28][29][30][31][32][33]35]. ...
... Elastic stockings should nevertheless by all means be recommended after the treatment of thicker saphenous varicose veins measuring >1.2 cm. They become compulsory where we intend to apply gluing therapy in larger lumens measuring 1.5 cm and more, ectatic veins, junction aneurysmas and also perforator veins [7, [27][28][29][30][31]35]. ...
... Thus, the VenaSeal® -procedure appears to be on the same level with, or even superior to the high -frequency radio wave system [14,18]. In the time periods between 12 and 36 months covered by follow -up examinations up to now, both procedures have proven quite clearly superior (99.6%) [7, 17,18,21,30,35] to laser therapy in terms of effectiveness. ...
... In particular, even subcutaneously situated saphenous veins could be glued without any significant skin reaction (reddening, swelling). We also clearly prefer Sealing in the treatment of SSV and now also in GSV due to a large number of neurological sensations in connection with treatment by Laser and Radiofrequency [24,25]. Nearly all patients were greatly surprised at the fully ambulatory intraoperative procedure and the brief and pleasant postoperative convalescence phase. ...
... Also the surgeons of the "Golden Twenties" didn`t love the radical surgery! But today we have the ultrasound and all colleagues who work with endovenous procedures meanwhile have reliable criteria for a high -quality therapy [2][3][4][5][6][7][8][12][13][14][15][16][17]20,[24][25][26]. The VenaSeal® -closure procedure is the newest technical development in the series of endovenous therapeutic procedures. ...
... The results of first comparative studies show that the vein glue is clearly superior with regard to postoperative side effects though. Both the pain score and the rate of side effects are very low in comparison [25]. ...
Article
Endovenous treatment of varicose veins, especially thermal procedures using laser and radio frequencies, has become established as an effective alternative to surgery by stripping and high ligation. Although these methods are very sparing and patient-friendly, they also entail risks and side effects. The risk of damage to peripheral and motor nerves is certainly lower than with open surgery, however it still exists as a result of heat application and tumescent anesthesia. Several non-thermal procedures which do not require the use of tumescent anesthesia are coming onto the market. They carry a significantly lower risk of nerve lesions while remaining highly effective. The present work analyses the current state of knowledge on the latest to be developed, cyanoacrylate adhesion of incompetent saphenous veins.
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