Свежая иллюстрация к словам Игоря Анатольевича с предложениями по прогнозированию эффективности изолированного удаления притоков:
Цитата:
The effect of single phlebectomies of a large varicose tributary on great saphenous vein reflux
Anke A.M. Biemans, Renate R. van den Bos, Loes M. Hollestein, M. Birgitte Maessen-Visch, Yvonne Vergouwe, H.A. Martino Neumann, Marianne G.R. de Maeseneer, and Tamar Nijsten
Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2014-04-01, Volume 2, Issue 2, Pages 179-187
Copyright © © 2014 Society for Vascular Surgery
Conclusions
At 1 year of follow-up, treatment with single phlebectomies of a large tributary was effective to abolish GSV reflux in 50% of patients and to free 66% of patients from symptoms. Patients with less extended disease benefit from this approach. Predictors for success are C2 disease, reflux in only one segment (<10 cm), small diameter of the GSV (<5 mm), and positive result of the reflux elimination test. By use of these predictors and the PREST prediction score chart, physicians can evaluate the probability of success after single phlebectomy for each individual patient.
Свжее
обновление Кохрановского обзора по сравнению основных техник уничтожения сафенных вен. С 2011 добавилось 8 РКИ, выводы, кажется, не сильно изменились.
Цитата:
Cochrane Database Syst Rev. 2014 Jul 30;7:CD005624. doi: 10.1002/14651858.CD005624.pub3.
Endovenous ablation (radiofrequency and laser) and foam sclerotherapy versus open surgery for great saphenous vein varices.
Nesbitt C1, Bedenis R, Bhattacharya V, Stansby G.