Great Saphenous Vein

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Ruth L Bush - One of the best experts on this subject based on the ideXlab platform.

  • aneurysmal dilatation of the Great Saphenous Vein stump after endovenous laser ablation
    Journal of Vascular Surgery, 2008
    Co-Authors: Leigh J Eidson, Linda G Shepherd, Ruth L Bush
    Abstract:

    Endoluminal ablation either by laser or radiofrequency energy of the Great Saphenous Vein has become the standard therapy for varicose Veins caused by Great Saphenous Vein insufficiency. The rapid recovery time and low complication profile are both reasons practitioners and patients choose this treatment modality. Complications are rare and are usually minor. This report presents a patient who presented with aneurysmal dilatation of the Saphenous Vein remnant, with evidence of an arteriovenous fistula, 15 months after endovenous laser therapy. The abnormality was surgically resected and the fistula successfully ligated. This may be the first report of the formation and treatment of a venous aneurysm with arteriovenous fistula involving the Great Saphenous Vein stump after endovenous laser therapy.

Thomas S. Monahan - One of the best experts on this subject based on the ideXlab platform.

  • Ultrasound assessment of Great Saphenous Vein insufficiency
    Journal of Vascular Diagnostics, 2015
    Co-Authors: Rajiv K Chander, Thomas S. Monahan
    Abstract:

    Duplex ultrasonography is the ideal modality to assess Great Saphenous Vein insufficiency. Duplex ultrasonography incorporates both gray scale images to delineate anatomy and color-Doppler imaging that visualizes the flow of blood in a structure. Assessment of Great Saphenous Vein requires definition of the anatomy, augmentation of flow, evaluation for both superficial and deep Vein thrombosis, and determining the presence of reflux. Currently, evolution in the treatment of reflux also relies on ultrasound for the treatment of the disease. Understanding the utilization of the ultrasound for the diagnosis and treatment of Greater Saphenous Vein reflux is important for practitioners treating reflux disease.

Chen Lufen - One of the best experts on this subject based on the ideXlab platform.

  • The Clinical Experience of Treatment of Great Saphenous Vein Varicosis with High Ligation of Great Saphenous Vein Combined with Catheter-Directed Foam Sclerotherapy With X-ray
    Journal of Fujian Medical University, 2013
    Co-Authors: Chen Lufen
    Abstract:

    Objective To observe the clinical efficacy of the treatment of the Great Saphenous Vein varicosis with high ligation of Great Saphenous Vein combined with catheter-directed foam sclerotherapy with X-ray. Methods Eighty-one cases(ninety-two affected limbs)with Great Saphenous Vein varices were treated with high ligation combined with catheter-directed foam sclerotherapy with X-ray,and the clinical efficacy of the treatment was observed. Results All of the ninety-two affected limbs got satisfactory surgical results without relapse with follow-up for 6~30months'. Conclusion The treatment of the Great Saphenous Vein varicosis with high ligation of Great Saphenous Vein combined with catheter-directed foam sclerotherapy with X-ray is a simple,safe and effective operation,especially applicable for those who have cosmetic requirements or those who can't endure the traditional operations.

Leigh J Eidson - One of the best experts on this subject based on the ideXlab platform.

  • aneurysmal dilatation of the Great Saphenous Vein stump after endovenous laser ablation
    Journal of Vascular Surgery, 2008
    Co-Authors: Leigh J Eidson, Linda G Shepherd, Ruth L Bush
    Abstract:

    Endoluminal ablation either by laser or radiofrequency energy of the Great Saphenous Vein has become the standard therapy for varicose Veins caused by Great Saphenous Vein insufficiency. The rapid recovery time and low complication profile are both reasons practitioners and patients choose this treatment modality. Complications are rare and are usually minor. This report presents a patient who presented with aneurysmal dilatation of the Saphenous Vein remnant, with evidence of an arteriovenous fistula, 15 months after endovenous laser therapy. The abnormality was surgically resected and the fistula successfully ligated. This may be the first report of the formation and treatment of a venous aneurysm with arteriovenous fistula involving the Great Saphenous Vein stump after endovenous laser therapy.

Sergio Barahona - One of the best experts on this subject based on the ideXlab platform.

  • endovenous laser and echo guided foam ablation in Great Saphenous Vein reflux one year follow up results
    Journal of Vascular Surgery, 2008
    Co-Authors: Rodrigo Gonzalezzeh, Ricardo Armisen, Sergio Barahona
    Abstract:

    Background Great Saphenous Vein (GSV) reflux is the most frequent form of venous insufficiency in symptomatic patients and is commonly responsible for varicose Veins of the lower extremity. This non-randomized prospective controlled study was designed to test the hypothesis that 1) endovenous laser treatment is more effective than foam sclerotherapy in the closure of the refluxing GSV (as measured by degree of Great Saphenous Vein reflux and venous clinical severity score changes) and 2) to record the associated complications of echo-guided endovenous chemical ablation with foam and endovenous laser therapy for the treatment of Great Saphenous Vein reflux and to further identify risk factors associated with treatment failure. Methods Between January 1, 2006 and June 25, 2006, patients seeking treatment of varicose Veins at a private practice of vascular medicine were assessed for the study. Inclusion criteria were: 1) presence of Great Saphenous Vein reflux and 2) C2-6, Epr, A s, according to the CEAP classification. The selected patients consented into the study and were allowed to choose between foam (53 patients) or laser (45 patients) treatment. Duplex examinations were performed prior to treatment and at seven and 14 days, four weeks, six months, and one year after treatment. Venous clinical severity score was assessed pre-treatment and at one year post-procedure. Results The cohorts showed no statistically significant differences in age, sex, clinical and anatomical presentation, Great Saphenous Vein diameter, and venous clinical severity score before the treatments. After one year follow up, occlusion of the Great Saphenous Vein was confirmed in 93.4% (42/45) of limbs studied in the laser group and 77.4% (41/53) of limbs in the foam group ( P P P P P Conclusions Overall, endovenous laser ablation achieved higher occlusion rates than echo-guided chemical ablation with foam after one year follow-up. Matching the patient to the technique based on Great Saphenous Vein diameter measured before treatment may assist in boosting the treatment success rate to >90%. A larger patient cohort followed and compared over a longer period of time would be required to confirm these findings.