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The advent of non-thermal, non-tumescent techniques for treatment of varicose veins

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Title: The advent of non-thermal, non-tumescent techniques for treatment of varicose veins
Authors: Bootun, R
Lane, TRA
Davies, AH
Item Type: Journal Article
Abstract: Varicose veins are common and their management has undergone a number of changes over the years. Surgery has been the traditional treatment option, but towards the 21st century, new endovenous thermal ablation techniques, namely, radiofrequency ablation and endovenous laser ablation, were introduced which have revolutionised the way varicose veins are treated. These minimally invasive techniques are associated with earlier return to normal activity and less pain, as well as enabling procedures to be carried out as day cases. They are, however, also known to cause a number of side-effects and involve infiltration of tumescent fluid which can cause discomfort. Non-thermal, non-tumescent methods are believed to be the answer to these unwelcome effects. Ultrasound-guided foam sclerotherapy is one such non-thermal, non-tumescent method and, despite a possible lower occlusion, has been shown to improve the quality of life of patients. The early results of two recently launched non-thermal, non-tumescent methods, mechanochemical ablation and cyanoacrylate glue, are promising and are discussed.
Issue Date: 30-Jun-2015
Date of Acceptance: 8-Mar-2015
URI: http://hdl.handle.net/10044/1/58524
DOI: 10.1177/0268355515593186
ISSN: 0268-3555
Publisher: SAGE PUBLICATIONS INC
Start Page: 5
End Page: 14
Journal / Book Title: Phlebology
Volume: 31
Issue: 1
Copyright Statement: ©2015 The Authors. The final, definitive version of this paper has been published in Phlebology 2016, Vol. 31(1) 5–14 by Sage Publications Ltd. All rights reserved. It is available at: https://dx.doi.org/10.1177/0268355515593186
Sponsor/Funder: Vascular Insight LLC
Funder's Grant Number: PC120430
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
Peripheral Vascular Disease
Cardiovascular System & Cardiology
Varicose veins
mechanochemical ablation
cyanoacrylate glue
GUIDED FOAM SCLEROTHERAPY
GREAT SAPHENOUS VEINS
MECHANOCHEMICAL ENDOVENOUS ABLATION
RANDOMIZED CLINICAL-TRIAL
RADIOFREQUENCY ABLATION
CYANOACRYLATE ADHESIVE
CONVENTIONAL SURGERY
SCLEROSING FOAM
LASER-ABLATION
COMPLICATIONS
Female
Humans
Male
Sclerotherapy
Varicose Veins
1102 Cardiovascular Medicine And Haematology
Cardiovascular System & Hematology
Publication Status: Published
Appears in Collections:Division of Surgery
Faculty of Medicine



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