Surgical interventions with preservation of saphenous vein in the treatment of varicose disease: retrospective evaluation

Authors

  • Luminița VESCU Nicolae Testemițanu State University of Medicine and Pharmacy; Institute of Emergency Medicine
  • Dumitru CASIAN Nicolae Testemițanu State University of Medicine and Pharmacy; Institute of Emergency Medicine
  • Vasile CULIUC Nicolae Testemițanu State University of Medicine and Pharmacy; Institute of Emergency Medicine

DOI:

https://doi.org/10.52692/1857-0011.2024.1-78.27

Keywords:

varicose vein disease, saphenous vein preservation, ASVAL strategy

Abstract

With the alarming increase in the number of ablative interventions in the treatment of varicose disease, the application of saphenous preserving strategies is current in light of the growing evidence of the importance of the saphenous vein as a graft. We evaluated a clinical case series, which included 194 patients (209 lower limbs) with varicose veins, undergoing surgical interventions with saphenous vein preservation. The present article reflects the clinical-demographic characteristics of the patients and the results of the preoperative imaging investigations, together with the early clinical outcomes of the respective types of surgery.

Author Biographies

Luminița VESCU, Nicolae Testemițanu State University of Medicine and Pharmacy; Institute of Emergency Medicine

PhD student, University Assistant

Dumitru CASIAN , Nicolae Testemițanu State University of Medicine and Pharmacy; Institute of Emergency Medicine

Doctor Habilitatus in Medical Sciences, Associate Professor

Vasile CULIUC , Nicolae Testemițanu State University of Medicine and Pharmacy; Institute of Emergency Medicine

Doctor in Medical Sciences, Associate Professor

References

De Maeseneer G.M., Kakkos S.K., Aherne T. et al., European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs. Eur. J. Vasc. Endovasc. Surg., 2022; 63(3):184-267.

Ricci S., Conservative REflux Elimination Device (CREED): The Virtual Phlebectomy. Journal of Theoretical and Applied Vascular Research, 2022; 7(1):1-10.

Casian D., Validarea externă retrospectivă a”testului de success în eliminarea refluxului după flebectomie” la pacienții cu maladie varicoasă. Arta Medica, 2015; 3(56):137-38.

Pittaluga P., Chastanet S., Rea B. et al., Midterm results of the surgical treatment of varices by phlebectomy with conservation of a refluxing saphenous vein. J. Vasc. Surg., 2009; 50(1):107-18.

Pittaluga P., Chastanet S., Rea B. et al., Midterm results of the surgical treatment of varices by phlebectomy with conservation of a refluxing saphenous vein. J. Vasc. Surg., 2009; 50:107-18.

Zolotukhin I.A., Seliverstov E.I., Zakharova E.A. et al., Short-term results of isolated phlebectomy with preservation of incompetent great saphenous vein (ASVAL procedure) in primary varicose veins disease. Phlebology, 2017; 32(9):601-07.

Zamboni P., Cisno C., Marchetti F. et al., Reflux elimination without any ablation or disconnection of the saphenous vein. A haemodynamic model for venous surgery. Eur. J. Vasc. Endovasc. Surg., 2001; 21(4):361-9.

Onida S., Davies A.H., CHIVA, ASVAL and related techniques - concepts and evidence. Phlebology., 2015; 30(2 Suppl):42-5.

Muñoz A., Muñoz D., Cardozo A., Saphenous vein ablation a word of caution. J. Vasc. Surg. Venous Lymphat. Disord., 2024; 19:101728.

Chastanet S., Pittaluga P., Patterns of reflux in the great saphenous vein system. Phlebology., 2013; 28(1):39-46.

Casian D., Gutsu E., Culiuc V., Validation of the Romanian Translated ABC-V (Assessment of Burden in Chronic – Venous Disease) Questionnaire. Chirurgia., 2013; 108:381-84.

Vasquez M.A., Rabe E., McLafferty R.B. et al., Revision of the venous clinical severity score: venous outcomes consensus statement: special communication of the American Venous Forum Ad Hoc Outcomes Working Group. J. Vasc. Surg., 2010; 52(5):1387-96.

Eklöf B., Rutherford R.B., Bergan J.J. et al., Revision of the CEAP classification for chronic venous disorders: consensus statement. J. Vasc. Surg., 2004; 40(6):1248-52.

Published

2024-08-05

Issue

Section

Research Article

Categories