Safety of synchronous prophylactic ablation of the anterior saphenous vein in patients undergoing great saphenous vein thermal ablation- 6 months follow-up data of the SYNCHRONOUS study.

Endovenous laser ablation anterior saphenous vein chronic venous insufficiency complications endovenous laser ablation great saphenous vein safety simultaneous ablation varicose veins

Journal

Phlebology
ISSN: 1758-1125
Titre abrégé: Phlebology
Pays: England
ID NLM: 9012921

Informations de publication

Date de publication:
30 May 2024
Historique:
medline: 31 5 2024
pubmed: 31 5 2024
entrez: 30 5 2024
Statut: aheadofprint

Résumé

The SYNCHRONOUS-study investigates simultaneous ASV-ablation with great saphenous vein (GSV) treatment in endovenous laser ablation (EVLA) for preventing varicose vein recurrence. This sub-study examines complication rates associated with prophylactic ASV-ablation. Among 1173 patients with refluxing GSV, 604 underwent GSV-ablation only, and 569 received additional ASV-ablation. Complication rates were compared over 6 months. Approximately 80% of patients were complication-free with minor bruising and dysesthesia being most common complications. After 6 months, additional prophylactic ASV-ablation did not increase the rate of complications compared to GSV-only treatment. The 6-months follow-up data suggests that prophylactic ASV-closure, alongside GSV-treatment, is safe, with similar complication rates to GSV-only EVLA.

Sections du résumé

BACKGROUND BACKGROUND
The SYNCHRONOUS-study investigates simultaneous ASV-ablation with great saphenous vein (GSV) treatment in endovenous laser ablation (EVLA) for preventing varicose vein recurrence. This sub-study examines complication rates associated with prophylactic ASV-ablation.
METHODS METHODS
Among 1173 patients with refluxing GSV, 604 underwent GSV-ablation only, and 569 received additional ASV-ablation. Complication rates were compared over 6 months.
RESULTS RESULTS
Approximately 80% of patients were complication-free with minor bruising and dysesthesia being most common complications. After 6 months, additional prophylactic ASV-ablation did not increase the rate of complications compared to GSV-only treatment.
CONCLUSION CONCLUSIONS
The 6-months follow-up data suggests that prophylactic ASV-closure, alongside GSV-treatment, is safe, with similar complication rates to GSV-only EVLA.

Identifiants

pubmed: 38815590
doi: 10.1177/02683555241257840
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2683555241257840

Déclaration de conflit d'intérêts

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Carmen K Dietrich (CK)

Department for Dermatology, University of Heidelberg, Heidelberg, Germany.

Tobias Hirsch (T)

Praxis fuer Innere Medizin und Gefaßkrankheiten, Halle/Saale, Germany.

Karsten Hartmann (K)

Venenzentrum Freiburg, Freiburg, Germany.

Thomas Mattausch (T)

Venenzentrum am Bruhl, Leipzig, Germany.

Hans-Christian Wenzel (HC)

Venenzentrum am Bruhl, Leipzig, Germany.

Philipp Zollmann (P)

MVZ Dr. Ph. Zollmann & Kollegen, Jena, Germany.

Jürgen Veltman (J)

MVZ Dr. Ph. Zollmann & Kollegen, Jena, Germany.

Thomas K Weiler (TK)

Venenzentrum Pforzheim, Pforzheim, Germany.

Guido Lengfellner (G)

Venen-Fachpraxis Regensburg, Regensburg, Germany.

Lars Müller (L)

Dermatologikum Hamburg, Hamburg, Germany.

Markus Stücker (M)

Venenzentrum der Dermatologischen und Gefaßchirurgischen Kliniken, Bochum, Germany.

Felizitas Pannier (F)

Private Practice Dermatology and Phlebology, Bonn, Germany.

Lorenz Uhlmann (L)

Institute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.

Christine Müller-Christmann (C)

Department for Dermatology, University of Heidelberg, Heidelberg, Germany.

Classifications MeSH