Publications by authors named "Simone K van der Velden"
Article Synopsis
- Isolated ambulatory phlebectomy is a treatment option for patients with incompetent great saphenous veins (GSV) and tributaries, and identifying which patients may benefit is crucial.
- The study utilized data from the SAPTAP trial to develop a multivariable model predicting the likelihood of avoiding secondary axial ablation after the procedure, testing various patient characteristics as predictors.
- The final model identified three key predictors: tributary length, presence of saphenofemoral junction reflux, and trunk diameter, showing moderate effectiveness in predicting outcomes to inform patient treatment planning.
Article Synopsis
- Current treatments for vein incompetence often involve either immediate or delayed ablation methods, but this study explores whether a specific procedure called single ambulatory phlebectomy (SAP) is as effective and cost-efficient as thermal endovenous ablation with phlebectomy (TAP).
- A clinical trial involving 464 patients showed that, after one year, those who underwent SAP reported similar quality of life and symptom relief as those who received TAP, with 25.6% of SAP patients needing additional treatment.
- SAP was found to be a cheaper option compared to TAP while providing non-inferior results in patient outcomes, making it a viable alternative in treating vein incompetence.
Objective: The aim was to evaluate the safety and effectiveness of endovenous thermal ablation (EVTA) with or without adding high ligation (HL) for the treatment of incompetent saphenous veins with an aneurysm (>20 mm for the great saphenous vein, >15 mm for the small saphenous vein) close to the junction.
Methods: This was a prospective observational cohort study in a single centre. All patients presenting with saphenous aneurysms close to the junction were included.