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Venous Insufficiency: Endovascular and Surgical Treatment. | LitMetric

Venous Insufficiency: Endovascular and Surgical Treatment.

Curr Cardiol Rep

Department of Vascular Surgery, Heart, Vascular & Thoracic Institute, Cleveland Clinic, 9500 Euclid Ave, F30, Cleveland, OH, 44195, USA.

Published: March 2025

Purpose Of Review: Venous insufficiency (VI) is a is a common and debilitating disease that can present with a wide range of manifestations ranging from telangiectasias to venous ulceration. The chapter explores various endovascular and open-surgical modalities used for VI, their technique, patient selection, outcomes, complications, and comparison with other modalities.

Recent Findings: The use of non-thermal and non-tumescent ablation techniques are found to have a better quality of life scores; however, the primary closure rates are inferior to thermal ablation techniques. A wide range of treatment modalities are available, ranging from conservative management, endovascular techniques and open-surgical options. Each intervention has its unique benefits, limitations, and potential complications. The management approach for VI is not one-fits-all, and must be meticulously tailored to each patient, carefully considering their disease severity, anatomy, quality of life, and expectations, for an effective treatment.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885322PMC
http://dx.doi.org/10.1007/s11886-024-02155-xDOI Listing

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