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-Reference-Cited by-同舟云学术

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

Published:2024-05-30 Issue: Volume: Page:
ISSN:0268-3555
Container-title:Phlebology: The Journal of Venous Disease
language:en
Short-container-title:Phlebology

Author:

Dietrich Carmen K¹^ORCID,Hirsch Tobias²,Hartmann Karsten³,Mattausch Thomas⁴^ORCID,Wenzel Hans-Christian⁴,Zollmann Philipp⁵,Veltman Jürgen⁵,Weiler Thomas K⁶,Lengfellner Guido⁷,Müller Lars⁸^ORCID,Stücker Markus⁹,Pannier Felizitas¹⁰,Uhlmann Lorenz¹¹,Müller-Christmann Christine¹

Affiliation:

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

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

3. Venenzentrum Freiburg, Freiburg, Germany

4. Venenzentrum am Bruhl, Leipzig, Germany

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

6. Venenzentrum Pforzheim, Pforzheim, Germany

7. Venen-Fachpraxis Regensburg, Regensburg, Germany

8. Dermatologikum Hamburg, Hamburg, Germany

9. Venenzentrum der Dermatologischen und Gefaßchirurgischen Kliniken, Bochum, Germany

10. Private Practice Dermatology and Phlebology, Bonn, Germany

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

Abstract

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 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 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 The 6-months follow-up data suggests that prophylactic ASV-closure, alongside GSV-treatment, is safe, with similar complication rates to GSV-only EVLA.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/02683555241257840

Reference16 articles.

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5. Impact of a synchronous prophylactic treatment of the anterior accessory saphenous vein on the recurrent varicose vein rate in patients undergoing thermal ablation of an insufficient great saphenous vein (SYNCHRONOUS-Study): study protocol for a prospective, multicentre, controlled observational study