Is the Endovenous Ablation for Symptomatic Varicose Veins with Mild Reflux of Great Saphenous Appropriate?

Inappropriate use of endovenous ablation for varicose veins is a big issue many phlebological societies. Guidelines chronic venous disease recommend that symptomatic saphenous good indication ablation. However, the improvement quality life (QOL) after surgery patients with primary mild reflux, unclear. The purpose this prospective study was to identify QOL great vein (GSV) in reflux (MVR). We analyzed 129 (149 legs) underwent (female/male ratio 85/44; average age, 69 years; 1470 nm Diode laser 2 rings radial fiber 88 legs, and Venaseal closure 61 GSV, more than 1 year follow-up, participated study. GSV axial from saphenofemoral junction at least knee level. Air plethysmography performed before surgery. Varicose where filling index by air less mL/s were defined as MVR. Duplex ultrasound scanning leg 12 months Venous Clinical Severity Scoring (VCSS) Aberdeen questionnaire (AVVQ) assessment conducted VCSS AVVQ MVR operation compared moderate severe (SVR). There 20 legs (C2: 7 C3:13 CEAP classification) categorized 47 C3: C4a: 22 > C4a 13 SVR. Two additional sclerotherapy found group. recanalized during follow-up 32 or phlebectomy SVR Preoperative diameter 3.53 ± 0.79 mm group 4.57 1.07 (P < .01). both groups improved significantly post operative (Table). Endovenous considered be appropriate QOL. months.TableChanges scores veinsPrePost monthPost monthsPre vs month monthsMVR Average VCSS3.041.280.14P .01P .01 (%)15.39.10.3P .01SVR VCSS4.581.310.69P (%)16.98.93.5P Open table new tab