Journal of Vascular Surgery
Volume 42, Issue 3 , Pages 502-509 , September 2005

Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency

Presented at the Seventeenth Annual Meeting of the American Venous Forum, San Diego, Calif, Feb 9-13, 2005.

  • Robert F. Merchant, MD

      Affiliations

    • The RenoVein Clinic
    • Corresponding Author InformationReprint requests: Robert F. Merchant, MD, The Reno Vein Clinic, 1420 Holcomb Avenue, Ste A, Reno, NV 89502
    • ,
  • Olivier Pichot, MD

      Affiliations

    • Vascular Medicine Division, CHU de Grenoble
    • ,
  • Closure Study Group

Received 11 February 2005 ,Accepted 1 May 2005.

References 

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  2. Fischer R , Chandler JG , De Maeseneer MG , Frings N , Lefebvre-Vilarbedo M , Earnshaw JJ , et al.   The unresolved problem of recurrent saphenofemoral reflux . J Am Coll Surg . 2002;195:80–94
  3. Rautio T , Ohinmaa A , Perala J , Ohtonen P , Heikkinen T , Wiik H , et al.   Endovenous obliteration versus conventional stripping operation in the treatment of primary varicose veins (A randomized controlled trial with comparison of the costs) . J Vasc Surg . 2001;31:958–965
  4. Lurie F , Creton D , Eklof B , Kabnick LS , Kistner RL , Pichot O , et al.   Prospective randomized study of endovenous radiofrequency obliteration (Closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS Study) . J Vasc Surg . 2001;31:207–214
  5. Stötter L , Schaaf I , Fendl R , Bockelbrink A . Radiowellenobliteration, invaginierstes Stripping oder Kryostripping (Welches Verhfaren belastet den Patienten am wenigsten? Eine prospektive, randomisierte Vergleichsstudie) . [German] Phlebologie . 2005;34:19–24
  6. Weiss RA . Endovenous techniques for elimination of saphenous reflux (a valuable treatment modality) . Dermatol Surg . 2001;21:902–905
  7. Weiss RA , Weiss MA . Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux (a 2-year follow-up) . Dermatol Surg . 2001;21:38–42
  8. Kistner RL . Endovascular obliteration of the greater saphenous vein (the Closure procedure) . Jpn J Phlebol . 2001;11:325–333
  9. Merchant RF , DePalma RG , Kabnick LS . Endovascular obliteration of saphenous reflux (a multicenter study) . J Vasc Surg . 2001;35:1190–1196
  10. Pichot O , Kabnick LS , Creton D , Merchant RF , Schuller-Petrovic S , Chandler JG . Duplex ultrasound findings two years after great saphenous vein radiofrequency endovenous obliteration . J Vasc Surg . 2001;31:189–195
  11. Manfrini S , Gasbarro V , Danielsson G , Norgren L , Chandler JG , Lennox AF , et al.  Endovenous Reflux Management Study Group   Endovenous management of saphenous vein reflux . J Vasc Surg . 2001;32:330–342
  12. Dwerryhouse S , Davies B , Harradine K , Earnshaw JJ . Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins (five-year results of a randomized trial) . J Vasc Surg . 1999;29:589–592
  13. Fischer R , Linde N , Duff C , Jeanneret C , Chandler JG , Seeber P . Late recurrent saphenofemoral junction reflux after ligation and stripping of the greater saphenous vein . J Vasc Surg . 2001;34:236–240
  14. van Rij AM , Jones GT , Hill GB , Jiang P . Neovascularization and recurrent varicose veins (more histologic and ultrasound evidence) . J Vasc Surg . 2004;40:296–302
  15. Stucker M , Netz K , Breuckmann F , Altmeyer P , Mumme A . Histomorphologic classification of recurrent saphenofemoral reflux . J Vasc Surg . 2004;39:816–821
  16. Jones L , Braithwaite BD , Selwyn D , Cooke S , Earnshaw JJ . Neovascularisation is the principal cause of varicose vein recurrence (results of a randomised trial of stripping the long saphenous vein) . Eur J Vasc Endovasc Surg . 1996;12:442–445
  17. Stonebridge PA , Chalmers N , Beggs I , Bradbury AW , Ruckley CV . Recurrent varicose veins (a varicographic analysis leading to a new practical classification) . Br J Surg . 1995;82:60–62
  18. Nyamekye I , Shephard NA , Davies B , Heather BP , Earnshaw JJ . Clinicopathological evidence that neovascularisation is a cause of recurrent varicose veins . Eur J Vasc Endovasc Surg . 1998;15:412–415
  19. Glass GM . Neovascularization in recurrence of varices of the great saphenous vein in the groin (phlebography) . Angiology . 1988;39:577–582
  20. Chandler JG , Pichot O , Sessa C , Schuller-Petrovic S , Osse FJ , Bergan JJ . Defining the role of extended saphenofemoral junction ligation (a prospective comparative study) . J Vasc Surg . 2000;32:941–953
  21. Merchant RF , Kistner RL . Endovenous radiofrequency obliteration of saphenous vein reflux . In:  Pearce WH ,  Matsumura JS ,  Yao JS editor. Trends in vascular surgery 2003 . Chicago: Precept Press; 2004;p. 451–463
  22. Merchant RF , Pichot O , Myers KA . Four-year follow-up on endovascular radiofrequency obliteration of great saphenous reflux . Dermatol Surg . 2005;31:129–134

 Competition of interest: R.F.M. has been paid a consulting fee as a member of the advisory board for VNUS Medical Technologies, Inc, owns shares in the company, is on its speakers bureau, and receives a stipend when providing educational opportunities for physicians. O.L. has been paid consulting fees for VNUS Medical Technologies, Inc. VNUS Medical Technologies, Inc, designed the original data collection forms, collected the data forms from the registry centers, arranged for statistical analysis as needed, assisted in the technical aspects of manuscript preparation, and provided nominal funds to assist in defraying physicians’ costs associated with collection of long-term data including follow-up ultrasound studies. R.F.M. reviewed the data personally, and the decision to submit the manuscript was made by the authors.

PII: S0741-5214(05)00758-5

doi: 10.1016/j.jvs.2005.05.007

Journal of Vascular Surgery
Volume 42, Issue 3 , Pages 502-509 , September 2005

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