Mechanochemical tumescentless endovenous ablation: final results of the initial clinical trial.

Abstract:

OBJECTIVE:The purpose of this study was to assess the safety and efficacy of the ClariVein(®) system that employs mechanochemical ablation of the great saphenous vein (GSV). METHOD:Patients eligible for ablation of the GSV underwent micropuncture access with only local anaesthesia to insert a 4 or 5 Fr sheath. The ClariVein(®) catheter was placed through the sheath, the wire was extruded, and the distal tip of the wire positioned 2 cm from the saphenofemoral junction under ultrasound guidance. Catheter wire rotation was then activated for 2-3 seconds at approximately 3500 rpm. With the wire rotating, infusion of the sclerosant was started simultaneously with catheter pullback. The sclerosant used was 1.5% liquid sodium tetradecyl sulphate (Sotradecol(©), Bioniche Pharma Group, Geneva, Switzerland). RESULTS:Thirty GSVs in 29 patients were treated. All patients have reached six-month follow-up; the average number of postoperative days is 260. No adverse events have been reported. The Primary Closure Rate is 96.7%. CONCLUSION:Mechanochemical ablation appears to be safe and efficacious. The ClariVein(®) technique eliminates the need for tumescent anaesthesia. The great majority of incompetent GSVs can be treated with this technique.

journal_name

Phlebology

journal_title

Phlebology

authors

Elias S,Raines JK

doi

10.1258/phleb.2011.010100

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

67-72

issue

2

eissn

0268-3555

issn

1758-1125

pii

phleb.2011.010100

journal_volume

27

pub_type

临床试验,杂志文章
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    authors: Deijen CL,Schreve MA,Bosma J,de Nie AJ,Leijdekkers VJ,van den Akker PJ,Vahl A

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    doi:10.1177/0268355520925022

    authors: Serrao A,Lucani B,Baldacci E,Fiori L,Chistolini A

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    doi:10.1177/0268355514568063

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    authors: Tang TY,Lim MH,Damodharan K,Yap CJ,Lee SQ,Yap HY,Chong TT,Tan JW

    更新日期:2021-02-01 00:00:00

  • Patterns in the management of superficial vein thrombosis.

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    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355516641003

    authors: Karathanos C,Spanos K,Lachanas V,Athanasoulas A,Giannoukas AD

    更新日期:2017-04-01 00:00:00

  • A randomized clinical trial of the effects of saphenous and perforating veins radiofrequency ablation on venous ulcer healing (VUERT trial).

    abstract:OBJECTIVES:To investigate whether radiofrequency endovenous ablation (RFA) of saphenous and perforating veins increases venous leg ulcer (VLU) healing rates and prevents ulcer recurrence. METHOD:This prospective, open-label, randomized, controlled, single-center trial recruited 56 patients with VLU divided into: compr...

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    doi:10.1177/0268355520951697

    authors: Puggina J,Sincos IR,Campos W Jr,Porta RMP,Dos Santos JB,De Luccia N,Puech-Leão P,Collares FB,da Silva ES

    更新日期:2020-09-14 00:00:00

  • Importance of patient-reported outcomes in chronic venous disorders.

    abstract::The assessment of outcomes following treatment for chronic venous disease has been greatly improved over the last three decades. The personal opinion of the physician based on assessment of his own results has been replaced by more objective assessment based on well-defined criteria. The author describes and compares ...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s20

    authors: Guex JJ

    更新日期:2012-03-01 00:00:00

  • Pelvic congestion syndrome can be treated operatively with good long-term results.

    abstract::Pelvic congestion syndrome (PCS) is frequent and underestimated as both symptoms and signs are not specific. Furthermore, patients consult general practitioners as well as specialist gynaecologists, urologists, vascular surgeons and phlebologists who are frequently unaware of this condition. Investigation protocol mus...

    journal_title:Phlebology

    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2011.012s03

    authors: Monedero JL,Ezpeleta SZ,Perrin M

    更新日期:2012-03-01 00:00:00

  • Compliance with compression stockings in patients with chronic venous disorders.

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    pub_type: 杂志文章

    doi:10.1258/phleb.2010.010086

    authors: Ziaja D,Kocełak P,Chudek J,Ziaja K

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  • A multi-centre randomised controlled trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins - Final results of the Venefit versus Clarivein for varicose veins trial.

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    journal_title:Phlebology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1177/0268355516651026

    authors: Lane T,Bootun R,Dharmarajah B,Lim CS,Najem M,Renton S,Sritharan K,Davies AH

    更新日期:2017-03-01 00:00:00

  • Guidelines for the management of varicose veins.

    abstract::Recently published evidence-based guidelines of the Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) include recommendations for evaluation, classification, outcome assessment and therapy of patients with varicose veins and more advanced chronic venous insufficiency (CVI). The need for such guide...

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    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2012.012s28

    authors: Gloviczki P,Gloviczki ML

    更新日期:2012-03-01 00:00:00

  • Effect of three-size too large strong stocking on venous hemodynamics in normal subjects.

    abstract:OBJECTIVES:To study the differences in impact on venous hemodynamics between larger size strong graduated elastic compression stockings (GECS) and appropriate size strong/moderate GECS. METHOD:In healthy legs fitted for a small (Group S; n = 8) and large (Group L; n = 8) GECS, air plethysmography was performed without...

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    pub_type: 临床试验,杂志文章

    doi:10.1177/0268355515575828

    authors: Suehiro K,Morikage N,Murakami M,Yamashita O,Harada T,Ueda K,Samura M,Tanaka Y,Hamano K

    更新日期:2016-03-01 00:00:00

  • Endovenous laser ablation for persistent and recurrent venous ulcers after varicose vein surgery.

    abstract::A 75-year-old woman presented with painful recurrent venous ulcers (VU) continuously for the past 33 months on a background of frequent intermittent problems for the last 16 years. She had previously been treated with varicose vein surgery and trials of compression bandaging. Subsequently, she underwent endovenous las...

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    pub_type: 杂志文章

    doi:10.1258/phleb.2008.006044

    authors: Kambal AA,De'Ath HD,Albon H,Watson A,Shandall A,Greenstein D

    更新日期:2008-01-01 00:00:00

  • Treatment of severe chronic venous insufficiency with ultrasound-guided foam sclerotherapy: a two-year series in a single center in Brazil.

    abstract:OBJECTIVES:To portray the initial experience at a public health center of the Federal District of Brazil in the treatment of chronic venous insufficiency with ultrasound-guided foam sclerotherapy in patients in advanced stages of the disease. METHOD:Eighty-seven reports of patients in C5 and C6 stages, according to CE...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章

    doi:10.1177/0268355513517225

    authors: Neto FC,de Araújo GR,Kessler IM,de Amorim RF,Falcão DP

    更新日期:2015-03-01 00:00:00

  • Predicting superficial venous incompetence with strain gauge plethysmography.

    abstract:BACKGROUND:With currently available effective interventional methods to treat superficial venous insufficiency, it becomes particularly important to have a simple and reliable method to evaluate the location and severity of venous reflux. To date, there are few studies that evaluated plethysmography with and without to...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1258/phleb.2011.011001

    authors: Skeik N,Kalsi H,Wysokinski WE,Heaser TV,Wennberg PW

    更新日期:2012-04-01 00:00:00

  • Detection of varicose vein recurrence by duplex ultrasound: intra- and interobserver reproducibility.

    abstract::In a long-term follow-up study comparing saphenofemoral ligation and stripping with endovenous laser ablation, the groin is examined yearly by duplex ultrasound (DUS) to detect postoperative varicose vein recurrence. Clear criteria are needed for the uniformity of DUS observations. Physicians taking care of the follow...

    journal_title:Phlebology

    pub_type: 杂志文章,随机对照试验

    doi:10.1258/phleb.2011.011106

    authors: Gauw SA,Pronk P,Mooij MC,Gaastra MT,Lawson JA,van Vlijmen-van Keulen CJ

    更新日期:2013-03-01 00:00:00

  • Confluence of the right internal iliac vein into a compressed left common iliac vein.

    abstract::The authors describe the abnormal confluence of the right internal iliac vein into a left common iliac vein compressed by the overlying right common iliac artery. The prevalence of this combination of abnormalities, evaluated in cadavers and in living subjects by CT, was 0.9%. The possible obstacle to venous pelvic re...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355515586098

    authors: Caggiati A,Amore M,Sedati P

    更新日期:2016-03-01 00:00:00

  • Physiochemical properties and reproducibility of air-based sodium tetradecyl sulphate foam using the Tessari method.

    abstract::Objectives The objectives were to examine the density, bubble size distribution and durability of sodium tetradecyl sulphate foam and the consistency of production of foam by a number of different operators using the Tessari method. Methods 1% and 3% sodium tetradecyl sulphate sclerosant foam was produced by an experi...

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    doi:10.1177/0268355516655078

    authors: Watkins MR,Oliver RJ

    更新日期:2017-07-01 00:00:00

  • Retrospective cohort study for evaluating the INR monitoring patterns in patients with deep vein thrombosis in daily practice: Analysis of 2010-2013 database of a tertiary care center.

    abstract:OBJECTIVE:To evaluate the international normalized ratio (INR) monitoring patterns in patients with deep vein thrombosis. METHODS:Of 32,012 patients with ≥1 outpatient INR measurement and 42,582 patients with confirmed deep vein thrombosis diagnosis registered to our hospital between 1 January 2010 and 31 December 201...

    journal_title:Phlebology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1177/0268355518806117

    authors: Sargin M,Tasdemir MM,Kuplay H,Erdogan SB,Tandogar N,Akansel S,Kurc E,Orhan G,Aka SA

    更新日期:2019-06-01 00:00:00

  • Haemodynamic changes with the use of neuromuscular electrical stimulation compared to intermittent pneumatic compression.

    abstract:INTRODUCTION:Enhancement of peripheral circulation has been shown to be of benefit in many vascular disorders, and the clinical effectiveness of intermittent pneumatic compression is well established in peripheral vascular disease. This study compares the haemodynamic efficacy of a novel neuromuscular electrical stimul...

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    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0268355514531255

    authors: Williams KJ,Moore HM,Davies AH

    更新日期:2015-06-01 00:00:00

  • Clinical profile and management of external jugular vein aneurysms.

    abstract:OBJECTIVE:External jugular vein (EJV) aneurysm is an extremely uncommon clinical condition. We have studied the clinical profile and need for surgery in this present seven case series of primary external jugular vein aneurysms. METHOD:Over the past three years, we have diagnosed and managed aneurysms of external jugul...

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    pub_type: 杂志文章

    doi:10.1177/0268355520975583

    authors: Thakur UK,Savlania A,Naik AL,Singh C,Chatterjee D,Gorsi U

    更新日期:2020-11-28 00:00:00

  • The superficial venous system of the lower extremity: new nomenclature.

    abstract::The phlebology in the area of lower limbs is the only medical field in which the terminological needs of clinicians were met. Ten years ago, the latest revision of the Latin anatomical nomenclature, Terminologia Anatomica (TA), was issued. But almost none of the chapters reflected the clinicians' need to be a relevant...

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    pub_type: 杂志文章,评审

    doi:10.1258/phleb.2009.009046

    authors: Kachlik D,Pechacek V,Baca V,Musil V

    更新日期:2010-06-01 00:00:00

  • Inferior vena cava filters utilization in patients with venous thromboembolism: Analysis of a database of a tertiary hospital.

    abstract:PURPOSE:The aim of the study was to assess the inferior vena cava filter (IVCF) utilization in patients with venous thromboembolism (VTE) in tertiary care. METHODS:We performed a retrospective analysis of database of a tertiary hospital in 2016-2017. All the records of patients admitted for VTE or diagnosed with VTE b...

    journal_title:Phlebology

    pub_type: 杂志文章

    doi:10.1177/0268355520975582

    authors: Arslanbekov MM,Efremova OI,Lebedev IS,Kirienko AI,Zolotukhin IA

    更新日期:2020-12-13 00:00:00

  • A practical approach to tumescent local anaesthesia in ambulatory endovenous thermal ablation.

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    pub_type: 杂志文章

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    更新日期:2019-05-01 00:00:00

  • From lymph to fat: complete reduction of lymphoedema.

    abstract::Liposuction for late-stage lymphoedema remains a controversial technique. While it is clear that conservative therapies such as combined decongestive therapy (CDT) and controlled compression therapy (CCT) should be tried in the first instance, options for the treatment of late-stage lymphoedema that is not responding ...

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    pub_type: 杂志文章

    doi:10.1258/phleb.2010.010s08

    authors: Brorson H

    更新日期:2010-10-01 00:00:00

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    authors: Lim SY,Tan JX,D'Cruz RT,Syn N,Chong TT,Tang TY

    更新日期:2020-07-01 00:00:00

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    更新日期:2014-05-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1177/0268355520967519

    authors: Fiori L,Serrao A,Ferretti A,Chistolini A

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  • Pelvic congestion syndrome: chronic pelvic pain caused by ovarian and internal iliac varices.

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    pub_type: 杂志文章,评审

    doi:10.1258/026835507780807248

    authors: Liddle AD,Davies AH

    更新日期:2007-01-01 00:00:00

  • Popliteal venous aneurysm: a report on three cases presenting with chronic venous insufficiency without embolic events.

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    更新日期:2007-01-01 00:00:00