Miloš D Pavlović1, Sanja Schuller-Petrović2, Olivier Pichot3, Eberhard Rabe4, Uldis Maurins5, Nick Morrison6, Felizitas Pannier7. 1. Dermatology Centre Parmova & DCP-Venex Centre, Ljubljana, Slovenia. 2. VENEX Vein Centre, Vienna, Austria schuller-petrovic@vienna.at. 3. University Hospital of Grenoble, Grenoble, France. 4. Department of Dermatology, University of Bonn, Bonn, Germany. 5. Dr. Maurins Vein Clinic, Riga, Latvia. 6. Morrison Vein Institute, AZ, USA. 7. Department of Dermatology, University of Cologne, Köln, Germany.
Abstract
AIM: Endovenous thermal ablation (ETA) procedures are catheter-directed, ultrasound (US)-guided thermal methods for treatment in varicose veins disease. Radiofrequency, laser or steam energy thermally denatures vein wall collagen, leading first to vein wall inflammation, then fibrosis and finally to occlusion. The aim of this guideline is to give evidence-based recommendations for ETA procedures. METHODS: These guidelines were drafted during a consensus meeting of a group of experts in the field of ETA in June 2012 (Hvar, Croatia) under the auspices of the International Union of Phlebology (IUP). These guidelines review the present state of knowledge as reflected in peer-reviewed published medical literature. The recommendations of these guidelines are graded according to the American College of Chest Physicians Task Force recommendations on Grading Strength of Recommendations and Quality of Evidence in Clinical Guidelines. RESULTS: Recommendations on the use of ETA procedures were made based on the quality of evidence for efficacy, safety, tolerability, cosmetic outcome, patient satisfaction/preference and, where appropriate, on the experts' opinion. Health economics were not considered, since differences in national health systems and pricing make it difficult to form general conclusions that are relevant at an international level.
AIM: Endovenous thermal ablation (ETA) procedures are catheter-directed, ultrasound (US)-guided thermal methods for treatment in varicose veins disease. Radiofrequency, laser or steam energy thermally denatures vein wall collagen, leading first to vein wall inflammation, then fibrosis and finally to occlusion. The aim of this guideline is to give evidence-based recommendations for ETA procedures. METHODS: These guidelines were drafted during a consensus meeting of a group of experts in the field of ETA in June 2012 (Hvar, Croatia) under the auspices of the International Union of Phlebology (IUP). These guidelines review the present state of knowledge as reflected in peer-reviewed published medical literature. The recommendations of these guidelines are graded according to the American College of Chest Physicians Task Force recommendations on Grading Strength of Recommendations and Quality of Evidence in Clinical Guidelines. RESULTS: Recommendations on the use of ETA procedures were made based on the quality of evidence for efficacy, safety, tolerability, cosmetic outcome, patient satisfaction/preference and, where appropriate, on the experts' opinion. Health economics were not considered, since differences in national health systems and pricing make it difficult to form general conclusions that are relevant at an international level.
Authors: F Pannier; T Noppeney; J Alm; F X Breu; G Bruning; I Flessenkämper; H Gerlach; K Hartmann; B Kahle; H Kluess; E Mendoza; D Mühlberger; A Mumme; H Nüllen; K Rass; S Reich-Schupke; D Stenger; M Stücker; C G Schmedt; T Schwarz; J Tesmann; J Teßarek; S Werth; E Valesky Journal: Hautarzt Date: 2022-04-19 Impact factor: 1.198
Authors: Philippe Quehe; Zarrin Alavi; Tatiana Kurylo-Touz; Anne-Helene Saliou; Ali Badra; Laurent Baudino; Gurven Gladu; Frederik Ledan; Raphaël Haudebourg; Simon Gestin; Luc Bressollette Journal: SAGE Open Med Date: 2018-08-21
Authors: David P Stonko; Chen Dun; Christi Walsh; Marlin Schul; John Blebea; Edward M Boyle; Martin A Makary; Caitlin W Hicks Journal: JAMA Netw Open Date: 2021-12-01