Sono-Guided Endostripping: An Appropriate Alternative for Endovascular Varice Procedures ()
ABSTRACT
Objective: This article is
aimed at introducing Sono-Guided Endostripping Technique of the Great Saphenous
vein and comparing it with radiofrequency ablation in 104 patients. Methods: 52
patients underwent Sono-Guided Endostripping and 52 patients had radiofrequency
ablation with Celon Olympus device. They were followed for 3 months with
physical examination and Doppler Sonography for possible complications and
recanalization. Results: Recanalization rate was 11.5% in RFAs while it was
0.0% in the Endostripping group. There were no significant differences for
other complications (hematoma, DVT, paresthesia) but pain, which had 1.21 and
3.15 VAS scores for RFA and Endostripping groups, respectively. Recanalization
rate was more in RFA comparing with the Endostripping group (11.5% vs.
0.0%, P < 0.013). RFA was more expensive. Conclusion:
Sono-Guided Endostripping is a safe and cost-effective method (due to no need
for using RFA probe); however, the patient must be admitted to the hospital and
take appropriate anesthesia. Cosmetic result of the technique is fairly
comparable with RFA scars in the thigh and leg.
Share and Cite:
Hemmati, H. , Asgary, M. , Delshad, M. , Mohammadi, D. , Montazeri, S. and Alavi, C. (2014) Sono-Guided Endostripping: An Appropriate Alternative for Endovascular Varice Procedures.
Surgical Science,
5, 526-532. doi:
10.4236/ss.2014.512080.
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