thermoablation using the hedgehog technique for complex recurrent venous reflux patterns
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2016
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Abstract
Neovascularization after vein stripping is well recognized as a contributory cause of varicose vein recurrence. Treatment is challenging because of segment tortuosity and fibrous web formation. Surgical re-exploration is practiced, but foam sclerotherapy is becoming preferred. We suggest an alternative method using thermoablation with a technique originally intended for treatment of perforator vein reflux. This modification has not been described in the context of recurrent neovascularization before. By ultrasound-directed insertion of multiple intravenous cannulas into convoluted neovascularized segments, recurrences in the groin, popliteal fossa, and truncal vein strip tracks can be successfully ablated by endovenous laser ablation.
| Reference Key |
fcphleb2016journalthermoablation
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|---|---|
| Authors | ;Barrie A. Price, MD, MS, FRCS, FCPhleb;Charmaine C. Harrison, DMU, DCR;Judy M. Holdstock, DMU, DCR |
| Journal | journal of cultural heritage |
| Year | 2016 |
| DOI |
10.1016/j.jvscit.2016.07.005
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| URL | |
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