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Sono-Guided Endostripping: An Appropriate Alternative for Endovascular Varice Procedures

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http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52291#.VI-VFsnQrzE

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.
Cite this paper
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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