The endovenous ASVAL method: principles and preliminary results

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dc.authorid0000-0002-6253-3318en_US
dc.contributor.authorAtasoy, Mehmet Mahir
dc.contributor.authorOguzkurt, Levent
dc.date.accessioned2024-07-12T21:46:09Z
dc.date.available2024-07-12T21:46:09Z
dc.date.issued2016en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractPURPOSE We aimed to investigate the feasibility and safety of the endovenous ambulatory selective varicose vein ablation under local anesthesia (eASVAL) method in a selected group of patients with varicose disease and present the short-term results of one-year ultrasonographic follow-up. METHODS Three hundred and ninety-five consecutive patients with varicose veins who had been treated with endovenous laser ablation (EVLA) were retrospectively reviewed over a period of two years. From this group, 41 patients who were treated using the eASVAL technique and had the great saphenous vein (GSV) preserved were included in the study. These patients had only limited segmental GSV reflux accompanied by a competent terminal valve. The eASVAL technique can be defined as EVLA of the proximal straight segments of the major tributaries connecting the symptomatic varicose veins with the GSV, followed by ultrasound-guided foam sclerotherapy of the superficial varicose veins themselves. The patients were assessed before and after the treatment by duplex scan findings and clinical assessment scores. RESULTS The GSVs were successfully preserved in all 41 cases, and all patients showed significant clinical improvement using the eASVAL approach (P < 0.001). Segmental reflux was no longer present in 75.3% of patients. The mean diameters of the GSVs were significantly reduced at one-year follow-up (8.5 mm vs. 7.5 mm, P < 0.001). CONCLUSION eASVAL is a feasible and safe procedure in selected patients, with promising results at one-year ultrasonographic follow-up. However, prospective studies are required, comparing this approach with the standard techniques.en_US
dc.identifier.doi10.5152/dir.2015.15161
dc.identifier.endpage64en_US
dc.identifier.issn1305-3612
dc.identifier.issue1en_US
dc.identifier.pmid26573978en_US
dc.identifier.scopus2-s2.0-84952362394en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage59en_US
dc.identifier.trdizinid197907en_US
dc.identifier.urihttps://dx.doi.org/10.5152/dir.2015.15161
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7898
dc.identifier.volume22en_US
dc.identifier.wosWOS:000425844400001en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherAVESen_US
dc.relation.ispartofDIAGNOSTIC AND INTERVENTIONAL RADIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY00632
dc.titleThe endovenous ASVAL method: principles and preliminary resultsen_US
dc.typeArticle
dspace.entity.typePublication

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