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Zolotukhin I.A.

Pirogov Russian National Research Medical University, Moscow, Russia

Seliverstov E.I.

Russian National Research Medical University named after N.I. Pirogov, Moscow, Russia

Zakharova E.A.

N.I. Pirogov Russian National Research Medical University, Russian Ministry of Health, Moscow, Russia

Kirienko A.I.

Russian National Research Medical University nabbed after N.I. Pirogov, Moscow, Russia

Isolated Phlebectomy Leads to Disappearance of Great Saphenous Vein Reflux

Authors:

Zolotukhin I.A., Seliverstov E.I., Zakharova E.A., Kirienko A.I.

More about the authors

Journal: Journal of Venous Disorders. 2016;10(1): 8‑18

DOI: 10.17116/flebo20161018-16

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ISOLATED PHLEBECTOMY LEADS TO DISAPPEARANCE OF GREAT SAPHENOUS VEIN REFLUX
ISOLATED PHLEBECTOMY LEADS TO DISAPPEARANCE OF GREAT SAPHENOUS VEIN REFLUX

To cite this article:

Zolotukhin IA, Seliverstov EI, Zakharova EA, Kirienko AI. Isolated Phlebectomy Leads to Disappearance of Great Saphenous Vein Reflux. Journal of Venous Disorders. 2016;10(1):8‑18. (In Russ.)
https://doi.org/10.17116/flebo20161018-16

Подписка 2025-2 (Journal of Venous Disorders)
 
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Aim — the aim of our study was to establish an effect of isolated phlebectomy in patients with primary varicose veins on reflux and diameter of incompetent great saphenous vein (GSV) and to assess clinical results of the procedure in terms of recurrence rate of varicose veins. Material and methods. 66 patients (51 women and 15 men) were included and prospectively followed. Age varied from 17 to 71 years. All the patients had primary varicose veins and GSV reflux not lower than the upper third of the calf. Limbs were classified as C2 in 62 (82%) cases, as C2—C3 in 11 (14%) cases, and as С2—C4 in 3 (4%) cases. All the patients underwent isolated phlebectomy under local anaesthesia with preservation of incompetent GSV. All the limbs were assessed with duplex ultrasound on the next day and then in 1 week, 1, 3, 6, 12 months. Reflux was evaluated and diameters were recorded at every control examination. After one year, we estimated the recurrence rate of varicose veins. Results. Persisting of GSV reflux was examined in 58 limbs which were followed up for not less than 12 months. 39 (67%) of GSV were competent within one year after surgery. Diameter of all GSV decreased no matter whether reflux disappeared or not. Recurrent VVs (new visible varicosities) developed on 7 (12%) of the 58 lower limbs after one year. Conclusion. Isolated phlebectomy with a preservation of incompetent GSV leads to the disappearance of reflux in the saphenous axis in 67% of cases. The diameter of GSV decreases significantly in all the GSVs after removing of dilated collaterals. The probability of reflux resolution is significantly higher if the reflux extends not lower than the middle thigh.

Keywords:

primary varicose veins
hemodynamic surgery
phlebectomy
ASVAL

Authors:

Zolotukhin I.A.

Pirogov Russian National Research Medical University, Moscow, Russia

Seliverstov E.I.

Russian National Research Medical University named after N.I. Pirogov, Moscow, Russia

Zakharova E.A.

N.I. Pirogov Russian National Research Medical University, Russian Ministry of Health, Moscow, Russia

Kirienko A.I.

Russian National Research Medical University nabbed after N.I. Pirogov, Moscow, Russia

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