Preservation or Obliteration of Great Saphenous Vein in Varicose Veins: Long-Term Follow-up Data of Single-Center Study

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Objective. To compare 2-year outcomes of isolated mini-phlebectomy (ASVAL) and EVLO with concomitant mini-phlebectomy. Material and methods. A prospective comparative study enrolled 76 patients (59 women, 17 men) with incompetent great saphenous vein (GSV) and classes C2—C3. GSV diameter measured at a distance of 15 cm from GSV ostium was the main criterion for distribution of patients into two groups. The 1st group included 33 patients (25 women, 8 men) with GSV≤6 mm who underwent ASVAL. The 2nd group consisted of 43 patients (34 women, 9 men) with GSV>6 mm (EVLO with concomitant mini-phlebectomy). Clinical outcomes were analyzed after 2 years. Results. Significant decrease of VCSS score was observed in both groups (p<0.001). VCSS score was similar in ASVAL and EVLO groups after 2 years (p=0.681). There were no differences in recurrence rate in both groups (p=0.776). ASVAL was followed by significant decrease of GSV diameter (Me=5.7, IQR [5.0; 6.0] vs. Me=5.1, IQR [4.55; 5.70], p=0.008), reflux became mild in 15 (46.9%) patients. Conclusion. ASVAL with preservation of GSV may be preferred in patients with varicose disease class C2—C3 and incompetent GSV with its diameter ≤ 6 mm.

Keywords:

varicose disease of the lower extremities

long-term results

great saphenous vein

ASVAL

EVLO

Authors:

Ignatovich I.N.

1-ia kafedra khirurgicheskikh bolezneĭ Belorusskogo gosudarstvennogo meditsinskogo universiteta, Minsk, Respublika Belarus'

Kondratenko G.G.

Belorusskiĭ gosudarstvennyĭ meditsinskiĭ universitet, Minsk, Respublika Belarus'

Novikova N.M.

Belarusian State Medical University, Minsk, Republic of Belarus

Ignatovich E.I.

Belarusian State Medical University, Minsk, Republic of Belarus

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