eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Videoforum Manuscripts accepted About the journal Supplements Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank

vol. 10
Original paper

Assessment of the efficacy and safety of steam vein sclerosis as compared to classic surgery in lower extremity varicose vein management

Witold Woźniak, Robert K. Mlosek, Piotr Ciostek

Videosurgery Miniinv 2015; 10 (1): 15–24
Online publish date: 2015/01/27
View full text
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
Introduction: For the last 10 years, endovenous thermal ablation methods have gradually predominated over the classic Babcock procedure in varicose vein treatment. Steam vein sclerosis is the newest thermal ablation technique.

Aim: To assess the efficacy and safety of steam vein sclerosis as compared to the Babcock procedure in lower extremity varicose vein treatment.

Material and methods: One hundred and two adult subjects with varicose veins of clinical grade C2 to C6 according to the CEAP classification, treated with varicose vein surgery between 2010 and 2012, were enrolled in the study. These were subdivided into two groups: the study group of 52 patients treated with endovenous steam vein sclerosis and the control group of 50 patients treated with the Babcock procedure. A single lower extremity with isolated great or small saphenous vein insufficiency was operated on in each subject. The groups were compared for demography, disease severity, involved veins, potential perioperative and postoperative complications, as well as treatment efficacy based on the VCSS score reduction.

Results: There were no statistically significant differences between the groups in terms of demography, disease severity, involved veins, or perioperative and postoperative complications. The treatment efficacy of both methods, assessed based on the recurrence rate and the quantitative VCSS score reduction, was similar. Clinically significant recanalisation was observed in 1 patient (1.9%) in the study group.

Conclusions: The efficacy and safety analysis shows that steam vein sclerosis is a safe, simple method which can be recommended as effective varicose vein treatment.

steam, endovenous, varicose veins, percutaneous ablation, chronic venous insufficiency

Winterborn RJ, Corbett CR. Treatment of varicose veins: the present and the future – a questionnaire survey. Ann R Coll Surg Engl 2008; 90: 561-
Perrin M, Guidicelli H, Rastel D. Surgical techniques used for the treatment of varicose veins: survey of practice in France. J Mal Vasc 2003; 28: 277-86.
Perkins JM. Standard varicose vein surgery. Phlebology 2009; 24: 34-41.
Wood JJ, Chant H, Laugharne M, et al. A prospective study of cutaneous nerve injury following long saphenous vein surgery. Eur J Vasc Endovasc Surg 2005; 30: 654-8. . Miller GV, Lewis WG, Sainsbury JR, et al. Morbidity of varicose vein surgery: auditing the benefit of changing clinical practice. Ann R Coll Surg Engl 1996; 78: 345-9.
Critchley G, Handa A, Maw A, et al. Complications of varicose vein surgery. Ann R Coll Surg Engl 1997; 79: 105-10.
Wright AP, Berridge DC, Scott DJ. Return to work following varicose vein surgery: influence of type of operation, employment and social status. Eur J Vasc Endovasc Surg 2006; 31: 553-7.
Fischer R, Linde N, Duff C, et al. Late recurrent saphenofemoral junction reflux after ligation and stripping of the greater saphenous vein. J Vasc Surg 2001; 34: 236-40.
Negus D. Recurrent varicose veins: a national problem. Br J Surg 1993; 80: 823-4.
Politowski M, Szpak E, Marszałek Z. Treatment of varicose veins of the lower extremities with the aid of electrocoagulation. Pol Przegl Chir 1964; 36: 7-14.
Milleret R. Innovations in the treatment of saphenous trunks. In: Innovative treatment of venous disorders. Wittens C (ed.). Edizioni Minerva Medica, Turin 2009; 159-70.
Thomis S, Verbrugghe P, Milleret R, et al. Steam ablation versus radiofrequency and laser ablation: an in vivo histological comparative trial. Eur J Vasc Endovasc Surg 2013; 46: 378-82.
Labropoulos N, Leon M, Nicolaides AN, et al. Superficial venous insufficiency: correlation of anatomic extent of reflux with clinical symptoms and signs. J Vasc Surg 1994; 20: 953-8.
Howard DP, Howard A, Kothari A, et al. The role of superficial venous surgery in the management of venous ulcers: a systematic review. Eur J Vasc Endovasc Surg 2008; 36: 458-65.
Proebstle TM, Vago B, Alm J, et al. Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered segmental thermal ablation: first clinical experience. J Vasc Surg 2008; 47: 151-6.
16. Ogawa T, Hoshino S, Midorikawa H, et al. Clinical results of radiofrequency endovenous obliteration for varicose veins. Surg Today 2005; 35: 47-51.
Almeida JI, Raines JK. Radiofrequency ablation and laser ablation in the treatment of varicose veins. Ann Vasc Surg 2006; 20: 547-52.
Gibson KD, Ferris BL, Polissar N, et al. Endovenous laser treatment of the small [corrected] saphenous vein: efficacy and complications. J Vasc Surg 2007; 45: 795-801.
Desmyttère J, Grard C, Wassmer B, et al. Endovenous 980-nm laser treatment of saphenous veins in a series of 500 patients. J Vasc Surg 2007; 46: 1242-7.
Merchant RF, DePalma RG, Kabnick LS. Endovascular obliteration of saphenous reflux: a multicenter study. J Vasc Surg 2002; 35: 1190-6.
van den Bos RR, Milleret R, Neumann M, et al. Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins. J Vasc Surg 2011; 53: 181-6.
Mlosek RK, Wozniak W, Gruszecki L, et al. The use of a novel method of endovenous steam ablation in treatment of great saphenous vein insufficiency: own experiences. Phlebology 2014; 29: 58-65.
Milleret R, Huot L, Nicolini P, et al. Great saphenous vein ablation with steam injection: results of a multicentre study. Eur J Vasc Endovasc Surg 2013; 45: 391-6.
Kostas T, Ioannou CV, Touloupakis E, et al. Recurrent varicose veins after surgery: a new appraisal of a common and complex problem in vascular surgery. Eur J Vasc Endovasc Surg 2004; 27: 275-82.
Heim D, Negri M, Schlegel U, et al. Resecting the great saphenous stump with endothelial inversion decreases neither neovascularization nor thigh varicosity recurrence. J Vasc Surg 2008; 47: 1028-32.
Theivacumar NS, Dellagrammaticas D, Beale RJ, et al. Fate and clinical significance of saphenofemoral junction tributaries following endovenous laser ablation of great saphenous vein. Br J Surg 2007; 94: 722-5.
Kianifard B, Holdstock JM, Whiteley MS. Radiofrequency ablation (VNUS closure) does not cause neo-vascularisation at the groin at one year: results of a case controlled study. Surgeon 2006; 4: 71-4.
Holme JB, Skajaa K, Holme K. Incidence of lesions of the saphenous nerve after partial or complete stripping of the long saphenous vein. Acta Chir Scand 1990; 156: 145-8.
Goldman MP, Sadick NS, Weiss RA. Cutaneous necrosis, telangiectatic matting, and hyperpigmentation following sclerotherapy. Etiology, prevention and treatment. Dermatol Surg 1995; 21: 19-29.
Ferreira A, Ramos J, Cerqueira A, et al. Radiofrequency-powered segmental thermal ablation in chronic venous disorders: a single center experience. Rev Port Cir Cardiotorac Vasc 2011; 18: 123-7.
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe