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

作     者：Hossein Hemmati Mohammad Reza Asgary Mohammad Sadegh Esmaeli Delshad Davoud Mohammadi Sina Montazeri Cyrus Emir Alavi 

作者机构：Vascular Surgery and Dialysis Research Center Guilan University of Medical Sciences Rasht Iran 

出 版 物：《Surgical Science》 (外科学（英文）)

年 卷 期：2014年第5卷第12期

页      面：526-532页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Catheter Ablation Saphenous Vein Surgical Procedures Varicose Veins-Surgery 

摘      要：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.