Compression regimes after endovenous ablation for superficial venous insufficiency - A survey of members of the Vascular Society of Great Britain and Ireland

2.50
Hdl Handle:
http://hdl.handle.net/11287/593926
Title:
Compression regimes after endovenous ablation for superficial venous insufficiency - A survey of members of the Vascular Society of Great Britain and Ireland
Authors:
El-Sheikha, J.; Nandhra, S.; Carradice, D.; Acey, C.; Smith, G.; Campbell, Bruce; Chetter, I.
Abstract:
INTRODUCTION: The optimal compression regime following ultrasound guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) for varicose veins is not known. The aim of this study was to document current practice. METHODS: Postal questionnaire sent to 348 consultant members of the Vascular Society of Great Britain and Ireland. RESULTS: Valid replies were received from 41% (n = 141) surgeons representing at least 68 (61%) vascular units. UGFS was used by 74% surgeons, RFA by 70% and EVLA by 32%, but fewer patients received UGFS (median 30) annually, than endothermal treatment (median 50) - P = 0.019. All surgeons prescribed compression: following UGFS for median seven days (range two days to three months) and after endothermal ablation for 10 days (range two days to six weeks) - P = 0.298. Seven different combinations of bandages, pads and compression stockings were reported following UGFS and four after endothermal ablation. Some surgeons advised changing from bandages to stockings from five days (range 1-14) after UGFS. Following endothermal ablation, 71% used bandages only, followed by compression stockings after two days (range 1-14). The majority of surgeons (87%) also treated varicose tributaries: 65% used phlebectomy, the majority (65%) synchronously with endothermal ablation. Concordance of compression regimes between surgeons within vascular units was uncommon. Only seven units using UGFS and six units using endothermal ablation had consistent compression regimes. CONCLUSION: Compression regimes after treatments for varicose veins vary significantly: more evidence is needed to guide practice.
Citation:
Phlebology. 2015 Jan 13.
Publisher:
Sage
Journal:
Phlebology / Venous Forum of the Royal Society of Medicine
Issue Date:
13-Jan-2015
URI:
http://hdl.handle.net/11287/593926
DOI:
10.1177/0268355514567732
PubMed ID:
25589597
Additional Links:
http://phl.sagepub.com/content/31/1/16.abstract
Type:
Journal Article
Language:
Eng
ISSN:
1758-1125
Appears in Collections:
2015 RD&E publications; Vascular Surgery

Full metadata record

DC FieldValue Language
dc.contributor.authorEl-Sheikha, J.en
dc.contributor.authorNandhra, S.en
dc.contributor.authorCarradice, D.en
dc.contributor.authorAcey, C.en
dc.contributor.authorSmith, G.en
dc.contributor.authorCampbell, Bruceen
dc.contributor.authorChetter, I.en
dc.date.accessioned2016-01-19T12:37:26Zen
dc.date.available2016-01-19T12:37:26Zen
dc.date.issued2015-01-13en
dc.identifier.citationPhlebology. 2015 Jan 13.en
dc.identifier.issn1758-1125en
dc.identifier.pmid25589597en
dc.identifier.doi10.1177/0268355514567732en
dc.identifier.urihttp://hdl.handle.net/11287/593926en
dc.description.abstractINTRODUCTION: The optimal compression regime following ultrasound guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) for varicose veins is not known. The aim of this study was to document current practice. METHODS: Postal questionnaire sent to 348 consultant members of the Vascular Society of Great Britain and Ireland. RESULTS: Valid replies were received from 41% (n = 141) surgeons representing at least 68 (61%) vascular units. UGFS was used by 74% surgeons, RFA by 70% and EVLA by 32%, but fewer patients received UGFS (median 30) annually, than endothermal treatment (median 50) - P = 0.019. All surgeons prescribed compression: following UGFS for median seven days (range two days to three months) and after endothermal ablation for 10 days (range two days to six weeks) - P = 0.298. Seven different combinations of bandages, pads and compression stockings were reported following UGFS and four after endothermal ablation. Some surgeons advised changing from bandages to stockings from five days (range 1-14) after UGFS. Following endothermal ablation, 71% used bandages only, followed by compression stockings after two days (range 1-14). The majority of surgeons (87%) also treated varicose tributaries: 65% used phlebectomy, the majority (65%) synchronously with endothermal ablation. Concordance of compression regimes between surgeons within vascular units was uncommon. Only seven units using UGFS and six units using endothermal ablation had consistent compression regimes. CONCLUSION: Compression regimes after treatments for varicose veins vary significantly: more evidence is needed to guide practice.en
dc.language.isoEngen
dc.publisherSageen
dc.relation.urlhttp://phl.sagepub.com/content/31/1/16.abstracten
dc.titleCompression regimes after endovenous ablation for superficial venous insufficiency - A survey of members of the Vascular Society of Great Britain and Irelanden
dc.typeJournal Articleen
dc.identifier.journalPhlebology / Venous Forum of the Royal Society of Medicineen
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