Related Articles

  • Original ArticleApril 30, 2021

    0 44 319
    Abstract
    Background: This study aims to evaluate the curative effect of treatment for saphenous vein incompetence in patients with symptomatic CEAP C0-C1 chronic venous disease (CVD).
    Methods: Patients with CEAP C0-C1 limbs who underwent treatment for an incompetent saphenous vein from January 2015 to March 2019 were included in this study. Included patients underwent the following evaluations before treatment and at 6 and 12 months after treatment: duplex ultrasonography (DUS), Venous Clinical Severity Score (VCSS), and the Aberdeen varicose vein severity score (AVVQ).
    Results: A total 48 limbs (37 patients) were included in this study. The mean age was 50 years (range, 21 to 83 years). The preoperative VCSS and AVVQ (VCSS, 1.6±0.9; AVVQ, 13.1±7.7) were significantly improved after treatment [(6-month scores; VCSS, 0.3±0.5; AVVQ, 6.7±6.0; p<0.01) and (12- month scores; VCSS, 0.04±0.2; AVVQ, 6.4±4.2; p<0.01)]. The AVVQ significantly improved, regardless of treatment type (p=0.33 at 6 months and p=0.33 at 12 months).
    Conclusion: Quality of life improved after treatment of incompetent saphenous vein in patients with symptomatic CEAP C0-C1 CVD, regardless of treatment type.
  • Original ArticleDecember 31, 2022

    0 41 145
    Abstract
    Background: This study aimed to explore the current practices and views of members of the Korean Society for Phlebology regarding incompetent small saphenous veins (SSV).
    Methods: A questionnaire was sent to the Korean Society for Phlebology members via email. Of 291 members contacted, 47 responded.
    Results: Preoperative duplex ultrasonography was performed by 85% of the respondents who were operating surgeons, and 92% marked the course of the SSV preoperatively using ultrasound guidance. The same treatment option was performed for all cases, regardless of anatomy or insurance coverage, by 21%. Seven members performed flush ligation at the saphenopopliteal junction (SPJ) during the surgical treatment. Four members reported positioning the terminal end of the catheter at the SPJ during the endovenous treatment. Three respondents performed endovenous thermal ablation (ETA) without tumescent instillation, and three injected tumescent solutions without ultrasound guidance. Twelve respondents performed high ligation during the ETA.
    Conclusion: We verified various approaches to managing SSV among the Korean Society for Phlebology members. Evidence-based practical guidelines and education regarding the management of SSV are necessary for proper management.
  • Review ArticleDecember 31, 2023

    0 82 140

    Chronic Venous Disease is a Progressive Disease that Requires Early Intervention

    Sangchul Yun, MD, PhD, RPVI, RVT

    Ann Phlebology 2023; 21(2): 80-84
    Abstract
    Chronic venous disease is a progressive condition, and long-term follow-up is essential for a comprehensive understanding. In clinical practice, conducting extended follow-ups of patients is realistically challenging, and there is still much to learn about the clinical course of varicose veins. Given the gradual progression of chronic venous disease, gaining a precise understanding is crucial for guiding patient treatment. Chronic venous disease is progressive, and early interventions such as lifestyle modifications, medication, compression stockings, or surgery help slow and prevent the progression of the disease. Our objective is to review existing long-term follow-up studies to enhance the treatment approach for patients with varicose veins.
AP
Vol.21 No.2 Dec 31, 2023, pp. 53~101

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