Flashcards in Chap 57-58 CVI Treatment Deck (13):
What are compression indications?
symptomatic VV (20-30)
against as primary for VV for those who are candidates for SV ablation
What is recommendation for surgery?
EVLT > surgery
What are recommendation for treatment of incompetent GSV?
high ligation and inversion stripping to level of knee
What perforators are the most important? what are they?
What are surgical techniques for reflux?
high ligation of the GSV
resect 5-10cm portion of gsv
Name the six tributaries of the saphenofemoral junction.
lateral accessory saphenous
deep external pudendal
superficial external pudendal
medial accessory saphenous
What are adjuncts for stripping?
compressive dressing and elevation
leg elevation before and after
proximal tourniquet (massive varices)
What were the results of the ESCHAR trial?
No difference in healing, recurrence reduce with sx at one year 12 vs 28
Sx better QoL (LT no diff)
EVLT less peri-procedural morbidity
When to consider Sx >EVLT in environment where EVLT is recommended over sx?
sperficial saphenous tributary
acute superficial thrombosis
How does sclerotherapy work?
sclerosants destroy endothelium
veins transformed into fibrous cord
What are different sclerosants?
Sodium tetradecyl sulfate
What are indications for EVLT?