Técnicas endovasculares en el tratamiento de la insuficiencia venosa superficial. Mecanismo de acción, procedimientos, indicaciones y efectos adversos

IF 0.3 Q4 SURGERY
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Abstract

Introduction and objective

Chronic venous disease is the most common entity of vascular pathology and varicose veins originating in the saphenous trunks can cause significant morbidity. Endovascular treatment offers significant advantages, being at least as effective as surgery.

Methods

Review of thermal (laser, radiofrequency, steam and microwave) and non-thermal (cyanoacrylate, ultrasound-guided foam and mechano-chemical) endovascular techniques in the treatment of superficial venous insufficiency based on existing literature and own experience.

Results

Throughout the article, each of the techniques, their mechanism of action and the commercial devices available with standard use procedures are described. Likewise, the usual postoperative period for each of them, precautions, contraindications, results described in the literature, and frequent and uncommon complications are detailed. After the description of the techniques, the results of endovascular techniques are compared with conventional surgery (high ligation/stripping) and endovascular techniques with each other. Finally, a guide is provided for selecting the best treatment based on the characteristics of the patient, its indications and known limitations, according to the latest clinical guidelines and reviews.

Conclusions

Endovascular treatment has become the current standard. Although thermoablative techniques are the first indication, non-thermal treatments are a good alternative depending on the clinical context and some such as cyanoacrylate may become first choice therapy in the future.
治疗浅静脉功能不全的血管内技术。作用机制、程序、适应症和不良反应。
导言和目的慢性静脉疾病是血管病理学中最常见的疾病,起源于隐静脉主干的静脉曲张可导致严重的发病率。方法根据现有文献和自身经验,对治疗浅静脉功能不全的热性(激光、射频、蒸汽和微波)和非热性(氰基丙烯酸酯、超声引导泡沫和机械化学)血管内治疗技术进行综述。同样,文章还详细介绍了每种技术的术后常规时间、注意事项、禁忌症、文献中描述的结果以及常见和不常见的并发症。在介绍了各种技术之后,还比较了血管内技术与传统手术(高位结扎/剥离)和血管内技术的效果。最后,根据最新的临床指南和综述,根据患者的特点、适应症和已知的局限性,提供了选择最佳治疗方法的指南。尽管热烧蚀技术是首选适应症,但根据临床情况,非热疗法也是一种不错的选择,其中一些疗法,如氰基丙烯酸酯疗法,将来可能会成为首选疗法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.50
自引率
66.70%
发文量
109
审稿时长
69 days
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