Endovenöse Behandlungsverfahren der Varikosis und der chronisch-venösen Insuffizienz

Was ist neu?

Endovenöse Lasertherapie Verfahren mit längeren Wellenlängen und/oder modifizierten Lichtleitern sollten bevorzugt werden.

Radiofrequenzobliteration 5-Jahres-Ergebnisse zeigen eine sehr gute Effektivität.

Weitere endovenöse, nicht thermische Verfahren Es liegen noch nicht sehr viele Daten vor. Die publizierten Studien zeigen eine gute Effektivität der Methoden.

Nachbeobachtungen Die bisher publizierten Daten mit Vergleich der operativen und endovaskulären Methoden im 5-Jahres-Follow-up sind nur mit Einschränkungen aussagekräftig und teils schon durch technische Weiterentwicklungen überholt.

Abstract

Endovenous laser ablation Treatment with longer wavelengths and radial fibers should be used.

Radiofrequency ablation Results after 5 years show a very good efficacy and safety.

Further endovenous treatments Data is limited. The short-term studies show a good efficacy of nonthermal ablation methods.

Follow-up studies There is no data about a 10 year follow-up until now. Data with comparison of surgical and endovenous therapy show after 5 years show more sonographical reflux in patients treated with first generation endothermal treatment without any differences in the clinical outcome.

Schlüsselwörter

Varikosis - thermische Ablation - chemische Ablation - Follow-up-Studien

Key words

varicose veins - thermal ablation - chemical ablation - follow-up studies

• Literatur

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