Das endovaskuläre Stumpfrezidiv der V. saphena magna: Klassifikation und operative Behandlungsstrategie

Zusammenfassung

In spezialisierten phlebochirurgischen Einrichtungen sind bis zu 25 % der Operationsindikationen auf ein sapheno-femorales Rezidiv nach technisch falscher Crossektomie der V. saphena magna zurückzuführen. Die sogenannten Saphenastumpf-Rezidive haben somit eine hohe sozioökonomische Relevanz.
Mit dem Aufkommen der endovenösen Verfahren werden Phlebochirurgen inzwischen zunehmend auch mit sapheno-femoralen Rezidiven nach vorausgegangener Hitzeablation konfrontiert.
Die sich bei der operativen Versorgung der endovenösen Saphenastumpf-Rezidive ergebenden speziellen Anforderungen sollen mit dieser Übersichtsarbeit dargestellt werden.

Abstract

In specialized phlebosurgical facilities, up to 25% of surgical indications are due to saphenofemoral recurrence following technically incorrect crossectomy of the great saphenous vein. These so-called saphenous stump recurrences therefore have high socioeconomic relevance.
With the advent of endovenous procedures, phlebosurgeon are increasingly confronted with saphenofemoral recurrences following prior heat ablation.
This review aims to outline the specific challenges arising from the surgical treatment of endovenous saphenous stump recurrences.

Schlüsselwörter

Endovenöse Therapie - Sapheno-femorales Rezidiv - Varizenoperation - Gefäßzugang - endovenous therapy - sapheno-femoral recurrence - varicose vein surgery - vascular access

Publication History

Received: 27 April 2025

Accepted after revision: 21 July 2025

Article published online:
21 August 2025

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