Does cryostripping add anything to the treatment of the ascending thrombophlebitis of the great saphenous vein?

• Published in: Vascular 2016-10, Vol.24 (5), p.510-514
• Main Authors: Balint, IB, Farics, A, Manfai, G, Szekely, I, Menyhei, G, Vizsy, L
• Format: Article
• Language: English
• Subjects: Adult; Aged; Aged, 80 and over; Cryosurgery - adverse effects; Cryosurgery - methods; Female; Humans; Ligation; Male; Middle Aged; Retrospective Studies; Risk Factors; Saphenous Vein - diagnostic imaging; Saphenous Vein - surgery; Thrombectomy; Thromboembolism - etiology; Thrombophlebitis - diagnostic imaging; Thrombophlebitis - surgery; Time Factors; Treatment Outcome; Young Adult
• ISSN: 1708-5381; 1708-539X
• DOI: 10.1177/1708538115616006

Objective To analyse the differences of outcome between cryostripping and conservative therapy in the treatment of superficial vein thrombosis. Patients and methods A retrospective analysis was performed between the October of 2001 and the October of 2014. In all, 246 cases were eligible for the study. High ligation, cryostripping and local thrombectomy was carried out on 94 patients with thrombophlebitis of the proximal part of the great saphenous vein. Thromboembolic events, the presence of residual varices and time for recovery were compared to 152 cases treated conservatively because of superficial vein thrombosis. Results Thromboembolic events were found without significant difference (mean ± SD for surgery: 1.11 ± 0.60 and conservative therapy: 1.11 ± 0.55; p = 0.988) in each group. The presence of residual varices (mean ± SD for surgery: 1.03 ± 0.52 and conservative therapy: 1.42 ± 0.99; p = 0.001) and the time for recovery (mean ± SD for surgery: 15 ± 10.50 and conservative therapy: 26 ± 12.32; p