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

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 stu...

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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
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Farics, A
Manfai, G
Szekely, I
Menyhei, G
Vizsy, L
description 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 
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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 &lt; 0.001) were more favourable in the cryostripping group. Conclusion Our analysis confirmed that cryostripping does not result in a lower risk for thromboembolic complications due to superficial vein thrombosis but can be an alternative method to treat the ascending thrombophlebitis of the great saphenous vein because it has some advantages over conservative treatment on the short term.</description><identifier>ISSN: 1708-5381</identifier><identifier>EISSN: 1708-539X</identifier><identifier>DOI: 10.1177/1708538115616006</identifier><identifier>PMID: 26546597</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>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</subject><ispartof>Vascular, 2016-10, Vol.24 (5), p.510-514</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c290t-e2b6f280b2aec91a9f2a300312422430502e3c7968d4454738aa0e61d285a57d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906,79113</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26546597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Balint, IB</creatorcontrib><creatorcontrib>Farics, A</creatorcontrib><creatorcontrib>Manfai, G</creatorcontrib><creatorcontrib>Szekely, I</creatorcontrib><creatorcontrib>Menyhei, G</creatorcontrib><creatorcontrib>Vizsy, L</creatorcontrib><title>Does cryostripping add anything to the treatment of the ascending thrombophlebitis of the great saphenous vein?</title><title>Vascular</title><addtitle>Vascular</addtitle><description>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 &lt; 0.001) were more favourable in the cryostripping group. 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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 &lt; 0.001) were more favourable in the cryostripping group. Conclusion Our analysis confirmed that cryostripping does not result in a lower risk for thromboembolic complications due to superficial vein thrombosis but can be an alternative method to treat the ascending thrombophlebitis of the great saphenous vein because it has some advantages over conservative treatment on the short term.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26546597</pmid><doi>10.1177/1708538115616006</doi><tpages>5</tpages></addata></record>
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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
title Does cryostripping add anything to the treatment of the ascending thrombophlebitis of the great saphenous vein?
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