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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 |
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creator | Balint, IB 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 |
doi_str_mv | 10.1177/1708538115616006 |
format | article |
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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 < 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 < 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><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cryosurgery - adverse effects</subject><subject>Cryosurgery - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Ligation</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - surgery</subject><subject>Thrombectomy</subject><subject>Thromboembolism - etiology</subject><subject>Thrombophlebitis - diagnostic imaging</subject><subject>Thrombophlebitis - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1708-5381</issn><issn>1708-539X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp1kEtLxDAUhYMozji6dyVZuqnm0aTpSmR8woAbBXclbW-nHdqkJhlh_r3tPFwIrm7u5TuHk4PQJSU3lCbJLU2IElxRKiSVhMgjNB1PkeDp5_HvW9EJOvN-RQgnjMpTNGFSxFKkyRTZBwseF25jfXBN3zdmiXVZYm02oR6XYHGoAQcHOnRgArbV9qB9AabcErWzXW77uoW8CY0_EMtRgr3uazB27fE3NObuHJ1UuvVwsZ8z9PH0-D5_iRZvz6_z-0VUsJSECFguK6ZIzjQUKdVpxTQf8lMWMxZzIggDXiSpVGUcizjhSmsCkpZMCS2Sks_Q9c63d_ZrDT5kXTMkblttYAiTUcWISKWg8YCSHVo4672DKutd02m3ySjJxpqzvzUPkqu9-zrvoPwVHHodgGgHeL2EbGXXzgy__d_wB8KmhTU</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Balint, IB</creator><creator>Farics, A</creator><creator>Manfai, G</creator><creator>Szekely, I</creator><creator>Menyhei, G</creator><creator>Vizsy, L</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201610</creationdate><title>Does cryostripping add anything to the treatment of the ascending thrombophlebitis of the great saphenous vein?</title><author>Balint, IB ; Farics, A ; Manfai, G ; Szekely, I ; Menyhei, G ; Vizsy, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c290t-e2b6f280b2aec91a9f2a300312422430502e3c7968d4454738aa0e61d285a57d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cryosurgery - adverse effects</topic><topic>Cryosurgery - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Ligation</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - surgery</topic><topic>Thrombectomy</topic><topic>Thromboembolism - etiology</topic><topic>Thrombophlebitis - diagnostic imaging</topic><topic>Thrombophlebitis - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Balint, IB</creatorcontrib><creatorcontrib>Farics, A</creatorcontrib><creatorcontrib>Manfai, G</creatorcontrib><creatorcontrib>Szekely, I</creatorcontrib><creatorcontrib>Menyhei, G</creatorcontrib><creatorcontrib>Vizsy, L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Balint, IB</au><au>Farics, A</au><au>Manfai, G</au><au>Szekely, I</au><au>Menyhei, G</au><au>Vizsy, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does cryostripping add anything to the treatment of the ascending thrombophlebitis of the great saphenous vein?</atitle><jtitle>Vascular</jtitle><addtitle>Vascular</addtitle><date>2016-10</date><risdate>2016</risdate><volume>24</volume><issue>5</issue><spage>510</spage><epage>514</epage><pages>510-514</pages><issn>1708-5381</issn><eissn>1708-539X</eissn><abstract>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 < 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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