PMID- 22156157
OWN - NLM
STAT- MEDLINE
DCOM- 20120612
LR  - 20161125
IS  - 1938-9116 (Electronic)
IS  - 1538-5744 (Linking)
VI  - 46
IP  - 1
DP  - 2012 Jan
TI  - Results of radiofrequency ablation of the small saphenous vein in the supine 
      position.
PG  - 40-4
LID - 10.1177/1538574411425108 [doi]
AB  - OBJECTIVES: To report the results of a novel approach using supine positioning 
      for radiofrequency ablation (RFA) of the small saphenous vein (SSV) with combined 
      ablation of the great saphenous vein (GSV). METHODS: Over a 24-month period, we 
      identified patients with symptomatic SSV incompetence. Access to the SSV was 
      accomplished by ultrasound-guided venipuncture with the patient in the supine 
      position. RESULTS: Small saphenous vein ablation was performed on 27 limbs in 26 
      patients. Median follow-up was 94 days (interquartile range [IQR] 26, 171). Mean 
      clinical-etiologic-anatomic-pathophysiologic (CEAP) score was 3.5 +/- 1.3. Small 
      saphenous vein ablation was performed in conjunction with GSV ablation in 17 
      patients and with phlebectomy in 14 patients. Postoperative ultrasound was 
      performed after 26 of 27 procedures. The SSV was sealed in all 26 cases. Two 
      patients (8%) had a deep venous thrombosis (DVT). CONCLUSIONS: The SSV can be 
      effectively sealed by RFA from the supine position and combined SSV/GSV ablation 
      can be carried out in a single setting.
FAU - Monahan, Thomas S
AU  - Monahan TS
AD  - Division of Vascular Surgery, University of Maryland Medical Center, Baltimore, 
      MD, USA. tmonahan@smail.umaryland.edu
FAU - Belek, Kyle
AU  - Belek K
FAU - Sarkar, Rajabrata
AU  - Sarkar R
LA  - eng
PT  - Journal Article
DEP - 20111208
PL  - United States
TA  - Vasc Endovascular Surg
JT  - Vascular and endovascular surgery
JID - 101136421
SB  - IM
MH  - Adult
MH  - Analysis of Variance
MH  - Baltimore
MH  - *Catheter Ablation/adverse effects
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Patient Positioning
MH  - Retrospective Studies
MH  - Saphenous Vein/diagnostic imaging/*surgery
MH  - *Supine Position
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ultrasonography, Interventional
MH  - Venous Insufficiency/diagnostic imaging/*surgery
EDAT- 2011/12/14 06:00
MHDA- 2012/06/13 06:00
CRDT- 2011/12/14 06:00
PHST- 2011/12/14 06:00 [entrez]
PHST- 2011/12/14 06:00 [pubmed]
PHST- 2012/06/13 06:00 [medline]
AID - 1538574411425108 [pii]
AID - 10.1177/1538574411425108 [doi]
PST - ppublish
SO  - Vasc Endovascular Surg. 2012 Jan;46(1):40-4. doi: 10.1177/1538574411425108. Epub 
      2011 Dec 8.