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Potential advantages of steam ablation of varicose veins
This document discusses endovenous steam ablation (SVS) of saphenous veins and tributaries. SVS allows for treatment of the great saphenous vein, small saphenous vein, tributaries, and perforating veins in a single procedure without additional techniques. The document presents two case studies and results from 730 patients treated with SVS showing high efficacy and low complication rates like skin pigmentation, minor burns, and paresthesia. It provides tips for catheter navigation and burn prevention. The conclusion is that SVS is an effective and safe ablation technique useful for large varicosities, saphenous trunks, recurrent varicosities, and incompetent perforators.
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Potential advantages of steam ablation of varicose veins
- 1. Endovenous steam ablationof saphenous trunk and big tributaries: When I see the potential advantages of SVS method? Michał Molski MD PhD CRACOW 08.12.2016
- 2. Conflict of interestdisclosure Nothing to declare Michał Molski MD PhD
- 3. • Endovenous thermalablation techniqe • Allows treatment of GSV/SSV truncs • Allows treatment of tributaries • Allows treatment of perforating veins ALL IN ONE PROCEDURE Without additional techniques (miniphlebectomy or sclerotherapy) BUT May be combined with any of other phlebological technique Steam Vein Sclerosis - Venosteam
- 4. SVS – proceduretechnique Flexivein – 16G, 65 cm
- 5. SVS – proceduretechnique Tribvein – 18G, 12cm
- 6. SVS – CASE#1 • Incompetence of LAASV LGSV Big varicosities • Trunc diameter 10mm
- 7. SVS – CASE#1 • Catheters placement • Flexivein – 16G, 65 cm applicator
- 8. SVS – CASE#1 1
- 9. SVS – CASE#1 2
- 10. SVS – CASE#2 • Incompetence of RGSV Big varicosities • Trunc diameter 10mm • Catheters placement. Flexivein – 16G, 65 cm applicator
- 11. SVS – CASE#2 3
- 12. S.J. Before 6days after 100 days after SVS - Results
- 13. S.J. Before 6days after 35 days after SVS - Results
- 14. 730 C2-C6 patientstreated 10.2013 – 10. 2016 x SVT - 15% x Skin hiperpigmentation – 10% x Minor skin burns – 10% x Paresthesia – 3% x Infection – 1% x Allergic reactions 1% x EHIT 0,5% x Symptomatic DVT 0% x Recanalisation x Total – 3% x Partial 15% SVS - Complications
- 15. SVS – tricksand tips navigation • Shaping of catheter tip to cross single tortuosities
- 16. • Intermittent ablationof long trunks • Cooling an enty site during ablation SVS – tricks and tips catheter entry site burn prevention
- 17. Conclusions SVS is anefficatious and safe ablative technique SVS is very useful in treatment of coexistance of: • Big varicosities • Big diameter saphenous trunk • Reccurent varicosities • Incompetent perforators