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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
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Recurrent varicose veins: causes and neovascularisation. A 17-year experience
1Department of Surgery II, Vascular and Transplantation Surgery, Palacky University, Cardiovascular Centre, Olomouc, Czech Republic - jiriherman@seznam.cz.
Summary
Varicose vein recurrence is primarily caused by unresolved reflux from initial surgery, especially at the saphenofemoral junction. Neovascularisation does not contribute to varicose vein recurrence.
Area of Science:
- Vascular Surgery
- Medical Research
Background:
- Varicose vein recurrence is a common clinical problem.
- Identifying the causes of recurrence is crucial for effective treatment.
Purpose of the Study:
- To determine the causes of varicose vein recurrence.
- To investigate the role of neovascularisation in recurrence.
Main Methods:
- Retrospective analysis of 217 reoperated legs over 17 years.
- Prospective histological and histochemical analysis of resected veins.
Main Results:
- Reflux caused 93% of varicose vein recurrences, most often at the saphenofemoral junction.
- Neovascularisation was suspected in 11 cases but not confirmed and did not cause recurrence.
Conclusions:
- Unresolved reflux from primary surgery is the main cause of varicose vein recurrence.
- Disease progression and new reflux are less common causes.
- Neovascularisation is not a significant factor in varicose vein recurrence.
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