Related Experiment Video
Updated: Jul 20, 2025
08:05
Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
4.2K
Stocking-only versus additional eccentric compression after below-the-knee truncal vein sclerotherapy: A SOVAECS
Kilsoo Yie1, Eun-Hee Jeong1, Eun-Jung Hwang1
1Department of Surgery, College of Medicine, Pusan National University, and Jeju Soo Cardiovascular Center, Jeju, South Korea.
Journal of Vascular Surgery. Venous and Lymphatic Disorders
|August 3, 2023
Summary
Additional eccentric compression after foam sclerotherapy in the truncal saphenous vein did not show significant clinical benefits over regular compression stockings. Further research is needed to determine optimal compression strategies post-sclerotherapy.
Area of Science:
- Vascular Surgery
- Phlebology
- Minimally Invasive Procedures
Background:
- Foam sclerotherapy is a common treatment for great saphenous vein (GSV) reflux.
- The role of additional eccentric compression following this procedure remains underexplored.
- Optimizing post-sclerotherapy compression is crucial for treatment efficacy and patient outcomes.
Purpose of the Study:
- To evaluate the clinical effects of additional eccentric compression versus regular compression stockings after foam sclerotherapy in the truncal saphenous vein.
- To compare occlusion range, pain levels, and need for repeat procedures between the two compression methods.
- To assess patient satisfaction and complication rates associated with different compression strategies.
Main Methods:
- A prospective, randomized, single-blind, within-person study involving 42 patients (84 limbs) undergoing bilateral GSV therapy.
- Patients received endovenous ablation above the knee and foam sclerotherapy below the knee.
- Bilateral truncal saphenous veins were treated with either regular class II compression stockings (RC group) or additional eccentric compression (AC group) for 24 hours post-procedure.
Main Results:
- Eccentric compression significantly increased subcompression pressure compared to regular stockings (P=.000).
- No statistically significant differences were observed in occlusion range, postoperative pain, need for additional sclerotherapy, or skin pigmentation between the AC and RC groups.
- Patient-reported satisfaction at 24 hours postoperatively was similar between groups (P=.317), and no procedure-related complications were noted within one month.
Conclusions:
- Twenty-four hours of additional eccentric compression offers no discernible clinical advantages over conventional knee-level stockings after truncal vein foam sclerotherapy.
- The choice of compression therapy post-foam sclerotherapy should be individualized and based on comprehensive patient assessment.
- Current evidence does not support routine use of additional eccentric compression solely based on this study's findings.
Related Concept Videos
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
15
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
15
01:26Varicose Veins I: Introduction
9
Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
9
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
14
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
14
01:28Esophageal Varices-II: Clinical Features and Management
96
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
96
01:24Esophageal Varices-I: Introduction
183
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
183
01:11Overview of Systemic Veins
515
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
515