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Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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Updated: Jun 15, 2025

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Venous stenting versus venous ablation.

Ahmad Alsheekh1, Pavel Kibrik1, Natalie Marks1

  • 1Total Vascular Care, NYU Langone Health, Brooklyn, NY, USA.

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|August 26, 2024
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Summary
This summary is machine-generated.

This study compared endovenous ablation and iliac vein stenting for venous insufficiency. Results showed neither procedure was definitively superior, though patient age influenced perceived effectiveness.

Keywords:
Venous ablationvenous stenting

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Technology

Background:

  • Minimally invasive venous ablation and iliac vein stenting are advancing treatments for venous insufficiency.
  • No direct comparative studies exist for these evolving procedures.
  • Understanding patient outcomes is crucial for treatment selection.

Purpose of the Study:

  • To compare patient-reported outcomes of endovenous ablation versus iliac vein stenting.
  • To identify clinical factors influencing the effectiveness of these venous insufficiency treatments.
  • To guide future research on optimal treatment strategies.

Main Methods:

  • A survey of 726 patients with venous insufficiency who underwent both procedures between 2012-2019.
  • Data collected on patient assessment of swelling improvement post-procedure.
  • Follow-up questionnaires assessed which procedure, if any, provided greater relief.

Main Results:

  • 83.3% of patients reported improved swelling after combined procedures.
  • Patient preference varied: 23% favored iliac stent, 24% favored endovenous ablation.
  • Younger patients favored ablation (p=0.014), while older patients were less certain (p=0.024).

Conclusions:

  • Comparative effectiveness of iliac vein stenting and endovenous ablation requires further investigation.
  • Neither procedure demonstrated clear superiority in this patient cohort.
  • Patient age appears to influence subjective outcomes and procedure preference.