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Wire-assisted modification of Havst catheter stripping of the great saphenous vein trunk

Xiaowen Lin1, Pengfei Li1, Lijuan Zhuang2

  • 1Department of Vascular Surgery, Fujian University of Traditional Chinese Medicine Affiliated People's Hospital, Fuzhou, Fujian, China.

Frontiers in Surgery
|December 15, 2025
PubMed

Insights

Wire-assisted great saphenous vein (GSV) stripping offers superior outcomes compared to conventional methods. This modified technique resulted in longer GSV stripping lengths and higher success rates with reduced incision size.

Area of Science:

  • Vascular Surgery
  • Minimally Invasive Procedures
  • Phlebology

Background:

  • Great saphenous vein (GSV) stripping is a common procedure for treating venous insufficiency.
  • Conventional Havst catheter stripping has limitations in terms of efficacy and invasiveness.
  • Advancements in surgical techniques aim to improve patient outcomes and procedural efficiency.

Purpose of the Study:

  • To compare the therapeutic outcomes of conventional Havst catheter stripping versus a wire-assisted modification for GSV trunk stripping above the knee.
  • To evaluate differences in stripping length, success rate, incision size, operative time, and pain scores between the two techniques.

Main Methods:

  • A comparative study involving 120 patients undergoing GSV trunk stripping.
  • Patients were divided into two groups: conventional Havst catheter stripping (60 patients) and wire-assisted Havst catheter stripping (60 patients).
  • Key outcomes including stripping length, surgical success, incision length, operative time, and intraoperative pain (VAS score) were analyzed.

Main Results:

  • The wire-assisted technique demonstrated significantly longer GSV stripping lengths (384 cm vs. 321 cm) and higher success rates (96.67% vs. 76.67%).
  • A significantly shorter thigh incision length was observed with the wire-assisted method (11 cm vs. 12 cm).
  • No significant differences were found in patient age, gender, clinical class, stripping time, or intraoperative pain scores.

Conclusions:

  • Wire-assisted modification of Havst catheter stripping is more effective than the conventional approach.
  • This technique allows for stripping of a longer GSV segment with improved success rates and reduced invasiveness.
  • The modified technique offers a promising alternative for GSV treatment.
Abstract

Keywords:
Havst cathetergreat saphenous varicose veinsminimally invasive surgerytumescent anesthesiawire-assisted

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