Potential advantages of steam ablation of varicose veins
-
Upload
michal-molski -
Category
Health & Medicine
-
view
313 -
download
2
Transcript of Potential advantages of steam ablation of varicose veins
![Page 1: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/1.jpg)
Endovenous steam ablation of saphenous trunk and big tributaries:
When I see the potential advantages of SVS method?Michał Molski MD PhD
CRACOW 08.12.2016
![Page 2: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/2.jpg)
Conflict of interest disclosureNothing to declare
Michał Molski MD PhD
![Page 3: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/3.jpg)
• Endovenous thermal ablation techniqe• Allows treatment of GSV/SSV truncs• Allows treatment of tributaries• Allows treatment of perforating veins
ALL IN ONE PROCEDUREWithout additional techniques (miniphlebectomy or sclerotherapy)
BUTMay be combined with any of other phlebological technique
Steam Vein Sclerosis - Venosteam
![Page 4: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/4.jpg)
SVS – procedure technique
Flexivein – 16G, 65 cm
![Page 5: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/5.jpg)
SVS – procedure technique
Tribvein – 18G, 12cm
![Page 6: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/6.jpg)
SVS – CASE #1
• Incompetence of LAASV LGSV Big varicosities• Trunc diameter 10mm
![Page 7: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/7.jpg)
SVS – CASE #1
• Catheters placement• Flexivein – 16G, 65 cm applicator
1. LAASV
2. LGSV
3. Varicosities
![Page 8: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/8.jpg)
SVS – CASE #1
1
![Page 9: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/9.jpg)
SVS – CASE #1
2
![Page 10: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/10.jpg)
SVS – CASE #2• Incompetence of RGSV Big varicosities• Trunc diameter 10mm• Catheters placement. Flexivein – 16G, 65 cm applicator
1. RGSV
2. Varicosities
![Page 11: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/11.jpg)
SVS – CASE #2
3
![Page 12: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/12.jpg)
S.J. Before 6 days after 100 days after
SVS - Results
![Page 13: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/13.jpg)
S.J. Before 6 days after 35 days after
SVS - Results
![Page 14: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/14.jpg)
730 C2-C6 patients treated 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 Recanalisationx Total – 3%x Partial 15%
SVS - Complications
![Page 15: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/15.jpg)
SVS – tricks and tipsnavigation
• Shaping of catheter tip to cross single tortuosities
![Page 16: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/16.jpg)
• Intermittent ablation of long trunks• Cooling an enty site during ablation
SVS – tricks and tipscatheter entry site burn prevention
![Page 17: Potential advantages of steam ablation of varicose veins](https://reader036.fdocuments.us/reader036/viewer/2022062522/588030aa1a28ab9f0f8b67fd/html5/thumbnails/17.jpg)
Conclusions
SVS is an efficatious and safe ablative technique
SVS is very useful in treatment of coexistance of:• Big varicosities• Big diameter saphenous trunk • Reccurent varicosities• Incompetent perforators