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Treatment Action/Effects

 

External Stenting

(Venocuff II ® )

Surgical Stripping

 

Laser/ Radiofrequency Ablation

 

Ultrasound Guided Sclerotherapy

 

Returns the vein to normal function

 

Yes

 

No

 

No

 

No

 

Obstructions normal blood flow

 

No

 

Yes

 

Yes

 

Yes

 

Stimulates the growth of new varicose veins

 

No

 

Yes

 

Yes

 

Yes

 

Direct control of the cause of varicose veins from the top of the thigh

 

Yes

 

Yes

 

No

 

No

 

Applicability

 

50%

 

All

 

Big Systems Difficult

 

Big Systems Difficult

 

Able to be performed under local anaesthetic

 

Possible

 

Difficult

 

Possible

 

Yes

 

Long-term recurrence

 

8%

 

20-40%

 

Unknown

 

Unknown

 

Suitable for young patients

 

Optimal

 

Concern of recurrence

 

Concern of recurrence

 

Concern of recurrence

 

The vein after treatment can be used for a bypass graft

 

Yes

 

No

 

No

 

No

 

Applicability in obstructive deep vein disease

 

Yes

 

No

 

No

 

No

 

Applicability for the root cause of varicose veins before symptoms are seen

 

Yes

 

No

 

No

 

No

 

Treatment Repeatable

 

Possible (repair of a second valve)

 

No

 

No

 

Yes

 

Post-operative pain

 

Minimal

 

Moderate

 

Minimal

 

Minimal

 

Irritation and inflammation of the vein (phlebitis)

 

Very Occasional

 

No

 

100%

 

100%

 

Allergic Phenomena

 

No

 

No

 

No

 

Yes

 

Deep Vein Thrombosis (DVT) risk

 

0.02%

 

0.5%

 

Unknown

 

Unknown

 

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