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The 2022 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society Clinical Practice Guidelines for the Management of Varicose Veins of the Lower Extremities.: Part I. Duplex Scanning and Treatment of Superficial Truncal Reflux. Journal of vascular surgery. Venous and lymphatic disorders Gloviczki, P., Lawrence, P. F., Wasan, S. M., Meissner, M. H., Almeida, J., Brown, K., Bush, R. L., Di Iorio, M., Fish, J., Fukaya, E., Gloviczki, M. L., Hingorani, A., Jayaraj, A., Kolluri, R., Murad, M. H., Obi, A. T., Ozsvath, K. J., Singh, M. J., Vayuvegula, S., Welch, H. J. 2022

Abstract

The Society for Vascular Surgery (SVS), the American Venous Forum (AVF) and the American Vein and Lymphatic Society (AVLS) collaborated to update the 2011 SVS/AVF clinical practice guidelines and provide new evidence-based recommendations on critical issues affecting the care of patients with varicose veins. Each recommendation is based on a recent, independent systematic review and meta-analysis of the diagnostic tests and treatments options for patients with lower extremity varicose veins. Part I. of the guidelines includes evidence-based recommendations on the evaluation of CEAP (Clinical Class, Etiology, Anatomy, Pathology) Class 2 varicose vein patients with duplex scanning and other diagnostic tests, on open surgical treatment (ligation and stripping) versus endovenous ablation techniques, on thermal versus non-thermal ablations of the superficial truncal veins and on the management of incompetent perforating veins in CEAP Class 2 disease. We also made recommendations on the concomitant vs staged treatment of varicose tributaries using phlebectomy, liquid or foam sclerotherapy (with physician compounded foam or commercially prepared polidocanol endovenous microfoam) in patients who undergo ablation of incompetent superficial truncal veins.

View details for DOI 10.1016/j.jvsv.2022.09.004

View details for PubMedID 36326210