Safety of synchronous prophylactic ablation of the anterior saphenous vein in patients undergoing great saphenous vein thermal ablation- 6 months follow-up data of the SYNCHRONOUS study.

Markus Stücker, Lars Müller, Felizitas Pannier, Tobias Hirsch, Lorenz Uhlmann, Carmen K Dietrich, Karsten Hartmann, Thomas Mattausch, Hans-Christian Wenzel, Philipp Zollmann, Jürgen Veltman, Thomas K Weiler, Guido Lengfellner, Christine Müller-Christmann

Journal: Phlebology 2024;39(9):585-591

PMID: 38815590

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Abstract

BACKGROUND

The SYNCHRONOUS-study investigates simultaneous ASV-ablation with great saphenous vein (GSV) treatment in endovenous laser ablation (EVLA) for preventing varicose vein recurrence. This sub-study examines complication rates associated with prophylactic ASV-ablation.

METHODS

Among 1173 patients with refluxing GSV, 604 underwent GSV-ablation only, and 569 received additional ASV-ablation. Complication rates were compared over 6 months.

RESULTS

Approximately 80% of patients were complication-free with minor bruising and dysesthesia being most common complications. After 6 months, additional prophylactic ASV-ablation did not increase the rate of complications compared to GSV-only treatment.

CONCLUSION

The 6-months follow-up data suggests that prophylactic ASV-closure, alongside GSV-treatment, is safe, with similar complication rates to GSV-only EVLA.

Address: Department for Dermatology, University of Heidelberg, Heidelberg, Germany.; Praxis fuer Innere Medizin und Gefaßkrankheiten, Halle/Saale, Germany.; Venenzentrum Freiburg, Freiburg, Germany.; Venenzentrum am Bruhl, Leipzig, Germany.; MVZ Dr. Ph. Zollmann & Kollegen, Jena, Germany.; Venenzentrum Pforzheim, Pforzheim, Germany.; Venen-Fachpraxis Regensburg, Regensburg, Germany.; Dermatologikum Hamburg, Hamburg, Germany.; Venenzentrum der Dermatologischen und Gefaßchirurgischen Kliniken, Bochum, Germany.; Private Practice Dermatology and Phlebology, Bonn, Germany.; Institute of Medical Biometry, University of Heidelberg, Heidelberg, Germany.

DOI: 10.1177/02683555241257840

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MeSH Terms: Humans, Saphenous Vein, Female, Male, Middle Aged, Follow-Up Studies, Varicose Veins, Aged, Laser Therapy, Adult, Postoperative Complications