The anterior saphenous vein. Part 4. Clinical and technical considerations in treatment. Endorsed by the American Vein and Lymphatic Society, the American Venous Forum, and the International Union of Phlebology
Edward M Boyle, Rachel Drgastin, Nicos Labropoulos, Alberto Caggiati, Antonios Gasparis, Suat Doganci, Mark Meissner- Cardiology and Cardiovascular Medicine
- General Medicine
Background
The decision to treat a refluxing anterior saphenous vein (ASV) should be a clinical decision based on the assessment on the ASV’s contribution to patient’s signs and symptoms. Once the decision to treat has been made, there are anatomic, clinical, and technical considerations in treatment planning.
Methods
Clinical scenarios were discussed by a panel of experts and common anatomic, clinical, and technical considerations were identified.
Results
There are unique clinical considerations such as whether both the great saphenous vein (GSV) and ASV should be concomitantly treated, if a normal ASV should be treated when treating a refluxing GSV and when and how to treat the associated tributary varicose tributaries. Being aware of the anatomic, clinical, and technical considerations allows development of a treatment plan that optimizes long-term outcomes in patients with ASV reflux.
Conclusion
Ultimately the treatment plan should be tailored to address these types of variables in a patient-centered discussion.