Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 May 1;1(1):12-9.
doi: 10.1016/j.jcws.2008.10.004. eCollection 2009 Jan.

Venous ulcers: new options in treatment: minimally invasive vein surgery

Honesto Poblete  1 , Steven Elias  2
Affiliations

Venous ulcers: new options in treatment: minimally invasive vein surgery

Honesto Poblete et al. J Am Col Certif Wound Spec. .

Abstract

Venous disease has a spectrum of presentations. The most advanced state of chronic venous insufficiency (CVI) managed by wound care specialists being ulceration of the lower extremity. The goal of all treatments for advanced venous disease is to decrease ambulatory venous hypertension. Treatment can be divided into exogenous and endogenous methods. Exogenous methods include those applied externally such as compression, elevation, debridement and wound dressings. Endogenous methods treat the underlying venous pathology either due to venous valvular dysfunction or venous obstruction leading to venous hypertension. Recently, significant advances in endogenous methods have evolved. The development of a new concept, minimally invasive vein surgery (MIVS), has improved upon traditional, open, invasive treatments of venous disease. MIVS techniques are performed percutaneously, with minimal anesthesia, no incisions and rarely require hospital admission. This article summarizes the concept of MIVS, describes each method of MIVS and its complementary role in the management of venous leg ulcers patients.

Keywords: MIVS; PAPs; SEPS; laser ablation; minimally invasive vein surgery; perforator ablation; radiofrequency ablation; venous ulcer.

PubMed Disclaimer

Figures

Figure 1
Figure 1
ClosureFast catheter and generator.
Figure 2
Figure 2
Radiofrequency Stylet Device.
Figure 3
Figure 3
Radiofrequency Stylet Catheter Access in Incompetent Perforator Vein.
Figure 4
Figure 4
Post–Percutaneous Ablation of Perforators With Vein Wall Changes.
Figure 5
Figure 5
Pre–Percutaneous Ablation of Perforators With Flow in Incompetent Perforator Vein.
Figure 6
Figure 6
Post–Percutaneous Ablation of Perforators With No Flow in Incompetent Perforator Vein.
Figure 7
Figure 7
Algorithm for Wound Treatment.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Adams F., editor. The Genuine Works of Hippocrates. Sydenham Society; London, England: 1849. Hippocrates: De ulceribus and de carnibus; pp. 325–336.
    1. Beebe H.G., Bergan J.J., Bergqvist D. Classification and grading of chronic venous disease in the lower limbs: A consensus statement. Eur J Vasc Endovasc Surg. 1996;12(4):487–491. - PubMed
    1. Eklof B., Rutherford R.B., Bergan J.J. Revision of the CEAP classification for chronic venous disorders: Consensus statement. J Vasc Surg. 2004;40(6):1248–1252. - PubMed
    1. Evans C.J., Fowkes F.G., Ruckley C.V., Lee A.J. Prevalence of varicose veins and chronic venous insufficiency in men and women in the general population: Edinburgh Vein Study. J Epidemiol Community Health. 1999;53(3):149–153. - PMC - PubMed
    1. Criqui M.H., Jamosmos M., Fronek A. Chronic venous disease in an ethnically diverse population: The San Diego Population Study. Am J Epidemiol. 2003;158(5):448–456. - PMC - PubMed

LinkOut - more resources