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. 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.

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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

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