Varicose vein surgery after acute isolated superficial vein thrombosis in daily practice: INSIGHTS-SVT study
The aim of this study was to assess the utilization of surgical interventions in patients diagnosed with superficial vein thrombosis (SVT) and its potential association with the occurrence of venous thromboembolism (VTE) and bleeding events. INSIGHTS-SVT, a prospective, non-interventional, multicent...
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| Veröffentlicht in: | Journal of vascular surgery. Venous and lymphatic disorders (New York, NY) NY), 2024-11, Vol.12 (6), p.101917, Article 101917 |
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| container_title | Journal of vascular surgery. Venous and lymphatic disorders (New York, NY) |
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| creator | Noppeney, Thomas Rabe, Eberhard Hoffmann, Ulrich Schimke, Alexandra Heinken, Andreas Langer, Florian Pittrow, David Klotsche, Jens Gerlach, Horst E. Bauersachs, Rupert Schnabl, Christian Winterbauer, Tina Schön, Norbert Harriet Werno, Simone Herman, Georg Schmidt, Oliver Dietrich, Beate Schünemann, Martin Rieker, Eberhard Ruppe, Ulrich Betzl, Gabriele Noppeney, Thomas Heilberger, Peter Tsantilas, Dimitrios Köpp, Andreas Forkmann, Lutz Willeke, Andreas Rothenbücher, Gabriele Förster, Karl Kießling, Jeanette Junge, Gesche Wittig, Ina Wilms, Dagmar Schulte, Christoph Flüchter, Stephan Kneist, Martina Kirsch, Ulrike Herrmann, Thomas Turowski, Alexandra Hartmann, Karsten Oettler, Wolfram Nelles, Heike Frank, Jürgen Apostolidis, Savvas Keilhau, Dag-Alexander Murena Schmidt, Renate Rivera-Reuver, Iris Rocha Augustin, Kerstin Predel, Diethard Hertel, Thomas Schmeink, Ursula Seibt, Simone Schreiner, Jürgen Zollmann, Christine Möbius, Eckart Vollmer, Thomas Brettschneider, Roswitha Raulin, Sabine Pourhassan, Siamak Läger, Gerlind Brandl, Robert Schmiedel, Rainer Jager, Karoline Mendoza, Erika Schwuchow, Jörg Siegers, Jan-Peter Gätzschmann, Peter Zgouras, Dimitrios Lang, Werner Clasing, Arne Ananin, Anatoli Rutkowski, Jörg Kalka, Christoph Ackermann, Frank Peter, Fred Schaub, Patricia Beyer-Westendorf, Jan Brado, Bernadette Schöniger, Mario Köpnick, Sven Biro, Ferenc Linnemann, Birgit |
| description | The aim of this study was to assess the utilization of surgical interventions in patients diagnosed with superficial vein thrombosis (SVT) and its potential association with the occurrence of venous thromboembolism (VTE) and bleeding events.
INSIGHTS-SVT, a prospective, non-interventional, multicenter study in Germany, investigated the management and outcomes of patients with acute SVT who received conservative and/or invasive treatments at the discretion of the treating physician.
Among the 872 patients with 12-month data, 657 had medical therapy only, and 215 patients underwent vascular surgery (70 within 3 months of SVT diagnosis, 136 between months 4 and 12, and nine had an intervention in both periods). The most commonly performed procedures included endovenous thermal ablation, ligation of the saphenofemoral or saphenopopliteal junction, and vein stripping. The primary outcome of symptomatic VTE was observed in 5.8% of conservatively treated patients and 6.3% of those who underwent surgical intervention. Additionally, the secondary outcome of recurrent or extended SVT was documented in 4.7% of conservatively treated patients and 5.3% of invasively treated patients. Bleeding events occurred in 1.4% of conservatively treated patients and 2.1% of surgically treated patients. These differences were statistically not significant. Furthermore, our analysis indicated a potential protective effect associated with surgical treatments, such as ligation of the saphenofemoral or saphenopopliteal junction, stripping and endovenous thermal ablation, concerning the endpoint of VTE for patients when applied after 3 months from the index SVT event.
In line with previous research, our study suggests that surgical interventions are not frequently employed in the management of SVT, although they may be warranted in select cases. Nevertheless, additional research is essential to gain a deeper understanding of the indications, criteria, and benefit of surgical interventions in the treatment of SVT. |
| doi_str_mv | 10.1016/j.jvsv.2024.101917 |
| format | Article |
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INSIGHTS-SVT, a prospective, non-interventional, multicenter study in Germany, investigated the management and outcomes of patients with acute SVT who received conservative and/or invasive treatments at the discretion of the treating physician.
Among the 872 patients with 12-month data, 657 had medical therapy only, and 215 patients underwent vascular surgery (70 within 3 months of SVT diagnosis, 136 between months 4 and 12, and nine had an intervention in both periods). The most commonly performed procedures included endovenous thermal ablation, ligation of the saphenofemoral or saphenopopliteal junction, and vein stripping. The primary outcome of symptomatic VTE was observed in 5.8% of conservatively treated patients and 6.3% of those who underwent surgical intervention. Additionally, the secondary outcome of recurrent or extended SVT was documented in 4.7% of conservatively treated patients and 5.3% of invasively treated patients. Bleeding events occurred in 1.4% of conservatively treated patients and 2.1% of surgically treated patients. These differences were statistically not significant. Furthermore, our analysis indicated a potential protective effect associated with surgical treatments, such as ligation of the saphenofemoral or saphenopopliteal junction, stripping and endovenous thermal ablation, concerning the endpoint of VTE for patients when applied after 3 months from the index SVT event.
In line with previous research, our study suggests that surgical interventions are not frequently employed in the management of SVT, although they may be warranted in select cases. Nevertheless, additional research is essential to gain a deeper understanding of the indications, criteria, and benefit of surgical interventions in the treatment of SVT.</description><identifier>ISSN: 2213-333X</identifier><identifier>ISSN: 2213-3348</identifier><identifier>EISSN: 2213-3348</identifier><identifier>DOI: 10.1016/j.jvsv.2024.101917</identifier><identifier>PMID: 38821188</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Acute Disease ; Adult ; Aged ; Clinical Research Studies ; Conservative Treatment - adverse effects ; Female ; Fondaparinux ; Germany ; Hemorrhage - etiology ; Humans ; Low-molecular weight heparin ; Male ; Middle Aged ; Practice Patterns, Physicians ; Prognosis ; Prospective Studies ; Recurrence ; Risk assessment ; Risk Factors ; Superficial vein thrombosis ; Surgical intervention ; Time Factors ; Treatment Outcome ; Varicose Veins - diagnostic imaging ; Varicose Veins - surgery ; Vascular Surgical Procedures - adverse effects ; Venous Thromboembolism - diagnosis ; Venous Thromboembolism - etiology ; Venous thrombosis ; Venous Thrombosis - diagnostic imaging ; Venous Thrombosis - etiology ; Venous Thrombosis - surgery</subject><ispartof>Journal of vascular surgery. Venous and lymphatic disorders (New York, NY), 2024-11, Vol.12 (6), p.101917, Article 101917</ispartof><rights>2024 The Author(s)</rights><rights>Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.</rights><rights>2024 The Author(s) 2024</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c337t-1940b2cd77754d20afbc491c6a8d4153a569f3e6daeae0bc100d04ad81fa50123</cites><orcidid>0000-0002-1963-9475</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523306/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11523306/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38821188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Noppeney, Thomas</creatorcontrib><creatorcontrib>Rabe, Eberhard</creatorcontrib><creatorcontrib>Hoffmann, Ulrich</creatorcontrib><creatorcontrib>Schimke, Alexandra</creatorcontrib><creatorcontrib>Heinken, Andreas</creatorcontrib><creatorcontrib>Langer, Florian</creatorcontrib><creatorcontrib>Pittrow, David</creatorcontrib><creatorcontrib>Klotsche, Jens</creatorcontrib><creatorcontrib>Gerlach, Horst E.</creatorcontrib><creatorcontrib>Bauersachs, Rupert</creatorcontrib><creatorcontrib>Schnabl, Christian</creatorcontrib><creatorcontrib>Winterbauer, Tina</creatorcontrib><creatorcontrib>Schön, Norbert Harriet</creatorcontrib><creatorcontrib>Werno, Simone</creatorcontrib><creatorcontrib>Herman, Georg</creatorcontrib><creatorcontrib>Schmidt, Oliver</creatorcontrib><creatorcontrib>Dietrich, Beate</creatorcontrib><creatorcontrib>Schünemann, Martin</creatorcontrib><creatorcontrib>Rieker, Eberhard</creatorcontrib><creatorcontrib>Ruppe, Ulrich</creatorcontrib><creatorcontrib>Betzl, Gabriele</creatorcontrib><creatorcontrib>Noppeney, Thomas</creatorcontrib><creatorcontrib>Heilberger, Peter</creatorcontrib><creatorcontrib>Tsantilas, Dimitrios</creatorcontrib><creatorcontrib>Köpp, Andreas</creatorcontrib><creatorcontrib>Forkmann, Lutz</creatorcontrib><creatorcontrib>Willeke, Andreas</creatorcontrib><creatorcontrib>Rothenbücher, Gabriele</creatorcontrib><creatorcontrib>Förster, Karl</creatorcontrib><creatorcontrib>Kießling, Jeanette</creatorcontrib><creatorcontrib>Junge, Gesche</creatorcontrib><creatorcontrib>Wittig, Ina</creatorcontrib><creatorcontrib>Wilms, Dagmar</creatorcontrib><creatorcontrib>Schulte, Christoph</creatorcontrib><creatorcontrib>Flüchter, Stephan</creatorcontrib><creatorcontrib>Kneist, Martina</creatorcontrib><creatorcontrib>Kirsch, Ulrike</creatorcontrib><creatorcontrib>Herrmann, Thomas</creatorcontrib><creatorcontrib>Turowski, Alexandra</creatorcontrib><creatorcontrib>Hartmann, Karsten</creatorcontrib><creatorcontrib>Oettler, Wolfram</creatorcontrib><creatorcontrib>Nelles, Heike</creatorcontrib><creatorcontrib>Frank, Jürgen</creatorcontrib><creatorcontrib>Apostolidis, Savvas</creatorcontrib><creatorcontrib>Keilhau, Dag-Alexander</creatorcontrib><creatorcontrib>Murena Schmidt, Renate</creatorcontrib><creatorcontrib>Rivera-Reuver, Iris Rocha</creatorcontrib><creatorcontrib>Augustin, Kerstin</creatorcontrib><creatorcontrib>Predel, Diethard</creatorcontrib><creatorcontrib>Hertel, Thomas</creatorcontrib><creatorcontrib>Schmeink, Ursula</creatorcontrib><creatorcontrib>Seibt, Simone</creatorcontrib><creatorcontrib>Schreiner, Jürgen</creatorcontrib><creatorcontrib>Zollmann, Christine</creatorcontrib><creatorcontrib>Möbius, Eckart</creatorcontrib><creatorcontrib>Vollmer, Thomas</creatorcontrib><creatorcontrib>Brettschneider, Roswitha</creatorcontrib><creatorcontrib>Raulin, Sabine</creatorcontrib><creatorcontrib>Pourhassan, Siamak</creatorcontrib><creatorcontrib>Läger, Gerlind</creatorcontrib><creatorcontrib>Brandl, Robert</creatorcontrib><creatorcontrib>Schmiedel, Rainer</creatorcontrib><creatorcontrib>Jager, Karoline</creatorcontrib><creatorcontrib>Mendoza, Erika</creatorcontrib><creatorcontrib>Schwuchow, Jörg</creatorcontrib><creatorcontrib>Siegers, Jan-Peter</creatorcontrib><creatorcontrib>Gätzschmann, Peter</creatorcontrib><creatorcontrib>Zgouras, Dimitrios</creatorcontrib><creatorcontrib>Lang, Werner</creatorcontrib><creatorcontrib>Clasing, Arne</creatorcontrib><creatorcontrib>Ananin, Anatoli</creatorcontrib><creatorcontrib>Rutkowski, Jörg</creatorcontrib><creatorcontrib>Kalka, Christoph</creatorcontrib><creatorcontrib>Ackermann, Frank</creatorcontrib><creatorcontrib>Peter, Fred</creatorcontrib><creatorcontrib>Schaub, Patricia</creatorcontrib><creatorcontrib>Beyer-Westendorf, Jan</creatorcontrib><creatorcontrib>Brado, Bernadette</creatorcontrib><creatorcontrib>Schöniger, Mario</creatorcontrib><creatorcontrib>Köpnick, Sven</creatorcontrib><creatorcontrib>Biro, Ferenc</creatorcontrib><creatorcontrib>Linnemann, Birgit</creatorcontrib><creatorcontrib>INSIGHTS-SVT study group</creatorcontrib><title>Varicose vein surgery after acute isolated superficial vein thrombosis in daily practice: INSIGHTS-SVT study</title><title>Journal of vascular surgery. Venous and lymphatic disorders (New York, NY)</title><addtitle>J Vasc Surg Venous Lymphat Disord</addtitle><description>The aim of this study was to assess the utilization of surgical interventions in patients diagnosed with superficial vein thrombosis (SVT) and its potential association with the occurrence of venous thromboembolism (VTE) and bleeding events.
INSIGHTS-SVT, a prospective, non-interventional, multicenter study in Germany, investigated the management and outcomes of patients with acute SVT who received conservative and/or invasive treatments at the discretion of the treating physician.
Among the 872 patients with 12-month data, 657 had medical therapy only, and 215 patients underwent vascular surgery (70 within 3 months of SVT diagnosis, 136 between months 4 and 12, and nine had an intervention in both periods). The most commonly performed procedures included endovenous thermal ablation, ligation of the saphenofemoral or saphenopopliteal junction, and vein stripping. The primary outcome of symptomatic VTE was observed in 5.8% of conservatively treated patients and 6.3% of those who underwent surgical intervention. Additionally, the secondary outcome of recurrent or extended SVT was documented in 4.7% of conservatively treated patients and 5.3% of invasively treated patients. Bleeding events occurred in 1.4% of conservatively treated patients and 2.1% of surgically treated patients. These differences were statistically not significant. Furthermore, our analysis indicated a potential protective effect associated with surgical treatments, such as ligation of the saphenofemoral or saphenopopliteal junction, stripping and endovenous thermal ablation, concerning the endpoint of VTE for patients when applied after 3 months from the index SVT event.
In line with previous research, our study suggests that surgical interventions are not frequently employed in the management of SVT, although they may be warranted in select cases. Nevertheless, additional research is essential to gain a deeper understanding of the indications, criteria, and benefit of surgical interventions in the treatment of SVT.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Aged</subject><subject>Clinical Research Studies</subject><subject>Conservative Treatment - adverse effects</subject><subject>Female</subject><subject>Fondaparinux</subject><subject>Germany</subject><subject>Hemorrhage - etiology</subject><subject>Humans</subject><subject>Low-molecular weight heparin</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Practice Patterns, Physicians</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>Superficial vein thrombosis</subject><subject>Surgical intervention</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Varicose Veins - diagnostic imaging</subject><subject>Varicose Veins - surgery</subject><subject>Vascular Surgical Procedures - adverse effects</subject><subject>Venous Thromboembolism - diagnosis</subject><subject>Venous Thromboembolism - etiology</subject><subject>Venous thrombosis</subject><subject>Venous Thrombosis - diagnostic imaging</subject><subject>Venous Thrombosis - etiology</subject><subject>Venous Thrombosis - 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Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1963-9475</orcidid></search><sort><creationdate>20241101</creationdate><title>Varicose vein surgery after acute isolated superficial vein thrombosis in daily practice: INSIGHTS-SVT study</title><author>Noppeney, Thomas ; Rabe, Eberhard ; Hoffmann, Ulrich ; Schimke, Alexandra ; Heinken, Andreas ; Langer, Florian ; Pittrow, David ; Klotsche, Jens ; Gerlach, Horst E. ; Bauersachs, Rupert ; Schnabl, Christian ; Winterbauer, Tina ; Schön, Norbert Harriet ; Werno, Simone ; Herman, Georg ; Schmidt, Oliver ; Dietrich, Beate ; Schünemann, Martin ; Rieker, Eberhard ; Ruppe, Ulrich ; Betzl, Gabriele ; Noppeney, Thomas ; Heilberger, Peter ; Tsantilas, Dimitrios ; Köpp, Andreas ; Forkmann, Lutz ; Willeke, Andreas ; Rothenbücher, Gabriele ; Förster, Karl ; Kießling, Jeanette ; Junge, Gesche ; Wittig, Ina ; Wilms, Dagmar ; Schulte, Christoph ; Flüchter, Stephan ; Kneist, Martina ; Kirsch, Ulrike ; Herrmann, Thomas ; Turowski, Alexandra ; Hartmann, Karsten ; Oettler, Wolfram ; Nelles, Heike ; Frank, Jürgen ; Apostolidis, Savvas ; Keilhau, Dag-Alexander ; Murena Schmidt, Renate ; Rivera-Reuver, Iris Rocha ; Augustin, Kerstin ; Predel, Diethard ; Hertel, Thomas ; Schmeink, Ursula ; Seibt, Simone ; Schreiner, Jürgen ; Zollmann, Christine ; Möbius, Eckart ; Vollmer, Thomas ; Brettschneider, Roswitha ; Raulin, Sabine ; Pourhassan, Siamak ; Läger, Gerlind ; Brandl, Robert ; Schmiedel, Rainer ; Jager, Karoline ; Mendoza, Erika ; Schwuchow, Jörg ; Siegers, Jan-Peter ; Gätzschmann, Peter ; Zgouras, Dimitrios ; Lang, Werner ; Clasing, Arne ; Ananin, Anatoli ; Rutkowski, Jörg ; Kalka, Christoph ; Ackermann, Frank ; Peter, Fred ; Schaub, Patricia ; Beyer-Westendorf, Jan ; Brado, Bernadette ; 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Venous and lymphatic disorders (New York, NY)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Noppeney, Thomas</au><au>Rabe, Eberhard</au><au>Hoffmann, Ulrich</au><au>Schimke, Alexandra</au><au>Heinken, Andreas</au><au>Langer, Florian</au><au>Pittrow, David</au><au>Klotsche, Jens</au><au>Gerlach, Horst E.</au><au>Bauersachs, Rupert</au><au>Schnabl, Christian</au><au>Winterbauer, Tina</au><au>Schön, Norbert Harriet</au><au>Werno, Simone</au><au>Herman, Georg</au><au>Schmidt, Oliver</au><au>Dietrich, Beate</au><au>Schünemann, Martin</au><au>Rieker, Eberhard</au><au>Ruppe, Ulrich</au><au>Betzl, Gabriele</au><au>Noppeney, Thomas</au><au>Heilberger, Peter</au><au>Tsantilas, Dimitrios</au><au>Köpp, Andreas</au><au>Forkmann, Lutz</au><au>Willeke, Andreas</au><au>Rothenbücher, Gabriele</au><au>Förster, Karl</au><au>Kießling, Jeanette</au><au>Junge, Gesche</au><au>Wittig, Ina</au><au>Wilms, Dagmar</au><au>Schulte, Christoph</au><au>Flüchter, Stephan</au><au>Kneist, Martina</au><au>Kirsch, Ulrike</au><au>Herrmann, Thomas</au><au>Turowski, Alexandra</au><au>Hartmann, Karsten</au><au>Oettler, Wolfram</au><au>Nelles, Heike</au><au>Frank, Jürgen</au><au>Apostolidis, Savvas</au><au>Keilhau, Dag-Alexander</au><au>Murena Schmidt, Renate</au><au>Rivera-Reuver, Iris Rocha</au><au>Augustin, Kerstin</au><au>Predel, Diethard</au><au>Hertel, Thomas</au><au>Schmeink, Ursula</au><au>Seibt, Simone</au><au>Schreiner, Jürgen</au><au>Zollmann, Christine</au><au>Möbius, Eckart</au><au>Vollmer, Thomas</au><au>Brettschneider, Roswitha</au><au>Raulin, Sabine</au><au>Pourhassan, Siamak</au><au>Läger, Gerlind</au><au>Brandl, Robert</au><au>Schmiedel, Rainer</au><au>Jager, Karoline</au><au>Mendoza, Erika</au><au>Schwuchow, Jörg</au><au>Siegers, Jan-Peter</au><au>Gätzschmann, Peter</au><au>Zgouras, Dimitrios</au><au>Lang, Werner</au><au>Clasing, Arne</au><au>Ananin, Anatoli</au><au>Rutkowski, Jörg</au><au>Kalka, Christoph</au><au>Ackermann, Frank</au><au>Peter, Fred</au><au>Schaub, Patricia</au><au>Beyer-Westendorf, Jan</au><au>Brado, Bernadette</au><au>Schöniger, Mario</au><au>Köpnick, Sven</au><au>Biro, Ferenc</au><au>Linnemann, Birgit</au><aucorp>INSIGHTS-SVT study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Varicose vein surgery after acute isolated superficial vein thrombosis in daily practice: INSIGHTS-SVT study</atitle><jtitle>Journal of vascular surgery. Venous and lymphatic disorders (New York, NY)</jtitle><addtitle>J Vasc Surg Venous Lymphat Disord</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>12</volume><issue>6</issue><spage>101917</spage><pages>101917-</pages><artnum>101917</artnum><issn>2213-333X</issn><issn>2213-3348</issn><eissn>2213-3348</eissn><abstract>The aim of this study was to assess the utilization of surgical interventions in patients diagnosed with superficial vein thrombosis (SVT) and its potential association with the occurrence of venous thromboembolism (VTE) and bleeding events.
INSIGHTS-SVT, a prospective, non-interventional, multicenter study in Germany, investigated the management and outcomes of patients with acute SVT who received conservative and/or invasive treatments at the discretion of the treating physician.
Among the 872 patients with 12-month data, 657 had medical therapy only, and 215 patients underwent vascular surgery (70 within 3 months of SVT diagnosis, 136 between months 4 and 12, and nine had an intervention in both periods). The most commonly performed procedures included endovenous thermal ablation, ligation of the saphenofemoral or saphenopopliteal junction, and vein stripping. The primary outcome of symptomatic VTE was observed in 5.8% of conservatively treated patients and 6.3% of those who underwent surgical intervention. Additionally, the secondary outcome of recurrent or extended SVT was documented in 4.7% of conservatively treated patients and 5.3% of invasively treated patients. Bleeding events occurred in 1.4% of conservatively treated patients and 2.1% of surgically treated patients. These differences were statistically not significant. Furthermore, our analysis indicated a potential protective effect associated with surgical treatments, such as ligation of the saphenofemoral or saphenopopliteal junction, stripping and endovenous thermal ablation, concerning the endpoint of VTE for patients when applied after 3 months from the index SVT event.
In line with previous research, our study suggests that surgical interventions are not frequently employed in the management of SVT, although they may be warranted in select cases. Nevertheless, additional research is essential to gain a deeper understanding of the indications, criteria, and benefit of surgical interventions in the treatment of SVT.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>38821188</pmid><doi>10.1016/j.jvsv.2024.101917</doi><orcidid>https://orcid.org/0000-0002-1963-9475</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2213-333X |
| ispartof | Journal of vascular surgery. Venous and lymphatic disorders (New York, NY), 2024-11, Vol.12 (6), p.101917, Article 101917 |
| issn | 2213-333X 2213-3348 2213-3348 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_11523306 |
| source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
| subjects | Acute Disease Adult Aged Clinical Research Studies Conservative Treatment - adverse effects Female Fondaparinux Germany Hemorrhage - etiology Humans Low-molecular weight heparin Male Middle Aged Practice Patterns, Physicians Prognosis Prospective Studies Recurrence Risk assessment Risk Factors Superficial vein thrombosis Surgical intervention Time Factors Treatment Outcome Varicose Veins - diagnostic imaging Varicose Veins - surgery Vascular Surgical Procedures - adverse effects Venous Thromboembolism - diagnosis Venous Thromboembolism - etiology Venous thrombosis Venous Thrombosis - diagnostic imaging Venous Thrombosis - etiology Venous Thrombosis - surgery |
| title | Varicose vein surgery after acute isolated superficial vein thrombosis in daily practice: INSIGHTS-SVT study |
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