Thrombotic Complications Following Treatment of Peripheral Varicose Veins

Le résumé fourni par la source

NPatients treated for lower extremity varicose veins are at risk for adverse thrombotic events (ATEs) despite a profound evolution in treatment methods over the past two decades. 1 The main principle of treatment involves correction of venous reflux (or reversal of venous flow) in diseased superficial truncal, tributary, and perforator veins. The primary method of reflux correction is controlled occlusion (and possibly removal) of the incompetent superficial vein. Whether this is performed with thermal energy (radiofrequency and laser ablation), non-thermal methods (polidocanol microfoam, cyanoacrylate, mechanochemical ablation), or surgical methods (high ligation and stripping, stab phlebectomy), deep venous extension of this controlled “thrombosis” or occlusion is rare but reported in the peer reviewed literature. Fortunately, this is a relatively infrequent complication that has a low incidence of serious clinical consequences to patients if diagnosed and treated properly.

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