Supplement of Clinical Practice Guidelines for Endovenous Thermal Ablation for Varicose Veins: Overuse for the Inappropriate Indication

Makoto Mo; Masayuki Hirokawa; Hirono Satokawa; Takumi Yasugi; Takashi Yamaki; Takaaki Ito; Shiro Onozawa; Takashi Kobata; Nozomu Shirasugi; Shintaro Shokoku; Norihide Sugano; Satoru Sugiyama; Katsuyuki Hoshina; On Behalf Of Guideline Committee Japanese Society Of Phlebology; Tomohiro Ogawa; On Behalf Of Japanese Commitee Of Endovenous Treatment For Varicose Veins

doi:10.3400/avd.ra.21-00006

Supplement of Clinical Practice Guidelines for Endovenous Thermal Ablation for Varicose Veins: Overuse for the Inappropriate Indication

Ann Vasc Dis. 2021 Dec 25;14(4):323-327. doi: 10.3400/avd.ra.21-00006.

Authors

Makoto Mo¹, Masayuki Hirokawa², Hirono Satokawa³, Takumi Yasugi⁴, Takashi Yamaki⁵, Takaaki Ito⁶, Shiro Onozawa⁷, Takashi Kobata⁸, Nozomu Shirasugi⁹, Shintaro Shokoku¹⁰, Norihide Sugano¹¹, Satoru Sugiyama¹², Katsuyuki Hoshina¹³, On Behalf Of Guideline Committee Japanese Society Of Phlebology^{1

2

3

4

5

6

7

8

9

10

11

12

13

14}, Tomohiro Ogawa¹⁴, On Behalf Of Japanese Commitee Of Endovenous Treatment For Varicose Veins^{1

2

3

4

5

6

7

8

9

10

11

12

13

14}

Affiliations

¹ Department of Cardiovascular Surgery, Yokohama Minami Kyosai Hospital, Yokohama, Kanagawa, Japan.
² Ochanomizu Vascular and Vein Clinic, Tokyo, Japan.
³ Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine, Fukushima, Fukushima, Japan.
⁴ Department of Cardiovascular Surgery, Ehime University, Toon, Ehime, Japan.
⁵ Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
⁶ Department of Dermatology, Hyogo College of Medicine, Nisinomiya, Hyogo, Japan.
⁷ Department of Radiology, Teikyo University Mizonokuchi Hospital, Kawasaki, Kanagawa, Japan.
⁸ Department of Cardiovascular Surgery, Kanazawa Medical University Himi Municipal Hospital, Himi, Toyama, Japan.
⁹ Department of Vascular Surgery, Yokohama Asahi Chuo General Hospital, Yokohama, Kanagawa, Japan.
¹⁰ Shokoku Shintaro Clinic, Okayama, Okayama, Japan.
¹¹ Department of Surgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ohkubo Hospital, Tokyo, Japan.
¹² Department of Surgery, Hiroshima Teishin Hospital, Hiroshima, Hiroshima, Japan.
¹³ Department of Vascular Surgery, Tokyo University, Tokyo, Japan.
¹⁴ Department of Cardiovascular Surgery, Fukushima Dai-Ichi Hospital, Fukushima, Fukushima, Japan.

Abstract

While endovenous thermal ablation (ETA) become first choice of treatment for varicose veins, overuse of ETA for the inappropriate indication is growing problem. ETA is performed not only on varicose cases without symptom but also non diseased cases with segmental reflux of saphenous veins or no reflux. Indications of ETA was demonstrated in "the Clinical Practice Guidelines for ETA for Varicose Veins 2019" by Japanese Society of Phlebology. Purpose of this supplement is description of basics of correct indication for ETA. We also demonstrate the typical case of overuse of ETA for wrong indication. (This is a translation of Jpn J Phlebol 2020; 31: 39-43.).

Keywords: endovascular surgery; endovenous thermal ablation; guideline; overuse; varicose veins.