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First published on February 7, 2008, doi:10.1177/1538574407312655

Vascular and Endovascular Surgery 2008;42:239.

A more recent version of this article appeared on June 1, 2008

Article

Cryoperforator Surgery: A New Treatment of Incompetent Perforating Veins

Taco Marius Adrianus Leonardus Klem* and Cees Wittens

* To whom correspondence should be addressed. E-mail: t.klem{at}erasmusmc.nl.


  Abstract
This study was conducted to determine the feasibility of cryoperforator surgery in the treatment of incompetent perforating veins. Fifteen patients with C2-C4 varicose disease (according to the Clinical-EtiologyAnatomy-Pathophysiology classification) were enrolled in this study. Under local anesthesia, incompetent perforating veins were treated with a duplex-guided cryoprobe. Duplex scans were performed 2 and 4 weeks after treatment. Fifteen patients with 28 incompetent perforating veins were treated with cryoperforator surgery. Distribution of the incompetent perforating veins was as follows: posterior tibial perforator, 12; paratibial perforator, 11; intergemellar perforator, 1; lateral leg perforator, 4 (range = 1-5 incompetent perforating veins per patient). Follow-up showed successful treatment of 12 incompetent perforating veins (43%). This study showed that cryoperforator surgery is feasible for treatment of incompetent perforating veins. Higher success rates could be obtained with our modified diamond-dust coated cryoprobe. Major advantages are the treatment in an outpatient setting and the possibility of treating all incompetent perforating veins, intraluminal or extraluminal.


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