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

  • Mo Makoto
    Department of Cardiovascular Surgery, Yokohama Minami Kyosai Hospital
  • Hirokawa Masayuki
    Ochanomizu Vascular and Vein Clinic
  • Satokawa Hirono
    Department of Cardiovascular Surgery, Fukushima Medical University, School of Medicine
  • Yasugi Takumi
    Department of Cardiovascular Surgery, Ehime University
  • Yamaki Takashi
    Department of Plastic and Reconstructive Surgery, Tokyo Women’s Medical University Medical Center East
  • Ito Takaaki
    Department of Dermatology, Hyogo College of Medicine
  • Onozawa Shiro
    Department of Radiology, Teikyo University Mizonokichi Hospital, Kawasaki
  • Kobata Takashi
    Department of Cardiovascular Surgery, Kanazawa Medical University Himi Municipal Hospital
  • Shirasugi Nozomu
    Department of Vascular Surgery, Yokohama Asahi Chuo General Hospital
  • Shokoku Shintaro
    Shokoku Shintaro Clinic
  • Sugano Norihide
    Department of Surgery, Tokyo Metropolitan Health and Medical Treatment Corporation Ohkubo Hospital
  • Sugiyama Satoru
    Department of Surgery, Hiroshima Teishin Hospital
  • Hoshina Katsuyuki
    Department of Vascular Surgery, Tokyo University
  • Ogawa Tomohiro
    Department of Cardiovascular Surgery, Fukushima Dai-Ichi Hospital

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Other Title
  • 「下肢静脈瘤に対する血管内焼灼術のガイドライン2019」不適切治療症例に関する追補

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Abstract

<p>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.</p>

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