Recurrent Varicose Veins in the Lower Extremities after Endovenous Interventions
https://doi.org/10.35401/2541-9897-2025-10-4-145-151
Abstract
This article addresses the current issue of recurrent varicose veins in the lower extremities after endovenous interventions. An analysis of the recurrence rates and potential causes, depending on the treatment method used, is presented. The article emphasizes the existing shortcomings in recurrence prevention and proposes promising directions for the further development of effective corrective strategies.
About the Authors
A. Nikogosian
Peoples’ Friendship University of Russia named after Patrice Lumumba
Россия
Россия
Armenuhi Nikogosian, Postgraduate Student, Department of Hospital Surgery with the Pediatric Surgery Course
ulitsa Miklouho Maclaya 6, Moscow, 117198
D. A. Maximkin
Peoples’ Friendship University of Russia named after Patrice Lumumba
Россия
Россия
Daniil A. Maximkin, Cand. Sci. (Med.), Associate Professor, Department of Hospital Surgery with the Pediatric Surgery Course
Moscow
References
1. Nyamekye IK. European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs. J Med Vasc. 2022;47(2):53-55. PMID: 35691663. https://doi.org/10.1016/j.jdmv.2022.04.003
2. Feodor T, Baila S, Mitea IA, Branisteanu DE, Vittos O. Epidemiology and clinical characteristics of chronic venous disease in Romania. Exp Ther Med. 2019;17(2):1097-1105. PMID: 30679980. PMCID: PMC6327587. https://doi.org/10.3892/etm.2018.7059
3. Nematzoda O, Sultanov DD, Gaibov AD, et al. Epidemiology and risk factors of varicose vein disease in Tajikistan. Avicenna Bulletin.2023;25(1):47-58. (In Russ.). https://doi.org/10.25005/2074- 0581-2023-25-1-47-58
4. Soliev OF, Sultanov DD, Kurbanov SP et al. Significant aspects of epidemiology, risk factors and treatment of varicose veins. Avicenn Bulletin. 2020;22(2):320-8. (In Russ.). https://doi.org/10.25005/2074-0581-2020-22-2-320-328
5. Koneva MI, Vatolina AA, Styazhkina SN, Kirshin AA. Risk factors for development of varicose disease of the lower limbs vines. STUDNET. 2021;4(5):58. (In Russ.).
6. Mikhailov IP, Kozlovsky BV, Arustamyan VA. Surgical Treatment of Varicose Veins of the Lower Extremities. Russian Sklifosovsky Journal “Emergency Medical Care”. 2023;12(3):471–80. (In Russ.) https://doi.org/10.23934/2223-9022-2023-12-3-471-480
7. Khitaryan AG, Orekhov AA, Ledenev AA, Voronova OV, Shatov DV, Veliev KS. Treatment of Venous Ulcer Related to Acquired Arteriovenous Fistula. Flebologiia. 2020;14(2):155-160. (In Russ.). https://doi.org/10.17116/flebo202014021155
8. Zubritskiy VF, Chernookov AI, Kuznetsov MR, et al. Surgical tactics optimization for the treatment of patients with relapses of lower limb varicose veins. Russian Medical Inquiry. 2023;7(4):225–31. (In Russ.). https://doi.org/10.32364/2587-6821-2023-7-4-225-231
9. Abud B, Kunt AG. Midterm varicose vein recurrence rates after endovenous laser ablation: comparison of radial fibre and bare fibre tips. Interact Cardiovasc Thorac Surg. 2021;32(1):77-82. PMID: 33212479. PMCID: PMC8906712. https://doi.org/10.1093/icvts/ivaa219
10. Murzina EL, Lobastov KV, Bargandzhiya AB, Laberko LA, Popov IB. Mid-Term Results of Cyanoacrylate Embolization of Saphenous Veins. Flebologiia. 2020;14(4):311-321. (In Russ.). https://doi.org/10.17116/flebo202014041311
11. Shirinbek O, Mnatsakanyan GV, Odinokova SN. Cyanoacrylate Adhesive Closure in the Real-World Practice: 2-Year Results of Varicose Vein Treatment. Ambulatornaya khirurgiya. 2022;19(1):132–9. (In Russ.). https://doi.org/10.21518/1995-1477-2022-19-1-132-139
12. Semkin VD, Akimov SS, Mazayshvili KV. Approaches to treatment of recurrent varicose veins after endovenous laser ablation. Vestnik SurGu. Meditsina. 2020;3(45):43-48. (In Russ.). https://doi.org/10.34822/2304-9448-2020-3-43-48
13. Clinical Guidelines. Varicose Veins of the Lower Extremities. 2021-2022-2023 (22.09.2021). Approved by the Ministry of Health of the Russian Federation
14. Shanayev IN, Korbut VS, Khashumov RM. Atypical Forms of Lower Limb Varicose Vein Disease: Features of Diagnosis and Surgical Treatment. IP Pavlov Russian Medical Biological Herald. 2023;31(4):551–62. (In Russ.). https://doi.org/10.17816/pavlovj107079
15. KamaevAA, BulatovVL, VakhratyanPE, VolkovAM, VolkovAS, Gavrilov EK, et al. Varicose Veins. Flebologiia. 2022;16(1):41. (In Russ.). https://doi.org/10.17116/flebo20221601141
16. Smirnov AA, Kulikov LK, Privalov UA, et al. Recurrence of Lower Limb Varicose Veins. Novosti Khirurgii. 2015;23(4):447– 51. (In Russ.). https://doi.org/10.18484/2305-0047.2015.4.447
17. Zollmann M, Zollmann C, Zollmann P, Veltman J, Cramer P, Stüecker M. Recurrence types 3 years after endovenous thermal ablation in insufficient saphenofemoral junctions. J Vasc Surg Venous Lymphat Disord. 2021;9(1):137-145. PMID: 32361003. https://doi.org/10.1016/j.jvsv.2020.04.021
18. Wang W, Li Q, Wen L. An Unusual Cause of Left Lower Extremity Varicose Veins. Gastroenterology. 2022;162(4):e9-e11. PMID: 34390728. https://doi.org/10.1053/j.gastro.2021.08.010
19. Jia W, Liu J, Cheng Z. Clinical Efficacy of Endovenous Radiofrequency Ablation (RFA) for Superficial Varicose Veins of the Lower Extremities. Dis Markers. 2022;2022:1673588. PMID: 35769813. PMCID: PMC9236766. https://doi.org/10.1155/2022/1673588
20. Kremastiotis J, Jfri A, Litvinov IV, Barolet D, Netchiporouk E. Treatment Modalities for Varicose Veins of Lower Extremities. J Cutan Med Surg. 2020;24(2):203-204. PMID: 32208017. https://doi.org/10.1177/1203475419891082
21. Tuan TA, Duc NM, Minh LN, Ha HD, Luu VD, Thong PM. Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report. Med Arch. 2020;74(2):100-104. PMID: 32577049. PMCID: PMC7296401. https://doi.org/10.5455/medarh.2020.74.100-104
22. Kundokhova A.A. Sovremennye metody lecheniya varikoznoy bolezni nizhnikh konechnostey. Zdorovye natsii v XXI veke. 2021:137-141. (In Russ.).
23. Svidersky Y, Goshchynsky V, Migenko B, Migenko L, Pyatnychka O. Anterior accessory great saphenous vein as a cause of postoperative recurrence of veins after radiofrequency ablation. J Med Life. 2022;15(4):563-569. PMID: 35646185. PMCID: PMC9126448. https://doi.org/10.25122/jml-2021-0318
24. Kalinin RE, Suchkov IA, Shanaev IN, et al. Clinical anatomy of the perforating veins of the proximal lower limbs. Novosti Khirurgii. 2021;29(1):28–37. (In Russ.). https://doi.org/10.18484/2305-0047.2021.1.28
25. Goyal VD, Misra G, Pahade A. Vein of Giacomini can lead to the recurrence of varicosities after endovenous laser ablation of varicose veins. Indian J Thorac Cardiovasc Surg. 2023;39(3):286- 288. PMID: 37124596. PMCID: PMC10140203. https://doi.org/10.1007/s12055-023-01490-y
26. Sabelnikov VV, Kalashnikova OI, Prokopec AI, Zlobin AV. Prichiny i vozmozhnosti profilaktiki i lecheniya retsediva varikoznoy bolezni nizhnikh konechnostey. 14th St. Petersburg Venous Forum «Current Issues in Phlebology» 2021:61-62. (In Russ.).
27. Potapov MP, Staver VE, Sokolova EI, Parashenko AF. Analiz faktorov, opredelyayushchikh kachestvo lazernoi krossekotomii. Theses of reports of the XIII Scientific-Practical Conference of the Phlebology Association of Russia. Flebologiia. 2021;15(2 2):31. (In Russ.). https://doi.org/10.17116/flebo2021150223
28. Yanushko VA, Rogovoy NA, Turliuk DV, et al. Endovenous Laser Ablation of Giacomini Vein in Surgical Treatment of Varicose Veins of Lower Extremities. Novosti Khirurgii. 2017;25(6):583–8. (In Russ.). https://doi.org/10.18484/2305-0047.2017.6.583
29. Shanayev IN, Pshennikova KS, Khashumov RM. A Rare Variant of Varicose Transformation of Subcutaneous Veins in the Popliteal Region Due to an Incompetent Perforator Veins. NAUKA MOLODYKH (Eruditio Juvenium). 2023;11(3):403–10. (In Russ.). https://doi.org/10.23888/hmj2023113403-410
30. Chernookov A.I., Ramishvili V.Sh., Dolgov S.I., Nikolaev A.M., Atayan A.A, Belykh E.N. Actual strategy of treatment varicose vein recurrence after endovenous interventions. Georgian Medical News. 2021;4(313): 26-33. (In Russ.).
31. Gaibov AD, Ne’matzoda O, Burieva SM, Kalmykov EL. Experience of application of mechanochemical scleroobliteration in treatment for recurrence of lower extremity varicose vein disease. IP Pavlov Russian Medical Biological Herald. 2020;28(1):57–66. (In Russ.). https://doi.org/10.23888/pavlovj202028157-66
32. El-Sheikha J, Carradice D, Nandhra S, et al. Systematic review of compression following treatment for varicose veins. Br J Surg. 2015;102(7):719-725. PMID: 25833417. https://doi.org/10.1002/bjs.9788
Review
For citations:
Nikogosian A., Maximkin D.A. Recurrent Varicose Veins in the Lower Extremities after Endovenous Interventions. Innovative Medicine of Kuban. 2025;10(4):145-151. (In Russ.) https://doi.org/10.35401/2541-9897-2025-10-4-145-151
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