Retrospective evaluation of presence of major and minor criteria for saphenous preservation in patients with varicose veins

Abstract

Introduction. Selecting patients eligible for surgery with saphenous preservation (ASVAL) is sometimes difficult due to the lack of clear indications. Aim of study was retrospective evaluation of the presence of major and minor criteria in a group of patients with varicose veins supposed to intervention with preservation of great saphenous vein. Material and methods. In the retrospective analysis were included 110 patients (134 extremities), supposed to clinical examination, ultrasound imaging and saphenous sparing surgery during the 2008-2019 period.Results. The average age - 44.4 (IQR 31.75 - 56.25) years, with the prevalence of women - 79 (71.8%). According to the selection criteria, proposed by P. Pittaluga (2017), the association of at least one major and one minor criterion, already presents an indication.Conclusions. The criteria for establishing the surgical indications, proposed by the authors of the saphenous sparing strategies in patients with varicose veins, was respect in most cases. It is necessary to evaluate their prognostic role based on an analysis of long-term postoperative outcomes.