Modification of Primary Avalvular Varicose Anomaly after endovenous radiofrequency ablation

Abstract

Primary avalvular varicose anomaly (PAVA) is a new medical concept defined as primary varicose veins resembling neovascularized tissue on ultrasound examination. PAVAs could be misdiagnosed as recurrence at the saphenofemoral or saphenopopliteal junction, but no studies have yet examined their role before and after venous invasive procedure. In this report, we describe a case of PAVA in a 39-year-old man with symptomatic varicose veins and great saphenous vein truncal incompetence. Six months after radiofrequency ablation of the great saphenous vein, duplex ultrasound revealed complete occlusion of great saphenous vein and partial thrombosis of the still incompetent PAVA.

Zusammenfassung

Primär avalvuläre variköse Anomalien (PAVA) sind ein neues medizinisches Konzept, definiert als primäre Varikosis, die duplexsonographisch dem neuvaskularisierten Gewebe ähnelt. PAVA können mit Rezidiven im Bereich der Crosse assoziiert sein; keine Studie hat jedoch ihre Rolle vor und nach dem invasiven Eingriff untersucht.

In diesem Report beschreiben wir ein Fall von PAVA in einem 39-jährigen Patienten mit symptomatischen Varizen und Saphena magna-Stamminkompetenz. Sechs Monate nach Radiofrequenzablation der Vena Saphena Magna zeigte die Duplexsonographie einen kompletten Verschluss der Vena Saphena Magna und eine partielle Thrombose der weiterhin inkompetenten PAVA.

Key words

Varicose veins - radiofrequency ablation - duplex ultrasound - PAVA

Schlüsselwörter

Varikose - Radiofrequenzablation - Sonographie - PAVA

Publication History

Received: 30 July 2018

Accepted: 21 February 2019

Article published online:
10 April 2019

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