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-Etiology-Anatomy- 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.

Cryo, Incompetent, Minimally invasive, Perforating veins, Surgery, Venous
dx.doi.org/10.1177/1538574407312655, hdl.handle.net/1765/30403
Vascular and Endovascular Surgery
Erasmus MC: University Medical Center Rotterdam

Klem, T.M.A.L, & Wittens, C.H. (2008). Cryoperforator surgery: A new treatment of incompetent perforating veins. Vascular and Endovascular Surgery, 42(3), 239–242. doi:10.1177/1538574407312655