Veins and Lymphatics · Published 2026-06-26 · DOI 10.4081/vl.2026.15593
Growing evidence suggests that, in selected varicose vein patients, isolated tributary treatment (by phlebectomy, sclerotherapy, laser or disconnection) may avoid the sacrifice of the great saphenous vein, thereby simplifying varicose vein management and preserving saphenous capital. Patient selection relies primarily on detailed ultrasound assessment of venous haemodynamic, with particular attention to the Sapheno-Femoral Junction (SFJ), and re-entry perforators evaluated using the Reflux Elimination Test (RET). A structured checklist to predict surgical success may assist surgeons and support shared decision-making with patients by integrating anatomical, hemodynamic, clinical, and technical factors.
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Ricci, S. (2026). Varicose tributary treatment as a single procedure may avoid saphenous ablation: an evidence review and prediction checklist. Veins and Lymphatics. https://doi.org/10.4081/vl.2026.15593