Abstract
ASVAL method (Ablation Sélective des Varices sous Anesthésie Locale) achieves an optimal cosmetic result in presence of varicose veins with a saphenous vein reflux. Using microphlebectomies done under tumescent local anesthesia, ASVAL improves hemodynamics of the venous system and clinical outcomes. The indications for doing an ASVAL are based on major and minor criteria such as the extension of the varicosities, the test of reversibility, the PREST prediction model and some other criteria.
Despite a major improvement in esthetics and symptoms after ASVAL, the high rate of freedom of GVS reflux and freedom of varices recurrence, the microsurgery technique for an ASVAL and the post-operative management are not routinely and clearly taught in training programs.
This modern concept of an individualized “à la carte treatment” is a mini-invasive revisited technique of phlebectomies described many years ago, with an addition of new tools, new tips and tricks, and of a new local anesthetic technique enabling to reach the highest cosmetic patient expectation.
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Chastanet, S., Pittaluga, P. (2018). Cosmetic Approach to Varicose Veins: The ASVAL Technique. In: Chaar, C. (eds) Current Management of Venous Diseases . Springer, Cham. https://doi.org/10.1007/978-3-319-65226-9_14
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DOI: https://doi.org/10.1007/978-3-319-65226-9_14
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