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Insights Registry: Timing Varicose Vein Surgery After SVT

In a German registry of over 1,100 patients with superficial vein thrombosis, most received fondaparinux or heparin, and invasive treatment of underlying varicose veins performed at least three months after the acute event showed lower recurrence than earlier intervention.

Network Meta-Analysis: Polidocanol Microfoam Versus Thermal Ablation

Across thirteen studies, polidocanol endovenous microfoam was not statistically different from endothermal ablation for vein closure or DVT risk, but showed higher closure odds than physician compounded foam, with a living meta analysis planned for periodic updates.

Foam Sclerotherapy Technique: Standardization and Safety

This sponsored update reviewed dry versus wet foam preparation, standardized foam devices, European volume limits, and evidence that lower sclerosant concentration and multiple injections reduce hyperpigmentation risk regardless of compression.

CLOUT Versus ATTRACT: Thrombectomy Outperforms Anticoagulation

Propensity matched comparison of 164 pairs found mechanical thrombectomy produced lower Villalta scores and less post-thrombotic syndrome than anticoagulation for iliofemoral DVT at 12 months, with a cost effectiveness analysis and the ongoing DEFIANCE trial noted.