{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T01:42:35Z","timestamp":1773279755682,"version":"3.50.1"},"reference-count":13,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Abstract Chronic venous disease of the lower limbs is a highly prevalent pathology and endovenous thermoablation is the technique of choice for treatment of insufficient saphenous veins. However, there is still controversy about the best management for varicose tributaries. This article reports a case of outpatient treatment of reflux of the small saphenous vein and tributary veins in a 52-year-old female patient with post-thrombotic syndrome complaining of pain and edema in the right lower limb. We performed the Transfixing Endovenous Thermal Ablation (TEThA) technique with thermoablation of the small saphenous vein and varicose veins combined with ultrasound-guided administration of 2% polidocanol foam. After 30 days, the control Doppler ultrasound showed occlusion of the short saphenous vein and absence of ultrasound signs of varicose veins and thrombosis. The combined endovenous and perivenous treatment of lower limb varicose veins proved to be safe, fast, and effective.<\/jats:p>","DOI":"10.1590\/1677-5449.202301422","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T16:43:07Z","timestamp":1732898587000},"source":"Crossref","is-referenced-by-count":1,"title":["Treatment of the small saphenous vein and tributary veins with endolaser associated with ultrasound-guided foam in a patient with post-thrombotic syndrome: presenting the TEThA technique"],"prefix":"10.1590","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9285-7647","authenticated-orcid":false,"given":"Nara Medeiros Cunha de Melo","family":"Vasconcelos","sequence":"first","affiliation":[{"name":"Hospital Dia Anjos Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9589-9541","authenticated-orcid":false,"given":"Harue Santiago","family":"Kumakura","sequence":"additional","affiliation":[{"name":"Hospital Dia Anjos Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5145-3793","authenticated-orcid":false,"given":"Marcelo Halfen","family":"Grill","sequence":"additional","affiliation":[{"name":"Centro de Estudos Hiroshi Miyake,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3090-959X","authenticated-orcid":false,"given":"Mar\u00edlia de Castro e","family":"Silva","sequence":"additional","affiliation":[{"name":"Hospital Dia Anjos Vasculares,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1097\/SLA.0000000000004631","article-title":"Global epidemiology of chronic venous disease: a systematic review with pooled prevalence analysis","volume":"274","author":"Salim S","year":"2021","journal-title":"Ann Surg"},{"issue":"3","key":"ref2","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.jvsv.2019.12.075","article-title":"The 2020 update of the CEAP classification system and reporting standards","volume":"8","author":"Lurie F","year":"2020","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.ejvs.2021.12.024","article-title":"Editor\u2019s Choice - European Society for Vascular Surgery (ESVS) 2022 Clinical practice guidelines on the management of chronic venous disease of the lower limbs","volume":"63","author":"De Maeseneer MG","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"2","key":"ref4","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1053\/j.semvascsurg.2010.01.006","article-title":"Management of secondary varicosities","volume":"23","author":"Mowatt-Larssen E","year":"2010","journal-title":"Semin Vasc Surg"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1177\/0268355518801641","article-title":"Need for adjunctive procedures following cyanoacrylate closure of incompetent great, small and accessory saphenous veins without the use of postprocedure compression: three-month data from a postmarket evaluation of the VenaSeal System (the WAVES Study)","volume":"34","author":"Gibson K","year":"2019","journal-title":"Phlebology"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1177\/02683555231179821","article-title":"Ultrasound-guided percutaneous laser ablation of tributary varicose veins using a slim-type radial fiber","volume":"38","author":"Utoh J","year":"2023","journal-title":"Phlebology"},{"issue":"4","key":"ref7","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1258\/phleb.2011.011088","article-title":"Endovenous laser ablation for major varicose tributaries","volume":"28","author":"Myers KA","year":"2013","journal-title":"Phlebology"},{"issue":"9","key":"ref8","doi-asserted-by":"crossref","first-page":"934","DOI":"10.1002\/jbio.201500210","article-title":"Volumetric optoacoustic imaging feedback during endovenous laser therapy: an ex vivo investigation","volume":"9","author":"Fehm TF","year":"2016","journal-title":"J Biophotonics"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"781","DOI":"10.1016\/j.jvir.2018.01.774","article-title":"A comparison of concomitant tributary laser ablation and foam sclerotherapy in patients undergoing truncal endovenous laser ablation for lower limb varicose veins","volume":"29","author":"Wang JC","year":"2018","journal-title":"J Vasc Interv Radiol"},{"key":"ref10","doi-asserted-by":"crossref","DOI":"10.1590\/1677-5449.202200482","article-title":"Assisted total thermal ablation: presentation of the ATTA technique","volume":"21","author":"Amatuzi D","year":"2022","journal-title":"J Vasc Bras"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1016\/j.jvs.2008.04.017","article-title":"Endovenous ablation with laser for great saphenous vein insufficiency and tributary varices: a retrospective evaluation","volume":"48","author":"Lu X","year":"2008","journal-title":"J Vasc Surg"},{"key":"ref12","first-page":"55","article-title":"Nouvelle technique de mise en place d\u2019un introducteur veineux sans utiliser de guide. Resultats \u00e0 5 ans","volume":"73","author":"Pr\u00fcfer M","year":"2020","journal-title":"Phlebologie"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1080\/14764172.2016.1247967","article-title":"Endovenous and perivenous 808-nm laser treatment of lower limb collateral, reticular and telangiectasic veins","volume":"19","author":"Bugiantella W","year":"2017","journal-title":"J Cosmet Laser Ther"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":["Tratamento de veia safena parva e de veias tribut\u00e1rias com endolaser associado a espuma ecoguiada em paciente com s\u00edndrome p\u00f3s-tromb\u00f3tica: apresentando a t\u00e9cnica TEThA"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1677-54492024000100615&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T16:43:16Z","timestamp":1732898596000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492024000100615&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":13,"alternative-id":["S1677-54492024000100615"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.202301422","relation":{"has-translation":[{"id-type":"doi","id":"10.1590\/1677-5449.202301421","asserted-by":"subject"}]},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20230142"}}