| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.1 |
2 |
B |
| For treatment of the incompetent great saphenous vein, we suggest high ligation and inversion stripping of the saphenous vein to the level of the knee. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.2 |
1 |
B |
| To reduce hematoma formation, pain, and swelling, we recommend postoperative compression. The recommended period of compression in C2 patients is 1 week. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.3 |
1 |
B |
| For treatment of small saphenous vein incompetence, we recommend high ligation of the vein at the knee crease, about 3 to 5 cm distal to the saphenopopliteal junction, with selective invagination stripping of the incompetent portion of the vein. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.4 |
1 |
A |
| To decrease recurrence of venous ulcers, we recommend ablation of the incompetent superficial veins in addition to compression therapy. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.5 |
2 |
B |
| We suggest preservation of the saphenous vein using the ambulatory conservative hemodynamic treatment of varicose veins (CHIVA) technique only selectively in patients with varicose veins, when performed by trained venous interventionists. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.6 |
2 |
C |
| We suggest preservation of the saphenous vein using the ambulatory selective varicose vein ablation under local anesthesia (ASVAL) procedure only selectively in patients with varicose veins. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.7 |
1 |
B |
| We recommend ambulatory phlebectomy for treatment of varicose veins, performed with saphenous vein ablation, either during the same procedure or at a later stage. If general anesthesia is required for phlebectomy, we suggest concomitant saphenous ablation. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.8 |
2 |
C |
| We suggest transilluminated powered phlebectomy using lower oscillation speeds and extended tumescence as an alternative to traditional phlebectomy for extensive varicose veins. |
| Guideline No. |
GRADE of recommendation |
Level of evidence |
| 10.9 |
2 |
C |
| For treatment of recurrent varicose veins, we suggest ligation of the saphenous stump, ambulatory phlebectomy, sclerotherapy, or endovenous thermal ablation, depending on the etiology, source, location, and extent of varicosity. |