Coil embolization for the treatment of peripheral veins:: A position statement of the International Union of Phlebology (UIP), the Australasian College of Phlebology (ACP), the Australia and New Zealand Society for Vascular Surgery (ANZSVS), the American Venous Forum (AVF), the American Vein and Lymphatic Society (AVLS), and the Interventional Radiology Society of Australia (IRSA)

Abstract

Beneficial treatment options for incompetent saphenous veins, including endovenous thermal ablation, ultrasound-guided foam sclerotherapy, and traditional surgery, have been established by rigorous randomized clinical trials and recommended by several international evidence-based guidelines.1-4 There is currently no high-quality evidence to support the use of physical embolic agents,a such as coils, to treat axial venous reflux. Accordingly, we recommend against the use of such approaches for the treatment of saphenous incompetence outside of the clinical trial settings (Grade 2C against; Table).