ORIGINAL RESEARCH article
Front. Surg.
Sec. Vascular Surgery
This article is part of the Research TopicAdvances in Venous InterventionsView all 6 articles
Wire-assisted modification of Havst catheter stripping of the great saphenous vein trunk
Provisionally accepted
- 1Fujian Provincial People's Hospital, Fuzhou, China
- 2Fujian Provincial Maternity and Children's Hospital, Fuzhou, China
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Objective: To evaluate the therapeutic outcomes using Havst catheter stripping versus a wire-assisted modification of Havst catheter stripping the trunk of great saphenous vein(GSV) above knee. Methods: Data were collected from 120 patients who underwent stripping of the GSV trunk using a Havst catheter from January 2025 to June 2025; 60 patients underwent the conventional approach to Havst catheter stripping and 60 patients underwent a wire-assisted modification of Havst catheter stripping. Age,gender, Clinical class, Stripping time of the GSV trunk(including tumescent anesthesia), length of the stripped GSV trunk above knee, intraoperative Visual Analogue Scale (VAS) pain score, and success of surgery were compared between treatment groups. Results: A wire-assisted modification of Havst catheter stripping showed significant advantages over conventional approach of Havst catheter in terms of longer median (interquartile range, IQR) Stripping length of GSV trunk 384(361,407)vs 321 (309,334)cm, p<0.0001,and higher success rate (96.67% vs 76.67%, p=0.0031), and shorter median (interquartile range, IQR) thigh incision length 11(10,12)vs 12(11,14)cm, p=0.0006). There were no significant differences in age(t-tests、 mean ± standard deviation )(55.23±10.00 VS 54.60±11.12 years ,p =0.7435), gender(p=0.0956), Clinical class(p=0.4395),Stripping time(t-tests、 mean ± standard deviation)(410±18 VS 407±17 s, p=0.3816), intraoperative VAS pain score median (interquartile range, IQR) (1(1,2)VS 1(1,2),p=0.8897). Conclusion: The wire-assisted modification of Havst catheter stripping enabled faster and the longer segment of the GSV trunk above knee was stripped compared to the conventional approach to Havst catheter stripping.
Keywords: Great saphenous varicose veins, External stripping catheter, Wire-assisted, Tumescent anesthesia, Minimally invasive therapy
Received: 24 Aug 2025; Accepted: 12 Nov 2025.
Copyright: © 2025 Lin, Li and Zhuang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Lijuan Zhuang, linxiaowen@fjtcm.edu.cn
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