Study finds catheter-based varicose vein treatments more cost-effective

March 13, 2013

Treating varicose veins with vein-stripping surgery is associated with higher costs than closing the veins with heat, according to a study at Henry Ford Hospital in Detroit.

"Cost-effectiveness is an important factor to consider when comparing different treatments for varicose vein disease," says Judith C. Lin, M.D., and lead author of the study. "And these two types of treatment have similar effectiveness."

The study will be presented March 13 at the 41st Annual Symposium of the Society for Clinical Vascular Surgery in Miami.

The current treatment of choice over surgery for physicians and patients with superficial and , whose veins aren't strong enough to pump blood back to the heart, is endovenous . This procedure involves targeting inside a vein to seal it. Heat may be created by a laser (endovenous , or EVLA) or by (endovenous radiofrequency ablation, or RFA). With the diseased vein sealed, other healthy veins carry blood from the leg, re-establishing the normal flow.

The retrospective study of hospital and office costs was performed by analyzing costs of patients undergoing stripping of a major leg vein, RFA, and EVLA between January 1, 2010 to December 31, 2011 at hospitals and physician's offices within the Health Ford Health System.

Costs were divided into charges, net revenue, total cost, variable cost, direct cost, variable contribution margin, program contribution margin, and profit or loss categories. All costs were normalized to 2010 and 2011 values.

A total of 152 vein procedures in 2010, and 156 cases in 2011 were performed in an office setting; 73 vein procedures in 2010 and 71 cases in 2011 were done in a hospital operating room.

In 2010, higher costs per case were consistently seen in vein stripping ($5458) and vein ablation ($4884) performed in the operating room, as compared to RFA ($1074) and EVLA ($1534) performed in the office.

EVLA and RFA are highly effective, minimally invasive procedures, usually performed in a doctor's office, explains Dr. Lin. No general anesthesia or hospitalization is needed. There is very little scarring, and patients can resume normal activities immediately.

Explore further: Techniques to treat varicose veins appear comparable in effectiveness

Related Stories

Recommended for you

Researchers find sleep gene linked to heart failure

November 30, 2015

Researchers at the Stanford University School of Medicine have identified a gene that, when working properly, appears to reduce the risk of heart failure and improve treatment outcomes, highlighting a possible target for ...

No new heart muscle cells in mice after the newborn period

November 5, 2015

A new study from Sweden's Karolinska Institutet shows that new heart muscle cells in mice are mainly formed directly after birth. After the neonatal period the number of heart muscle cells does not change, and A new study ...

Nanotechnology could spur new heart treatment

October 29, 2015

A new nanoparticle developed by University of Michigan researchers could be the key to a targeted therapy for cardiac arrhythmia, a condition that causes the heart to beat erratically and can lead to heart attack and stroke.


Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.