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A Double Blind Randomised Trial of Valve Reinforcement and Vein Removal for the Treatment of Superficial Venous Incompetence
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN13632365
Date ISRCTN assigned28/09/2007
Local reference number(s)N0192182505
Public titleA Double Blind Randomised Trial of Valve Reinforcement and Vein Removal for the Treatment of Superficial Venous Incompetence
Scientific title
AcronymN/A
Disease/condition/study domainCardiovascular: Varicose veins
Study hypothesis1. The primary aim of this study is to determine whether reinforcement of the proximal long saphenous vein valve with an exovascular cuff is as effective as removal of the long saphenous vein in the treatment of symptomatic varicose veins at various time intervals. This will be assessed by looking at patients pain levels post operatively and objectively assessing levels of post procedure bruising.
2. Secondary Research Objectives: The secondary aims are to:
2.1 Identify whether the exovascular cuff is cost effective
2.2 Assess time taken to perform the procedures
2.3. See if exovascular cuff promotes early return to normal activity
2.4 Assess long term efficacy by Duplex scan at six weeks, one year, two years and five years 5. compare use of Venocuff with VNUS
Design/methodologyDouble Blind Randomised
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Bilateral or unilateral primary varicose veins
2. Mild to moderate varicose veins
3. Agree to participate in study
Participants - exclusion criteria1. Recurrent varicose veins
2. Thrombophlebitus affecting the LSV or tributaries
3. The ultrasonic finding of an LSV that is very dilated >10mm in female and > 11mm in male
4. Damaged thickened non mobile or absent terminal subterminal LSV values
5. Gross tortuasity along the course of the LSV
6. An inability to render the SFJ competent at operation
Patient information material
Anticipated start date30/06/2006
Anticipated end date01/06/2009
Status of trialOngoing
Target number of participants60
InterventionsThere will be 2 concurrent studies: one will involve patients with bilateral primary varicose veins and one will involve patients with unilateral primary varicose veins.

Intervention arms: no interventions withheld, additional interventions - insertion of venocuff rather than high tie and stripping of LSV.

Follow up duplex assessment of lower limb various telephone interviews and photo of patients leg.
Primary outcome measure(s)Visual analogue scale for pain and bruising
Secondary outcome measure(s)Duplex ultrasound assessment of lower limb venous system competency
Sources of fundingNottingham University Hospitals NHS Trust
NHS R&D Support Funding
Sponsor nameRecord Provided by the NHSTCT Register - 2007 Update - Department of Health
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor fax+44
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameMr Stephen Goode
Contact detailsUniversity Hospital
NHS Trust
B Floor, West Block, Academic Radiology
Derby Road
Nottingham
United Kingdom
NG7 2UH
Contact telephone+44 0115 8231176
Contact fax+44
Contact emailmsxsg@nottingham.ac.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN13632365
Date last extracted from ISRCTN register17/04/2008
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