Appropriate Surgical Treatment of Symptomatic Primary Varicose Veins Decreases Systemic Inflammatory Biomarkers

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  • Arase Hiroki
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Sugasawa Noriko
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Kawatani Youhei
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Sugano Mikio
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Kurobe Hirotsugu
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Fujimoto Eiki
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Kitaichi Takashi
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School
  • Kitagawa Tetsuya
    Department of Cardiovascular Surgery, Institute of Biomedical Sciences, Tokushima University Graduate School

Abstract

<p>Objective: To evaluate the relationship between systemic inflammatory biomarkers and efficacy of surgical treatment of primary varicose veins of the lower extremities.</p><p>Methods: Total 12 patients who underwent endovenous laser ablation or stripping of varicose veins and six healthy subjects were enrolled. Structural and molecular changes of varices were assessed by immunohistochemical staining with anti-monocyte chemotactic protein-1 (MCP-1). MCP-1 and interleukin-6 (IL-6) levels in systemic antecubital blood were measured before and at 12 weeks after treatment.</p><p>Results: Immunohistochemical staining revealed prominent manifestation of MCP-1-positive endothelial cells in the walls of varices. Preoperative serum MCP-1 and IL-6 levels in the patients were significantly higher than those in the control (166±12 pg/mL vs 99±10 pg/mL, p=0.003; 5.1±0.95 pg/mL vs 0.0±0.0 pg/mL, p=0.001, respectively). The values were significantly correlated with the severity of chronic venous insufficiency (CVI). Postoperative serum MCP-1 level significantly decreased compared with the preoperative level (152±10 pg/mL vs 166±12 pg/mL, p=0.048). The values after endovenous laser ablation did not significantly decrease compared with those after stripping.</p><p>Conclusion: Varicose veins with CVI increase inflammatory biomarker levels in the local tissue and systemic blood. Appropriate treatment of symptomatic varicose veins decreases inflammatory biomarker levels.</p>

Journal

  • Annals of Vascular Diseases

    Annals of Vascular Diseases 12 (3), 367-371, 2019-09-25

    The Editorial Committee of Annals of Vascular Diseases

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