Concomitant vs. Staged Treatment of Varicose Tributaries as an Adjunct to Endovenous Ablation: A Systematic Review and Meta-Analysis

WHAT THIS PAPER ADDS Debate continues regarding the timing of adjunctive interventions for superficial varicose tributaries following truncal ablative techniques. These data coalesce a large, heterogenous evidence base, for a widely performed intervention, suggesting that concomitant treatment of truncal and superficial varicose tributaries potentially offers lower rates of re-intervention with similar rates of complications. Furthermore, treatment results in improvements in both disease severity and quality of life. However, data from randomised trials assessing this hypothesis are limited, and further well designed trials are required to definitively address this challenge.