{"id":7803,"date":"2026-04-18T09:31:14","date_gmt":"2026-04-18T09:31:14","guid":{"rendered":"https:\/\/asianvenousacademy.org\/?p=7803"},"modified":"2026-05-07T09:46:38","modified_gmt":"2026-05-07T09:46:38","slug":"paradigm-shift-in-venous-ulcer-managementthe-critical-role-of-great-saphenous-vein","status":"publish","type":"post","link":"https:\/\/asianvenousacademy.org\/zh\/paradigm-shift-in-venous-ulcer-managementthe-critical-role-of-great-saphenous-vein\/","title":{"rendered":"Paradigm Shift in Venous Ulcer Management:The Critical Role of Great Saphenous Vein"},"content":{"rendered":"

Paradigm Shift in Venous Ulcer Management:The Critical Role of Great Saphenous Vein<\/h2><\/div>\n\t
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Introduction<\/strong><\/h2>\n

In clinical practice, the ablation of the Great Saphenous Vein (GSV) is often considered the gold standard for treating chronic venous insufficiency. However, recent research published by Bishara et al. (2024) provides a crucial \u201cstop sign\u201d for surgeons treating patients with Post-Thrombotic Syndrome (PTS) and active venous leg ulcers (CEAP C6).<\/p>\n

The Core Conflict: Reflux vs. Obstruction<\/strong><\/h2>\n

The study highlights a critical physiological distinction:<\/p>\n