Great Saphenous Vein Radiofrequency Ablation Versus Standard Stripping in the Management of Primary Varicose Veins-A Randomized Clinical Trial

El-kaffas, Khaled Helmy; Elkashef, Omar Ahmed; ElBaz, Walied

doi:10.1177/0003319710380680

Cited by 84 publications

(64 citation statements)

References 22 publications

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“…37,38 After 24 months, the success rate was 85.2%-95.8%. 26,36 Proebstle and colleagues 31 reported a success rate of 92.6% at 36 months, and Pisano and colleagues 37 indicated a success rate of 100% for follow-up of up to 5 years. In these last 2 studies, the attrition rate at 36 months and 60 months was, however, not provided.…”

Section: Efficacymentioning

confidence: 99%

“…Across all studies, the occlusion rates at less than 3 months were usually 93%-100%, 11,13,15,25,31,36,37,41 with a weighted average of 98% (weighting was performed according to the number of legs treated in each study). The venous occlusion rate at 6 months was reported as being close to 90% in 4 studies included in the MAS review 20 but appeared to be higher in more recent studies, 98.6%-100%, 8,26,28,35 for a weighted average of 98.8%.…”

Section: Efficacymentioning

confidence: 99%

“…13,14,[20][21][22]36,39 It should be noted that this comparison was carried out for follow-up of up to 1 or 2 years. The efficacy data at 5 years are not convincing for RFA (few patients, high proportions of patients lost to follow-up), so we were unable to compare results with those of surgery.…”

Section: Efficacymentioning

confidence: 99%

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Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis

Poder

Fisette

Bédard

et al. 2018

cjs

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Background: Since the 1990s, new techniques for the treatment of varicose veins have emerged, including radiofrequency ablation (RFA) and laser treatment. We performed a study to compare the safety, efficacy and outcomes of RFA compared to those of open surgery and laser ablation for the treatment of varicose veins. We also carried out a cost analysis of RFA compared to open surgery to assess whether RFA could help free up operating room time by being performed in an outpatient context. Methods:We conducted a systematic literature review (publication date May 2010-September 2013 for articles in English, January 1991-September 2013 for those in French). We used several checklists to measure the quality of the studies. We also collected data on costing. Results:The literature search identified 924 publications, of which 38 were retained for analysis: 15 literature reviews, 1 good-practice guideline and 22 new primary studies. The overall level of evidence was low to moderate owing to the limited sample sizes, lack of information on patient characteristics and lack of standardization of the outcome measures. However, the results obtained are consistent from study to study. In the short and medium term, RFA is considered as effective as open surgery or laser treatment (moderate level of evidence) and presents fewer major and minor complications than open surgery (low level of evidence). Radiofrequency ablation can be performed on an outpatient basis. We calculated that RFA would be about $110-$220 more expensive per patient than open surgery. Conclusion:Radiofrequency ablation is a valuable alternative to open surgery and would free up operating room time in a context of low accessibility.

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Section: Efficacymentioning

confidence: 99%

Section: Efficacymentioning

confidence: 99%

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Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis

Poder

Fisette

Bédard

et al. 2018

cjs

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“…62,72,73 Multiple RCTs consistently demonstrated that modern open surgery, radio frequency and laser ablation were equivalent in both effectiveness and safety in saphenous vein intervention. [74][75][76][77][78] Moreover, foam sclerotherapy was shown to be an effective saphenous ablative procedure but had a significantly higher recanalization rate on the treated saphenous segments compared to other ablative or surgical methods. 79 Perforator venous reflux demonstrated its role in VLU formation based on the literature.…”

Section: Endovascular and Surgical Managementmentioning

confidence: 99%

Venous leg ulceration pathophysiology and evidence based treatment

Chi

Raffetto

2015

Vasc Med

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Venous leg ulceration (VLU) is one of the most predominate medical disorders worldwide and in the western hemisphere it affects around 1.5% of the general population and up to 5% of the elderly population. Unfortunately, this trend will only increase given the growth of an aging population worldwide. Understanding its pathophysiology that begins with venous hemodynamic abnormalities and leads to inflammatory alterations with microcirculatory changes is critical to delivering effective curative therapy. As such, the main component to treatment is reversing the underlying venous hypertension and pro-inflammatory milieu using compression treatment along with various adjuvant therapies. Given its impact, a comprehensive multi-pronged approach to care, treatment and prevention is required to reverse the increasing trend that is observed worldwide.

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“…[1,2] Compared to these invasive surgical interventions, modern endovenous techniques, such as endovenous laser therapy, radiofrequency ablation, and endovenous foam sclerotherapy, are more effective and associated with lower complication rates. [1][2][3][4] Nevertheless, while performing these endovenous techniques, patients still experience pain for which effective anesthesia is needed. Endovenous procedures are performed in the outpatient setting, and patients are discharged on the same day of the procedure; therefore, the method of anesthesia must also be suitable for the outpatient protocols.…”

mentioning

confidence: 99%

Spinal anesthesia versus general anesthesia with a laryngeal mask airway in patients undergoing radiofrequency ablation for varicose veins

Lafçı¹

2017

Turk Gogus Kalp Dama

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ÖZAmaç: Bu çalışmada variköz ven nedeniyle radyofrekans ablasyon yapılan hastalarda spinal anestezi ve larengeal maske hava yolu ile genel anestezinin etkinliği karşılaştırıldı.Ça lış ma pla nı: Mayıs 2012-Aralık 2016 tarihleri arasında larengeal maske hava yolu ile genel anestezi veya spinal anestezi altında radyofrekans ablasyon, varislerin çıkarılması ve perforan ven bağlanması yapılan toplam 2999 hasta (1067 erkek, 1932 kadın; ort. yaş 43 yıl; dağılım 19-70 yıl) retrospektif olarak incelendi. Hastanede yatış süresi, ameliyat sonrası Görsel Analog Ölçeği (GAÖ) skorları, hasta memnuniyeti, bulantı, kusma, boğaz ağrısı, baş ağrısı, sırt ağrısı ve üriner retansiyon dahil olmak üzere tıbbi kayıtlar kullanılarak veriler kaydedildi. Bul gu lar:Hastaların 2512'sine larengeal maske hava yolu ile genel anestezi ve 487'sine spinal anestezi uygulandı. Ortalama hastanede yatış süresi genel anestezi grubunda 10.7 saat ve spinal anestezi grubunda 22.5 saat idi ve bu fark istatistiksel olarak anlamlı idi (p<0.001). Ameliyat sonrası birinci saatteki ağrı skorları spinal anestezi grubuna kıyasla genel anestezi grubunda daha yüksekti (0.1±0.1 cm'ye kıyasla 1.7±0.1 cm) (p<0.001). Hasta memnuniyeti genel anestezi grubunda, spinal anestezi grubuna kıyasla, daha yüksekti (%92'ye kıyasla %97) (p<0.001). Kusma insidansı genel anestezi grubunda yüksek iken, bulantı, baş ağrısı ve üriner retansiyon insidansı spinal anestezi grubunda daha yüksek idi (tümü için p<0.001).So nuç: Radyofrekans ablasyon sırasında larengeal maske hava yolu, spinal anesteziye kıyasla, hastaların erken taburcu olmasını sağlar ve hasta memnuniyetini artırır; ancak kusma ve boğaz ağrısı gibi yan etkiler görülebilir. Spinal anestezi ameliyat sonrası ağrının azalması ile larengeal maske hava yolu ile genel anesteziden daha ilişkili olmasına karşın, bulantı, baş ağrısı ve üriner retansiyona neden olabilir.Anah tarsöz cük ler: Larengeal maske hava yolu; radyofrekans ablasyon; spinal anestezi. ABSTRACTBackground: This study aims to compare the efficacy of spinal anesthesia and general anesthesia with a laryngeal mask airway in patients undergoing radiofrequency ablation for varicose veins.

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Great Saphenous Vein Radiofrequency Ablation Versus Standard Stripping in the Management of Primary Varicose Veins-A Randomized Clinical Trial

Abstract: Great saphenous vein occlusion was achieved efficiently in 94% of our group using RFA with minimal complications and obvious advantages as compared to standard surgery.

Cited by 84 publications

References 22 publications

Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis

Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis

Venous leg ulceration pathophysiology and evidence based treatment

Spinal anesthesia versus general anesthesia with a laryngeal mask airway in patients undergoing radiofrequency ablation for varicose veins

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