Midterm Results of Radiofrequency Ablation for Incompetent Small Saphenous Vein in Terms of Recanalization and Sural Neuritis

Park, Jae Young; Galimzahn, Azimbaev; Park, Hyung Sub; Yoo, Young Sun; Lee, Taeseung

doi:10.1111/dsu.12456

Cited by 23 publications

(29 citation statements)

References 19 publications

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“…Among the treated SSV there was not a single recanalized vein at any time point. It is similar to published short‐term, and better than mid‐term and long‐term data on occlusion rates of RFSA in SSV …”

Section: Discussionsupporting

confidence: 89%

“…It is similar to published short-term, and better than mid-term and long-term data on occlusion rates of RFSA in SSV. 17,20,21 The venous stump persistence has no relevance to the technical outcome of the procedure: the vast majority of successfully ablated saphenous veins are accompanied by a patent stump even 3 years and more after the procedure. The results are similar to our previous DUS findings 2 years after radiofrequency ablation (ClosurePLUS) of 60 GSV.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST^™) of saphenous veins

Schuller‐Petrovič

Pavlović

Schuller-Lukić³

et al. 2015

Acad Dermatol Venereol

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST^™) of saphenous veins

Schuller‐Petrovič

Pavlović

Schuller-Lukić³

et al. 2015

Acad Dermatol Venereol

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“…8 Numerous studies using radiofrequency ablation (RFA) were subsequently published. [9][10][11] Studies comparing endovenous laser ablation (EVLA) and RFA then began being published. These studies generally reported equal success between EVLA and RFA, albeit with fewer side-effects and greater patient satisfaction with RFA.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Endovenous Laser and Radiofrequency Ablation in Treating Varices in the Same Patient

et al. 2017

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Introduction: To compare endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) in different legs in the same individual in patients with venous insufficiency. Methods: Sixty patients with bilateral saphenous vein insufficiency were included. EVLA or RFA was applied to one of the patient's legs and RFA or EVLA to the other leg. Results: EVLA and RFA complications were hyperemia at 20.7% and 31.0%, ecchymosis at 31.0% and 51.7% and edema at 27.6% and 65.5%, respectively. The rate of recanalization was 6.8% in the RFA group. No recanalization was observed in EVLA group. The level of patients satisfied with EVLA was 51.7%, compared to 31.0% for RFA, while 17.2% of patients were satisfied with both procedures. Times to return to daily activity were 0.9 days in the EVLA group and 1.3 days in the RFA group. Conclusion: EVLA procedure may be superior to RFA in certain respects.

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“…The SSV is recognized as a potential alternative conduit for coronary artery bypass graft (Cassar et al, ). Many surgical techniques to harvest the SSV have been described in the literature, yet damage to the SN is relatively common (Park et al, ). Thermal ablation of the SSV to treat varicose veins has also been reported to cause injury of the SN and is considered to be a major reason for legal action against vascular surgeons (Campbell et al, ; Ikiz et al, ; Schweighofer et al, ; Rodriguez‐Acevedo et al, ).…”

Section: Introductionmentioning

confidence: 99%

The anatomical relationship between the sural nerve and small saphenous vein: An ultrasound study of healthy participants

et al. 2018

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Procedures involving the small saphenous vein (SSV) can result in sural nerve (SN) damage due to the proximity of the two structures. The relationship between the SN and SSV has previously been described in cadaveric studies with limited scope on surface landmarks. This study investigates the relationship between the SN and SSV in vivo through ultrasound. Transverse/short-axis ultrasound scans of 128 legs (64 healthy participants) were taken by a single observer using a GE Logiq e ultrasound system with a 5-13 Hz linear transducer (GE Logiq 12L-RS). The SN was identified and traced from the lateral malleolus to the popliteal fossa noting its course and proximity to the SSV. The distance between the SN and SSV was measured at points representing the distal 50% and 25% of the total leg length (the distance between the medial tibial condyle and the inferior edge of the medial malleolus). The SN and SSV were visualized in all participants regardless of BMI and atypical anatomical relationship were noted in 20.3%. The SN pierced the fascia in the distal 25.9% AE 5.3% of the total leg length. The distance between the SN and SSV was 4.06 AE 1.8 mm and 3.4 AE 1.4 mm in the distal 50% and 25% points of the total leg length, respectively. There was no significant effect of sex or body side. The SSV is a viable option for multiple vein harvest. Ultrasound visualization can be a beneficial tool for delineating variations of the SN in relation to SSV prior to surgery. Clin. Anat. 32:277-281, 2019.

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Midterm Results of Radiofrequency Ablation for Incompetent Small Saphenous Vein in Terms of Recanalization and Sural Neuritis

Abstract: RFA is an effective and safe treatment modality for incompetent SSV. Peak reflux velocity can be a risk factor for recanalization. Length of RFA segment in SSV does not affect recanalization and postablation sural neuritis.

Cited by 23 publications

References 19 publications

Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST^™) of saphenous veins

Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST^™) of saphenous veins

Comparison of Endovenous Laser and Radiofrequency Ablation in Treating Varices in the Same Patient

The anatomical relationship between the sural nerve and small saphenous vein: An ultrasound study of healthy participants

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Midterm Results of Radiofrequency Ablation for Incompetent Small Saphenous Vein in Terms of Recanalization and Sural Neuritis

Abstract: RFA is an effective and safe treatment modality for incompetent SSV. Peak reflux velocity can be a risk factor for recanalization. Length of RFA segment in SSV does not affect recanalization and postablation sural neuritis.

Cited by 23 publications

References 19 publications

Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST™) of saphenous veins

Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST™) of saphenous veins

Comparison of Endovenous Laser and Radiofrequency Ablation in Treating Varices in the Same Patient

The anatomical relationship between the sural nerve and small saphenous vein: An ultrasound study of healthy participants

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Product

Resources

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Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST^™) of saphenous veins

Retrospective analysis of routine use of a double heat cycle (DHC) during radiofrequency segmental ablation (ClosureFAST^™) of saphenous veins