Safety and efficacy of venous ablation in octogenarians

Aurshina, Afsha; Zhang, Yawei; Zhuo, Haoran; Cardella, Jonathan; Orion, Kristine C.; Sumpio, Bauer E.; Sarac, Timur P.; Chaar, Cassius Iyad Ochoa

doi:10.1016/j.jvsv.2019.05.006

Cited by 8 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…20 While published studies suggest that these techniques result in considerable clinical and symptomatic benefits, there is no specific publication regarding the CAC procedure in the elderly population yet. 5,8,21 When compared to CAC, other ablation methods are associated with more treatment-related discomfort throughout the patient recovery period. 22 In support of this opinion, tolerance of the treatment at two weeks after CAC procedure was excellent in both groups in the present study.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…7 Despite numerous studies showing improvements in symptoms and quality of life in the elderly, there is a lack of data on the safety and results of CAC procedures in this patient group. 5,8 For these reasons, the present study was designed to assess the feasibility, tolerance, results, and efficacy of CAC for truncal varicosities in elderly population over the age of 70.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of cyanoacrylate closure of the truncal varicose vein insufficiency: A comparison between young and elderly patients

Yiğit

2023

Phlebology

View full text Add to dashboard Cite

Objectives Cyanoacrylate closure (CAC) procedure has become an alternative treatment method that has become increasingly popular in the treatment of chronic venous insufficiency (CVI) in recent years. The present study was designed to assess the feasibility, tolerance, results, and efficacy of CAC for truncal varicosities in elderly population. Methods In this retrospective single-center observational cohort study, CAC procedure was performed in 160 patients (184 limbs) with truncal varicose vein insufficiency. The patients were divided into two groups: elderly group, and younger group. The primary outcome of this study was to assess the feasibility, tolerance, and safety of the CAC procedure for truncal varicosities in elderly population over 70 years. The Venous Clinical Severity Score (VCSS), visual analogue scale of pain (VASP) and occlusion rate of the treated target veins of the patients were evaluated and compared among groups. The secondary outcomes were to evaluate and compare technical success, mortality, major adverse events, and other postoperative complications between the groups. Results All operations were carried out under local anesthesia. There were no technical failures or device-related complications. Anatomic success rate was 100% after procedures. The occlusion rate for the elderly group at 2 weeks, 6 months, and 12 months was 100%, 92.3%, and 92.3%, respectively, while the occlusion rate for the younger group was 100%, 97%, and 94.7%, respectively. There was no significant difference in occlusion rates between two groups ( p > .05) (Log Rank = 0,231). Improvement in the VCSSs was statistically significant between baseline and 12 months after procedure in both groups ( p < .001). Improvement in the VASPs was statistically significant between baseline and 2 weeks after procedure in both groups ( p < .001). There were no symptoms or signs of sural nerve injury, hematoma, or phlebitis in either group. Conclusions Although it has some potential risks, it is conceivable that the CAC procedure may be applied in selected fit elderly patients for the treatment of CVI. Age appeared to have no effect on the early and mid-term prognosis of the CAC procedure performed in the study cohort.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of cyanoacrylate closure of the truncal varicose vein insufficiency: A comparison between young and elderly patients

Yiğit

2023

Phlebology

View full text Add to dashboard Cite

show abstract

“…Three studies investigated invasive methods like venous ablation, iliac vein stenting, and popliteal external banding for edema due to venous insufficiency [ 24 - 26 ]. Venous ablation in individuals in their 80s revealed milder ultrasound findings compared to younger patients, indicating that age should not be a deterrent for considering venous ablation as a viable treatment option [ 25 ].…”

Section: Reviewmentioning

confidence: 99%

Chronic Edema Management of the Lower Extremities

Smith,

Park,

Landi

et al. 2024

Cureus

View full text Add to dashboard Cite

Peripheral edema is a prevalent condition affecting patients dealing with an assortment of health conditions, such as congestive heart failure (CHF), liver disease, venous insufficiency, and postoperative surgical complications. Edema can present in a variety of ways, ranging from mild localized symptoms to severely debilitating forms that impact patients’ daily lives. Despite the vast number of publications addressing the underlying causes of peripheral edema, there seems to be an absence of literature that presents the effectiveness and compliance of current management techniques. This paper aims to condense the current literature on the effectiveness and compliance of current edema management approaches across various common etiologies, with the intention of identifying alternative therapies that could enhance the quality of care for patients with chronic lower extremity edema. Several promising new therapies such as exogenous calf muscle stimulation, leg raise exercises, high-dose albumin injections, and device-based negative pressure lymph drainage (NPLD), deviate from the current established standard of care. This scoping review revealed diverse treatment methods tailored to the specific underlying etiology of edema. The use of diuretics and vasodilators has shown benefits in treating CHF-induced edema but failed to alleviate and prevent the recurrence of edema in hospitalized and recently discharged patients. Albumin injections have emerged as a potential alternative treatment for edema due to liver disease, addressing hypoalbuminemia symptoms caused by liver failure. Patients with vascular causes of edema are efficaciously treated conservatively with compression stockings, although patient adherence remains a hurdle. For postoperative edema, device-based NPLD appears promising, with potential benefits over elastic bandage wraps and kinesiology taping.

show abstract

“…En ciertas circunstancias se requiere combinar la terapia ablativa con cirugía convencional (tratamiento híbrido). Las técnicas ablativas con láser y radiofrecuencia tienen menos tasas de complicaciones por la mínima manipulación, pueden presentar otras complicaciones relacionadas a la energía termal, como la trombosis inducida por calor endotérmico y la lesión de nervio por lesión termal o la aplicación de anestesia tumescente (17)(18)(19)(20)(21) . En ese sentido la polimerización de la vena insuficiente con cianocrilato (terapia no ablativa) evita esos riesgos y es de gran ventaja para la población de pacientes adultos mayores.…”

Section: Tratamiento Quirúrgico Y Endovenosounclassified

Insuficiencia venosa crónica en el adulto mayor

Cadena

2022

Rev Med Hered

View full text Add to dashboard Cite

La insuficiencia venosa crónica (IVC) es una patología vascular frecuente en el adulto mayor, y genera dificultades en su diagnóstico y tratamiento debido a la presencia de comorbilidades. Se realizó una revisión narrativa a partir de la búsqueda en cinco bases de datos: PubMed, Scielo, Lilacs, Clinical Key (Elsevier) y Ebsco. En la población geriátrica se presentan estadios más severos de la enfermedad, como el edema y los cambios tróficos en la pierna, debido a la preexistencia de enfermedad venosa crónica. Los principales factores de riesgo de progresión de la enfermedad son la obesidad, la movilidad limitada y las comorbilidades. El diagnóstico se basa en la sospecha clínica y su confirmación con eco Doppler venoso de miembros inferiores. En el diagnóstico diferencial debe considerarse causas sistémicas de edema de miembros inferiores como la insuficiencia cardíaca, disfunción renal o hepática, y el uso de medicamentos hipertensivos. Otros diagnósticos diferenciales son linfedema, trombosis venosa subclínica, y dolor crónico de miembros inferiores. El tratamiento incluye la educación del paciente, medias de compresión, tratamiento médico y quirúrgico. En conclusión, la insuficiencia venosa crónica es una enfermedad frecuente y de mayor severidad en los pacientes de edad avanzada. La obesidad, la poca movilidad y las comorbilidades son los factores de riesgo asociados a la progresión de la enfermedad. La educación del paciente, el uso de medias de compresión y la terapia con flebotónicos son eficaces en el tratamiento. El tratamiento quirúrgico / endovenoso tiene buena efectividad en paciente de edad avanzada que padecen de IVC.

show abstract

Safety and efficacy of venous ablation in octogenarians

Cited by 8 publications

References 17 publications

Outcomes of cyanoacrylate closure of the truncal varicose vein insufficiency: A comparison between young and elderly patients

Outcomes of cyanoacrylate closure of the truncal varicose vein insufficiency: A comparison between young and elderly patients

Chronic Edema Management of the Lower Extremities

Insuficiencia venosa crónica en el adulto mayor

Contact Info

Product

Resources

About