What is the optimal treatment technique for great saphenous vein diameter of ≥10 mm? Comparison of five different approaches

Kubat, Emre; Ünal, Celal Selçuk; Geldi, Onur; Çetin, Erdem; Keskin, Aydın

doi:10.1080/00015458.2019.1684008

Cited by 20 publications

(18 citation statements)

References 25 publications

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“…In this study, we observed significant symptom reductions one month after ablation in both the LA and RFA groups. Our results were in agreement with those reported by previous studies (6)(7)(8)(9).…”

Section: Discussionsupporting

confidence: 94%

“…Our results are in line with those reported by previous studies (10)(11)(12)(13) In this study, the technical successful rate of LA and RFA reached 95.7% and 90%, respectively (p > 0.05). Data from previous experiments found that the potency of RFA was equivalent to LA when using lower wavelengths, such as 810 nm or 980 nm (9,14,15). However, the efficacy of LA when using a 1470-nm wavelength has been reported to be marginally higher than the efficacy of RFA for larger diameter veins (16)(17)(18).…”

Section: Discussionmentioning

confidence: 96%

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Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

Tuấn¹,

Duc²,

Minh³

et al. 2020

Med Arch

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Introduction: Chronic venous insufficiency (CVI) is a chronic condition, triggered by reflux through the saphenous vein network. Aim: To determine the efficacy of endovenous laser ablation (LA) and radiofrequency ablation (RFA) for CVI treatment in the lower extremities, at the Bach Mai Radiology Center. Methods: This retrospective study was approved by the institutional review board of Bach Mai Hospital. The study recruited 49 people, from August 2016 to April 2018, with recurrent venous insufficiency in the lower extremities and measured 56 ablated veins. Results: In this study, 8 patients (10 veins, with a mean diameter of 5.83 ± 0.96 mm) were treated with RFA, and 41 patients (46 veins, with a mean diameter of 7.96 ± 3.47 mm) were treated with LA. The occlusion rates for LA-and RFA-treated veins were very effective, at 95.7% and 90%, respectively. No significant differences in occlusion rates or clinical improvements were observed between the two ablation methods. On the first day post-treatment, the visual analog score (VAS) value for the LA group was significantly higher than that for the RFA group. Furthermore, ecchymosis, 1 day after treatment, and hyperpigmentation, paresthesia, and numbness, 1 month after treatment, were only observed in the LA group. Conclusion:Both LA and RFA were minimally-invasive and safe therapies. No serious complications requiring further interventions were reported and the treatment effectively improved the clinical symptoms of patients. Based on our study, we recommend that RFA should be considered for moderate dilated saphenous vein cases, whereas LA should be indicated for large dilated saphenous vein cases, with or without aneurysm.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 96%

Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

Tuấn¹,

Duc²,

Minh³

et al. 2020

Med Arch

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“…2 Minimally invasive endovascular thermal ablation techniques such as endovenous laser ablation and radiofrequency ablation (RFA) have been the first-line treatment options for GSV reflux over the past 2 decades since they require no general anesthesia, accelerate recovery, improve patient quality of life, and avoid certain surgical risks such as ecchymosis, hematoma, and perioperative pain. 3,4 As the CEO of the company manufacturing the ThermoBLOCK ® RFA System (Invamed, Ankara, Turkey), I agree with Beyaz et al's observations about occlusion rate above 96% and the acceptable complication rate. Moreover, according to other users, until the 24-month follow-up, this device significantly improved mean patient Venous Clinical Severity Score and Quality of Life score.…”

supporting

confidence: 76%

“…Minimally invasive endovascular thermal ablation techniques such as endovenous laser ablation and radiofrequency ablation (RFA) have been the first-line treatment options for GSV reflux over the past 2 decades since they require no general anesthesia, accelerate recovery, improve patient quality of life, and avoid certain surgical risks such as ecchymosis, hematoma, and perioperative pain. 3,4…”

mentioning

confidence: 99%

ThermoBLOCK® RFA System Effectively and Safely Treats Great Saphenous Vein Reflux

Dinç¹

2023

Surg Innov

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“…До переваг даної методики відносять високу ефективність, простоту виконання, добрий косметичний результат, мінімальну операційну травму. Доведена ефективність даної методики і при лікуванні ВХНК з діаметром великої підшкірної вени ≥10 мм [9]. Однак, після ЕВЛК вен великого діаметру хворих можуть турбувати великі болючі тяжі по ходу коагульованих вен, паравенозні інфільтрати, що значно погіршує якість життя пацієнтів.…”

Section: результати досліджень та їх обговренняunclassified

Influence of High Intensity Laser Therapy on the Postoperative Dynamics of Patients With Chronic Venous Disease

Mishura¹,

Melekhovets²

2022

Khark. Surg. Sch.

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Summary. Purpose: improvement of postoperative dynamics in patients after endovenous laser ablation (EVLA) using high-intensity laser therapy (HILT). Materials and methods. The study included 54 patients who noted a moderately painful stretch on the thigh along the course of the coagulated great saphenous vein after EVLA. Patients were divided into 2 groups: the first group (n=28) used HILT, the second group (n=26) was a control group. The effectiveness of the treatment was evaluated by the patient’s subjective assessment of his condition, objective examination of the local status, visual analog scale of pain (VAS) and ultrasound monitoring of changes in the coagulated vein. Research results. After 2 weeks, pain decreased by 62.2% in patients of the first group, by 28.6% in the second group (p <0.05). Compared to the results at the time of application, the vein diameter decreased by 29.9% in the first group, and by 19.4% in the second group. Conclusions. The use of HILT in patients of the first group in the post-operative period of EVLA allows to reduce the severity of pain by 33.6%, and also to speed up the lysis of coagulated great saphenous vein on the thigh by 10.5%, compared to the second group. The results of this study can be used in clinical practice to add HILT as another non-invasive option to improve postoperative dynamics in patients after EVLА.

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What is the optimal treatment technique for great saphenous vein diameter of ≥10 mm? Comparison of five different approaches

Cited by 20 publications

References 25 publications

Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

ThermoBLOCK® RFA System Effectively and Safely Treats Great Saphenous Vein Reflux

Influence of High Intensity Laser Therapy on the Postoperative Dynamics of Patients With Chronic Venous Disease

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