Endovenous thermal ablation mid-term outcomes for the treatment of large diameter incompetent great saphenous veins

被引：0

作者：

Karathanos, Christos ^{[1
]}

Spanos, Konstantinos ^{[1
]}

Batzalexis, Konstantinos ^{[1
]}

Chaidoulis, Athanasios ^{[1
]}

Tzimas-Dakis, Konstantinos ^{[1
]}

Volakakis, Georgios ^{[1
]}

Kouvelos, George ^{[1
]}

Matsagas, Miltiadis ^{[1
]}

Giannoukas, Athanasios D. ^{[1
]}

机构：

[1] Univ Thessaly, Univ Hosp Larissa, Sch Hlth Sci, Fac Med,Dept Vasc Surg, Larisa 41110, Greece

来源：

PHLEBOLOGY | 2025年 / 40卷 / 02期

关键词：

Endovenous thermal ablation; endovenous laser ablation; radiofrequency ablation; large diameter great saphenous vein; occlusion rates; postoperative pain; quality of live scores; LASER-ABLATION; RADIOFREQUENCY ABLATION; VARICOSE-VEINS; COMPLICATIONS; EFFICACY; THERAPY; SYSTEMS;

D O I：

10.1177/02683555241272971

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: The aim of this study was to assess the efficacy and safety of endovenous thermal ablation (EVTA) in treating large diameter, >= 12 mm, incompetent great saphenous vein (GSV) in comparison to smaller ones. Methods: A retrospective comparative study was undertaken including 196 patients (205 limbs) undergoing EVTA. According to maximum GSV diameter patients were divided into two groups (group A <12 mm, group B >= 12 mm). Primary outcome was anatomic success defined as absence of reflux of GSV. Secondary outcomes were complications, postoperative pain using the 10-cm Visual Analog Scale (VAS) and improvement of Venous Clinical Severity Score (VCSS) and Chronic Venous Insufficiency Quality-of-Life Questionnaire (C Iota VIQ-20) scores assessed at 7- days, 1 month, 12 months and 24 months postoperatively. Results: 118 patients with GSV diameter <12 mm (group A) and 87 with GSV diameter >= 12 mm (group B) were included. Patients' demographics, CEAP classification and length of ablated vein did not differ between the groups. Preoperative VCSS and VAS pain score were significant greater in group B (6.03 vs 6.94, p = .04 and 5.21 vs 5.77, p = .032, respectively). No differences in adverse events were observed post-operatively among groups. GSV occlusion rate at 1 month was 98.3% (SE 1.3%) in group A and 96.5 % (2.2%) in group B (p = .3), at 12 months 95.7% (SE 2%) and 94.2% (SE 2.8%) (p = .5), and at 24 months 94% (SE 2.4%) and 93.1% (SE 3%) (p = .4) respectively. Both groups experienced significant and similar improvement in their VCSSs and CIVIQ scores postoperatively. In a subgroup analysis among different EVTA and GSV >12 mm, 1470 nm endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) showed comparable results in terms of occlusion rates, complications, VCSS and CIVIQ scores. Conclusions: Endovenous thermal ablation techniques are efective and safe in the treatment of GSV incompetence regardless the diameter of the GSV. Both 1470 nm EVLA and RFA techniques performed similar outcomes.

引用

页码：95 / 103

页数：9

共 28 条

[1] More Successful Results with Less Energy in Endovenous Laser Ablation Treatment: Long-term Comparison of Bare-tip Fiber 980 nm Laser and Radial-tip Fiber 1470 nm Laser Application [J].