Internal Compression Therapy for Deep Venous İnsufficiency Early Results in Patients

Yıl 2025, Cilt: 6 Sayı: 1, 7 - 10, 15.03.2025

Tarık Taştekin , Alper Selim Kocaoğlu , Cengiz Ovalı

Öz

Introduction: In the treatment of deep venous insufficiency (DVI), in addition to surgical interventions, internal compression therapy (ICT) using a paravalvular leak device, a percutaneous method, can also be employed. This study aims to present the early outcomes of ICT application in patients diagnosed with deep venous insufficiency exhibiting reflux at the saphenofemoral junction.

Methods: This study included 28 patients with deep venous insufficiency who underwent ICT. The patients were followed for 6 months. Clinical findings and venous Doppler ultrasound (USG) results were recorded. Our study was conducted with a retrospective method.

Results: There was a significant reduction in the mean reflux duration before the procedure and at 6 months post-procedure. Significant improvement was observed in the postoperative Venous Clinical Severity Score (VCSS) and Aberdeen Varicose Vein Questionnaire (AVVQ) scores in all patients (p<0.001).

Conclusions: The aim of ICT is to narrow the vein diameter and achieve valve coaptation at the saphenofemoral junction. Consequently, we believe that ICT treatment significantly contributes to the improvement of deep venous insufficiency by preventing or reducing reflux in the venous system.

Anahtar Kelimeler

deep venous surgery, venous reflux, deep venous insufficiency, venous insufficiency, internal compression therapy

Derin Venöz Yetmezliği Olan Hastalarda İnternal Kompresyon Tedavisinin Erken Dönem Sonuçları

Öz

Giriş: Derin venöz yetmezlik (DVY) tedavisinde cerrahi tedavilerin yanı sıra perkütan bir yöntem olan paravalvüler sızıntı cihazı ile internal kompresyon tedavisi (ICT) de kullanılabilmektedir. Bu çalışmada safenofemoral birleşkede reflü akımı olan derin venöz yetmezlik tanılı hastalarda ICT uygulamasının erken dönem sonuçlarını sunmayı amaçladık.

Yöntemler: Bu çalışmaya derin venöz yetmezliği olan ve ICT uygulanan 28 hasta dahil edildi. Hastalar 6 ay boyunca takip edildi. Klinik bulgular ve venöz Doppler USG sonuçları kaydedildi. Çalışmamız retrospektif yöntem ile yapılmıştır.

Bulgular: İşlem öncesi ve işlemden 6 ay sonra ortalama reflü süresinde anlamlı azalma görüldü. Ameliyat sonrası VCSS ve AVVQ skorlarında tüm hastalarda anlamlı iyileşme görüldü (p<0,001)

Sonuç: ICT'nin amacı,safenofemoral birleşke bölgesinde ven çapını daraltmak ve kapak koarktasyonunu sağlamaktır. Sonuç olarak, ICT tedavisinin venöz sistemdeki reflüyü önleyerek veya azaltarak derin venöz yetmezliğin iyileşmesine önemli katkı sağladığına inanıyoruz.

Anahtar Kelimeler

Derin ven cerrahisi, venöz reflü, derin venöz yetmezlik, venöz yetmezlik, internal kompresyon tedavisi

Kaynakça

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