The Clinical Outcomes of Endovenous Radiofrequency Ablation of Varicose Veins: Two Year Follow up Results

Yıl 2020, Cilt: 4 Sayı: 3, 254 - 259, 29.10.2020

Umut Serhat Sanrı Kadir Kaan Özsin Fahri Atlı Faruk Toktaş Senol Yavuz

https://doi.org/10.30565/medalanya.752398

Cited By: 1

Öz

Aim: Our aim was to evaluate the two-year results of radiofrequency ablation (RFA) in the treatment of great saphenous vein (GSV) insufficiency.

Methods: A total number of 217 patients who underwent RFA (52.5 % male, mean age 42.7±11.4) were included in the study. RFA was performed in patients with great saphenous vein valvular incompetence and saphenofemoral junction incompetence. Occlusion status was recorded by ultrasonography. Venous clinical severity score (VCSS) was calculated pre- and post-intervention.

Results: The mean follow-up period of the patients was 22.2 ± 5.1 months. Cumulative survival rate (Kaplan–Meier) of 24-month follow-up was 84.3%. Complete occlusion rate for GSV was 100%, 98.6% ,97.6%, 97.6% and 97.6% for 1, 6, 12, 18 and 24 months follow up, respectively. VCSS was significantly different before RFA and 4 weeks after RFA (p < 0.001). No major complications were observed in the study.

Conclusion: In the treatment of GSV insufficiency, RFA is a safely applied method with high occlusion rates and obvious VCSS score decrease.

Anahtar Kelimeler

Great saphenous vein insufficiency, radiofrequency ablation, treatment

Kronik venöz yetmezlik olgularında Endovenöz Radyofrekans Ablasyonun Klinik Sonuçları: İki Yıllık Takip Sonuçları

Öz

Amaç: Çalışmamızda büyük safen ven (GSV) yetmezliğinin tedavisinde radyofrekans ablasyonun (RFA) iki yıllık sonuçlarını değerlendirmeyi amaçladık.

Yöntemler: Çalışmaya RFA uygulanan toplam 217 hasta (%52,5 erkek, ortalama yaş 42.7 ± 11.4) dahil edildi. RFA işlemi büyük safen vende kapak yetersizliği ve safenofemoral bileşkede venöz reflü olan hastalara uygulandı. Oklüzyon takibi doppler ultrasonografi ile yapıldı. Müdahale öncesi ve sonrası Venous clinical severity score (VCSS) kayıt altına alındı.

Bulgular: Hastalar ortalama 22.2 ± 5,1 ay takip edildi. 24 aylık takipte kümülatif sağkalım oranı (Kaplan-Meier) %84,3 idi. GSV için tam oklüzyon oranı 1, 6, 12, 18 ve 24 aylık
takiplerde sırasıyla % 100,% 98.6,% 97.6,% 97.6 ve% 97.6 idi. RFA işleminden önce ve RFA uygulandıktan 4 hafta sonra hesaplanan VCSS değerleri anlamlı ölçüde farklıydı (p <0.001). Çalışma sırasında önemli bir komplikasyon gözlenmedi.

Sonuç: GSV yetmezliğinin tedavisinde RFA, yüksek oklüzyon oranları ve belirgin VCSS skoru düşüşü ile güvenli bir şekilde uygulanan bir yöntemdir.

Anahtar Kelimeler

Büyük safenöz ven yetmezliği, Radyofrekans ablasyon, tedavi

Kaynakça

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