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Journals / Acta Medica Alanya / 2020 / Cilt: 4 Sayı: 3

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

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

Umut Serhat Sanrı(BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0003-4008-4336
Kadir Kaan Özsin(BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0001-5933-9322
Fahri Atlı(VM Medical Park Hastanesi)0000-0002-3600-6469
Faruk Toktaş(BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-0820-3879
Senol Yavuz(BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0001-5246-0808
Pages
254–259
Publication Date
2020-10-29
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

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

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: Our aim was to evaluate the two-year results of radiofrequency ablation (RFA) in the treatment of great saphenous vein (GSV) insufficiency.
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Key Findings & Data:Methods: A total number of 217 patients who underwent RFA (52.5 % male, mean age 42.7±11.4) were included in the study.
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Conclusion & Impact:Conclusion: In the treatment of GSV insufficiency, RFA is a safely applied method with high occlusion rates and obvious VCSS score decrease.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Büyük safenöz ven yetmezliği · Radyofrekans ablasyon · tedavi

Abstract

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.

Özet

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.

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Cite This Article

Sanrı, U. S., Özsin, K. K., Atlı, F., Toktaş, F., Yavuz, S. (2020). The Clinical Outcomes of Endovenous Radiofrequency Ablation of Varicose Veins: Two Year Follow up Results. Acta Medica Alanya, Cilt: 4 Sayı: 3, 254–259. https://doi.org/10.30565/medalanya.752398

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