Recanalization After Endovenous Thermal Ablation

Annals of Vascular Surgery
Afsha AurshinaEnrico Ascher

Abstract

Endovenous thermal ablation in the form of radiofrequency ablation (RFA) or endovenous laser ablation (EVLA) has quickly ascended to a prime position in the treatment of venous insufficiency. Although there are good data examining the rates of thrombotic complications, there is a relative paucity of data examining the recanalization rates after endovenous thermal ablation (ETA). Data analysis was performed for 1475 thermal ablations in 485 patients from 2012 to 2015 as a retrospective chart review. RFA was performed in 1027 patients and EVLA in 448 patients. The target veins included the great saphenous vein (GSV) (778), short saphenous vein (SSV) (401), accessory saphenous vein (ASV) (140), and perforator veins (PV) (156). Data were collected from follow-up visit within 1 week of procedure, every 3 months for the first year, and every 6 months thereafter. Recurrence was defined as >500 ms for the GSV, SSV, and ASV and as >350 ms for the PV. Data for recanalization were also correlated with age, gender, laterality, presenting symptoms, and treated targeted vein. The average age of the study population was 64.7 years (SD ± 15.6) with 66% women and 326 bilateral veins. At 1-week follow-up, women (2.6%) had higher recanalization r...Continue Reading

Citations

Oct 31, 2018·Cardiovascular and Interventional Radiology·W UllerW A Wohlgemuth
Jul 8, 2020·Phlebology·Katherine A TeterMikel Sadek
Apr 28, 2020·Annals of Vascular Surgery·Fanny Rodriguez SantosHugo Martínez
Jul 17, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Taqwa AhmedEnrico Ascher
May 21, 2021·The Journal of Cardiovascular Surgery·Chiara LomazziRuth L Bush
Apr 22, 2021·The Journal of Cardiovascular Surgery·Amandeep S JunejaYana Etkin

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