Quality-of-life assessment in patients treated with radiofrequency ablation with or without great saphenous vein recanalization

2022 ◽  
pp. 026835552110606
Author(s):  
Daniele Bissacco ◽  
Chiara Malloggi ◽  
Chiara Lomazzi ◽  
Maurizio Domanin ◽  
Andrea Odero ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radiofrequency Ablation ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Life Assessment ◽  
Correct Treatment ◽  
Long Term Follow Up ◽  
Few Data

Quality of life (QoL) in patients with chronic venous disorders has a central role to decide the correct treatment approach. In particular, in case of mini-invasive therapy, such as endovenous radiofrequency ablation (RFA), the postoperative QoL improvement remains one of the most important outcome to be reached. Despite this, very few data are published on the long-term QoL modifications after RFA. The aim of this brief report is to describe and analyze the role of QoL scales in a population of patients treated with RFA of the great saphenous vein and phlebectomies, highlighting results in short- and long-term follow-up period, and differences between recanalized and non-recanalized patients.

Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency

2020 ◽  
pp. 026835552094729
Author(s):  
Yasin Ay ◽  
Esra Gunes ◽  
Sevket Tuna Turkkolu ◽  
Emre Selcuk ◽  
Muhittin Calim ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Radiofrequency Ablation ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
The Other ◽  
Clinical Severity ◽  
Life Questionnaire ◽  
Sf 36 ◽  
Vein Insufficiency

Objectives To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV). Method This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments. Results Surgical stripping group had significantly higher closure rates than the other groups (p < 0.05). At 12 months, decrease in VCSS scores was less pronounced in the cyanoacrylate embolization group when compared to the other two groups (p < 0.05). Improvement in CIVIQ-14 scores was better in the radiofrequency ablation group when compared to the cyanoacrylate embolization group (p < 0.05). Surgical stripping or radiofrequency ablation groups performed better on several domains of SF-36, when compared to the cyanoacrylate embolization group. Conclusions Surgical stripping and radiofrequency ablation seem to provide a better quality of life results at one year in patients undergoing treatment for GSV insufficiency.

scholarly journals Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of incompetent great saphenous veins: 36-Month outcomes of the VeClose randomized controlled trial

2018 ◽  
Vol 34 (6) ◽  
pp. 380-390 ◽  
Author(s):  
Nick Morrison ◽  
Raghu Kolluri ◽  
Michael Vasquez ◽  
Monte Madsen ◽  
Andrew Jones ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Randomized Controlled Trial ◽  
Radiofrequency Ablation ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Controlled Trial ◽  
Closure Rate ◽  
Randomized Controlled ◽  
Saphenous Veins

Objective To evaluate the 36-month efficacy and safety of cyanoacrylate closure for the treatment of incompetent great saphenous veins in comparison with radiofrequency ablation. Methods In this multicenter, prospective, randomized controlled trial, 222 symptomatic subjects with incompetent great saphenous veins were assigned to either cyanoacrylate closure or radiofrequency ablation. The primary endpoint, complete closure of the target great saphenous vein, was determined using duplex ultrasound examination starting from three-month visit. Results At month 36, the great saphenous vein closure rates were 94.4% for the cyanoacrylate closure group and 91.9% for the radiofrequency ablation group. Stable improvement in symptoms and quality of life was observed in both groups. Adverse event rates between the 24- and 36-month visits were similar between the groups as were serious adverse events which were infrequent and judged unrelated to either the device or the procedure in both groups. Conclusions This trial continues to demonstrate the safety and efficacy of cyanoacrylate closure for the treatment of great saphenous vein incompetence with great saphenous vein closure rate at 36 months similar to that of radiofrequency ablation, indicating non-inferiority of cyanoacrylate closure to radiofrequency ablation. The improvement in quality of life outcomes were also sustained and similar between the two treatment groups.

Improvements of deep vein reflux following radiofrequency ablation for saphenous vein incompetence

2016 ◽  
Vol 32 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Suh Min Kim ◽  
In Mok Jung ◽  
Jung Kee Chung
Keyword(s):  
Quality Of Life ◽  
Radiofrequency Ablation ◽  
Treatment Outcomes ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Deep Vein ◽  
Vein Reflux

Objectives The aim of this study was to describe the changes of deep vein reflux after radiofrequency ablation for great saphenous vein incompetence. Method The data on 139 limbs which were treated with radiofrequency ablation for great saphenous vein incompetence were prospectively collected and reviewed. Results Deep vein reflux was present in 43 of 139 limbs (30.9%). There were no significant differences in the rate of successful closure, the incidence of procedure-related complications, and the improvements of symptoms and quality of life between the limbs with or without deep vein reflux. With a mean follow-up of 5.9 months, the peak reflux velocity and duration of reflux were improved in all limbs with deep vein reflux and it was completely corrected in 13 limbs (30.2%) after radiofrequency ablation. Conclusions The presence of deep vein reflux does not affect the treatment outcomes of radiofrequency ablation for great saphenous vein incompetence and is improved in all patients. Deep vein reflux is not a barrier to performing radiofrequency ablation.

Levenskwaliteit een jaar na radiofrequente ablatie van de vena saphena magna

2021 ◽  
Author(s):  
L. CRAEGHS ◽  
B. BECHTER-HUGL ◽  
S. THOMIS ◽  
I. FOURNEAU
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Radiofrequency Ablation ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Self Image ◽  
Patient Reported ◽  
One Year

Quality of life one year after radiofrequency ablation of the great saphenous vein Symptomatic varicose veins have a negative impact on quality of life. Radiofrequency ablation (RFA) is an endovenous technique to occlude the venous lumen. In this study, the patient satisfaction and patient-reported quality of life is investigated one to two years after RFA of the great saphenous vein (GSV). Questionnaires were sent to 200 patients who were treated with RFA of the GSV at UZ Leuven more than one year ago. Data were processed using SPSS Statistics 24. 98 of 200 patients (49%) participated in this study. 80,4% (78/97) of patients were satisfied and 95,8% (92/96) would choose it all over again. Self image improved in 58,2% (57/98) and general health improved in 29,6% (29/98) of patients compared to a year ago. 57,4% (54/94) of patients had no relapse or progression one year after RFA of the GSV. Dissatisfaction was more common in patients with a history of varicose vein treatment, in patients with recurrent varicose veins or venous symptoms and in patients with postoperative hematoma. RFA of the GSV results in patient satisfaction among the participating patients and has a positive impact on their self image and on health-related quality of life more than a year after the treatment.

Trapezius Port Placement in Patients with Breast Cancer: Long-Term Follow-up and Quality-of-Life Assessment

2019 ◽  
Vol 30 (1) ◽  
pp. 69-73 ◽  
Author(s):  
Barbaros Erhan Çil ◽  
Osman Öcal ◽  
Fatma Gonca Eldem ◽  
Bora Peynircioğlu ◽  
Ferhun Balkancı
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Life Assessment ◽  
Port Placement ◽  
Quality Of Life Assessment ◽  
Long Term Follow Up

Impact on venous haemodynamics after treatment of great saphenous vein incompetence using plethysmography and duplex ultrasound

2020 ◽  
Vol 35 (7) ◽  
pp. 495-504
Author(s):  
P Oskar E Nelzén ◽  
Johan Skoog ◽  
Malin Öster ◽  
Helene Zachrisson
Keyword(s):  
Quality Of Life ◽  
Radiofrequency Ablation ◽  
Saphenous Vein ◽  
Strain Gauge ◽  
Great Saphenous Vein ◽  
Duplex Ultrasound ◽  
Venous Occlusion ◽  
High Ligation ◽  
Strain Gauge Plethysmography

Objectives To evaluate postoperative venous haemodynamics and quality of life after treatment of great saphenous vein (GSV) incompetence. Methods Radiofrequency ablation and high ligation and stripping were performed in 62 patients (65 limbs) and 58 (65 limbs), respectively. Phlebectomies were performed in both modalities. Strain-gauge plethysmography on the foot combined with superficial venous occlusion was used to measure refilling time after knee bends. Strain-gauge plethysmography, duplex ultrasound and quality of life were assessed before and one month after treatment. Results Duplex ultrasound displayed successful intervention in all but two limbs. Refilling time increased similar in radiofrequency ablation and high ligation and stripping after treatment ( p < 0.001). Postoperatively, strain-gauge plethysmography detected remaining reflux in 71% of the patients. Multivariate analysis showed that two or more incompetent calf branches were associated with remaining reflux (OR 4.82 (95% CI: 1.33–17.5), p = 0.02). No difference in quality of life was seen in patients with remaining reflux. Conclusions Despite successful treatment, a majority of the limbs showed remaining reflux, in which incompetent calf branches appear to play an important role. Clinicaltials.gov: Lower Limb Venous Insufficiency and the Effect of Radiofrequency Treatment Versus Open Surgery. Nr: NCT02397226

Long term follow-up in quality of life after mitral valve surgery

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
I Kammerer ◽  
M Höhn ◽  
AH Kiessling ◽  
S Becker ◽  
FU Sack
Keyword(s):  
Quality Of Life ◽  
Mitral Valve ◽  
Mitral Valve Surgery ◽  
Valve Surgery ◽  
Long Term Follow Up
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