The Efficacy of Radiofrequency Ablation for the Treatment of Symptomatic Varicose Veins of Lower Limbs.

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2024-09-12 DOI:10.1177/15385744241284876

Muhammad A Butt,Dani Avabde,Muhammad U Cheema,Tilala Raza,Atif Latif,Peter Leechong,Mohammad M R Miah

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Abstract

BACKGROUND Radiofrequency ablation (RFA) is a minimally invasive treatment for lower limb varicose veins. Studies indicate that RFA results in immediate occlusion of 90%-100% of treated long saphenous veins. Evidence suggests that post-operative scans rarely alter patient management or outcomes. OBJECTIVE The aim of this study was to assess the potential necessity of routine postoperative scanning in the treatment of varicose veins. METHOD Retrospective data were collected for the patients who had RFA under a single consultant from November 2015 to June 2018. Descriptive statistics were calculated to summarize patient demographics, procedural details, and outcome measures. RESULTS A total of 124 patients underwent radiofrequency ablation (RFA). Most of the patients (n = 114, 92%) demonstrated complete ablation, indicating a high success rate for the procedure. CONCLUSION This study suggested that routine postoperative scanning should be discontinued as this did not alter patient management in over 99% of cases. The resources currently used for postoperative scans could be redirected towards other critical areas.

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射频消融治疗下肢症状性静脉曲张的疗效。

背景射频消融术（RFA）是一种治疗下肢静脉曲张的微创疗法。研究表明，射频消融术可使90%-100%接受治疗的大隐静脉立即闭塞。有证据表明，术后扫描很少会改变患者的管理或结果。目的本研究旨在评估在治疗静脉曲张时进行常规术后扫描的潜在必要性。方法收集了 2015 年 11 月至 2018 年 6 月期间在一位顾问指导下进行 RFA 治疗的患者的回顾性数据。结果共有 124 名患者接受了射频消融术（RFA）。大多数患者（n = 114，92%）表现为完全消融，表明手术成功率很高。结论这项研究建议停止常规术后扫描，因为这并不会改变 99% 以上病例的患者管理。目前用于术后扫描的资源可以转用于其他关键领域。

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).

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