Miloš D Pavlović, Spiro S Schuller, Mark M Head, David Kaiser, Maruša Jerše, Sanja Schuller Petrović
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引用次数: 2
摘要
背景:评估间接射频消融(RFA, closed FAST)治疗无能大隐静脉(GSVs)合并1型动脉瘤的安全性和有效性。方法:对三个中心(2007-2021年)进行回顾性分析。所有在交界附近(2厘米以内)出现隐动脉瘤的患者均被纳入研究。他们接受RFA治疗。静脉切除术和/或硬化治疗在同一疗程进行。双工超声(DUS)在手术后早期进行，然后在一年多后进行。结果:2007年6月至2021年5月纳入8例(11条肢体)，GSV动脉瘤中位直径为21 mm (IQR为17.2-23.4)。除一例静脉内热致血栓形成(EHIT) III级(9.1%)外，未发生严重不良事件。术后1年多(平均7.2±4.2年，中位8年)，DUS检查无动脉瘤出现，截骨闭塞率100%。结论:RFA是治疗1型动脉瘤患者隐静脉功能不全的一种安全有效的方法。
Safety and effectiveness of indirect radiofrequency ablation (closure FAST) of incompetent great saphenous veins with Type I aneurysms: Long-term results radiofrequency ablation for saphenous aneurysms.
Background: Assess the safety and effectiveness of indirect radiofrequency ablation (RFA, Closure FAST) for the treatment of incompetent great saphenous veins (GSVs) with type 1 aneurysms.
Methods: This was a retrospective analysis performed in three centers (2007-2021). All patients presenting with saphenous aneurysms close to the junction (within 2 cm) were included. They were treated with RFA. Phlebectomies and/or sclerotherapy were performed during the same treatment session. Duplex ultrasound (DUS) was performed early after the procedure and then, more than a year later.
Results: Eight patients (11 limbs) were included between June 2007 and May 2021 with a median diameter of the GSV aneurysm 21 mm (IQR 17.2-23.4). No severe adverse events occurred apart from one endovenous heat-induced thrombosis (EHIT) class III (9.1%). After more than a year (mean 7.2 ± 4.2, median 8 years), none of the aneurysms was present on DUS and the truncal obliteration rate was 100%.
Conclusion: RFA appears to be a safe and effective treatment for patients presenting with incompetent saphenous veins with the type 1 aneurysm.
期刊介绍：
The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments.
Print ISSN: 0268-3555
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