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Title: ClosureFast endovenous radiofrequency ablation for great saphenous vein and small saphenous vein incompetence: Efficacy and anatomical failure patterns
Authors: Tomazini Martins, Rodrigo ;Rodriguez-Acevedo, O.;Elstner, K.E.;Martinic, K.;Ibrahim, R.I.;Arduini, F.;Ibrahim, N.
Affliation: Central Coast Local Health District
Gosford Hospital
Issue Date: May-2019
Source: 34(4):266-271
Journal title: Phlebology
Department: Neurology
Abstract: BACKGROUND: Recurrence rates and patterns after endovenous radiofrequency ablation (ERFA) are poorly documented. OBJECTIVE: To assess the incidence and anatomical recurrence patterns of saphenous vein reflux after ERFA. METHOD: Two hundred patients previously treated with ERFA were recalled for clinical assessment and venous-duplex ultrasound at three years post-treatment. RESULTS: A total of 106 patients (68F, 38M) with a mean age of 49.4 years (SD +11.5y) were assessed. Mean follow-up was 42.1 months (SD + 20.1m). Further varicose veins were identified in 31 patients (29.2%). Recanalization/recurrence/failure was diagnosed in 16 patients (15.1%), including 18 trunks (8.7%), 13 great saphenous vein (6.3%) and 5 small saphenous vein (2.4%). Twenty-seven patients (25%) developed neo-incompetence in 31 trunks and 12 non-saphenous veins. All patients with truncal recanalization had a body mass index > 29 (range 29-42). CONCLUSION: Disease progression was twice as high as the recanalization rate at three years post-treatment using ERFA in this study. Raised body mass index may be a contributing factor; however, further longitudinal studies are required. Patient self-selection bias may have also influenced our results.
DOI: 10.1177/0268355518799609
ISSN: 0268-3555
Publicaton type: Journal Article
Keywords: Research
Appears in Collections:Health Service Research

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