지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.96 No.6
- 발행연도
- 2019.6
- 수록면
- 313 - 318 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: There is limited data on the outcomes of radiofrequency ablation (RFA) for large diameter saphenous veins. This study aimed to determine whether the large-diameter great saphenous vein (GSV) affected closure rate, complications, and clinical and quality of life (QoL) improvement.
Methods: From January 2012 to September 2016, a total of 722 limbs were treated with ClosureFAST RFA in a single center. Patients were divided into 2 groups according to the vein diameter measured 3 cm below the saphenofemoral junction (group A ≤ 12 ㎜, group B ＞ 12 ㎜). Vein closure was evaluated with duplex scan at 3–5 days, 1, 3, 6, and 12 months postoperatively. The incidence of complications, improvements in symptoms (measured by the Venous Clinical Severity Score [VCSS]) and QoL (measured by the Aberdeen Varicose Vein Symptom Severity Score [AVSS]) were evaluated.
Results: Groups consisted of 663 GSVs in group A (mean diameter, 6.00 ± 1.74 ㎜) and 59 in group B (mean diameter, 13.17 ± 1.28 ㎜). Vein closure rates at 12 months were 98.9% in group A and 100% in group B (P = 0.428). There was no significant difference in the incidence of complications. Both groups showed marked improvements in the VCSS and the AVSS with no significant differences.
Conclusion: For large-diameter veins, RFA showed comparable outcomes in terms of closure rate, complications, clinical and QoL improvements.
Methods: From January 2012 to September 2016, a total of 722 limbs were treated with ClosureFAST RFA in a single center. Patients were divided into 2 groups according to the vein diameter measured 3 cm below the saphenofemoral junction (group A ≤ 12 ㎜, group B ＞ 12 ㎜). Vein closure was evaluated with duplex scan at 3–5 days, 1, 3, 6, and 12 months postoperatively. The incidence of complications, improvements in symptoms (measured by the Venous Clinical Severity Score [VCSS]) and QoL (measured by the Aberdeen Varicose Vein Symptom Severity Score [AVSS]) were evaluated.
Results: Groups consisted of 663 GSVs in group A (mean diameter, 6.00 ± 1.74 ㎜) and 59 in group B (mean diameter, 13.17 ± 1.28 ㎜). Vein closure rates at 12 months were 98.9% in group A and 100% in group B (P = 0.428). There was no significant difference in the incidence of complications. Both groups showed marked improvements in the VCSS and the AVSS with no significant differences.
Conclusion: For large-diameter veins, RFA showed comparable outcomes in terms of closure rate, complications, clinical and QoL improvements.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
Proebstle TM / 2015 / The European multicenter cohort study on cyanoacrylate embolization of refluxing great saphenous veins / J Vasc Surg Venous Lymphat Disord 3:2~7
Hoggan BL / 2009 / Systematic review of endovenous laser therapy versus surgery for the treatment of saphenous varicose veins / Ann Vasc Surg 23:277~287
Luebke T / 2008 / Systematic review and meta-analysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis / J Cardiovasc Surg(Torino) 49:213~233
Luebke T / 2008 / Meta-analysis of endovenous radiofrequency obliteration of the great saphenous vein in primary varicosis / J Endovasc Ther 15:213~223
Sun JJ / 2017 / Mechanochemical ablation for treatment of truncal venous insufficiency : a review of the current literature / J Vasc Interv Radiol 28:1422~1431
Hoggan BL / 2009 / Systematic review of endovenous laser therapy versus surgery for the treatment of saphenous varicose veins / Ann Vasc Surg 23:277~287
Luebke T / 2008 / Systematic review and meta-analysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis / J Cardiovasc Surg(Torino) 49:213~233
Luebke T / 2008 / Meta-analysis of endovenous radiofrequency obliteration of the great saphenous vein in primary varicosis / J Endovasc Ther 15:213~223
Sun JJ / 2017 / Mechanochemical ablation for treatment of truncal venous insufficiency : a review of the current literature / J Vasc Interv Radiol 28:1422~1431
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