Stump Length Changes after Endovenous Cyanoacrylate Closure or Radiofrequency Ablation for Saphenous Vein Incompetence

Hyunmin Ko; Sangil Min; Sanghyun Ahn; Ahram Han; Jungsun Kim; Seung-Kee Min

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저자정보: Hyunmin Ko (Department of Surgery Seoul National University College of Medicine Seoul Korea) Sangil Min (Department of Surgery Seoul National University College of Medicine Seoul Korea) Sanghyun Ahn (Department of Surgery Seoul National University College of Medicine Seoul Korea) Ahram Han (Department of Surgery Seoul National University College of Medicine Seoul Korea) Jungsun Kim (Department of Surgery Seoul National University College of Medicine Seoul Korea) Seung-Kee Min (Department of Surgery Seoul National University College of Medicine Seoul Korea)

저널정보: 대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.37 No.1

발행연도: 2021.1

수록면: 14 - 21 (8page)

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Purpose: The aim of this study was to analyze changes in stump length over time in patients with saphenous vein incompetence treated with cyanoacrylate closure (CAC) or radiofrequency ablation (RFA). Materials and Methods: We retrospectively analyzed data collected from patients with saphenous vein incompetence who underwent either CAC or RFA at Seoul National University Hospital between November 2015 and December 2018. The stump lengths were measured using duplex ultrasonography (DUS) within 1 month and 6 months after treatment. The Venous Clinical Severity Score (VCSS) and Aberdeen Varicose Vein Questionnaire (AVVQ) score were used to assess clinical outcomes. Results: A total of 97 veins (64 great saphenous veins and 33 small saphenous veins) were analyzed. The stump length was not significantly different between the two groups at <1 month (P=0.311). However, the stump length in the CAC group was significantly longer than that in the RFA group at 6 months (P=0.004). At 6 months, the mean change in stump length was 1.41±2.28 cm in the CAC group and 0.51±0.54 cm in the RFA group (P=0.006). The VCSSs and AVVQ scores significantly improved after both procedures but were not significantly different between the two groups. Conclusion: DUS at 6 months after treatment showed that the stump length in the CAC group increased more than that in the RFA group. No other factors affected the changes in stump length.

#Radiofrequency ablation #Glues #Varicose veins #Recurrence #Duplex ultrasonography

참고문헌 (21)

참고문헌 신청

Almeida JI / 2013 / First human use of cyanoacrylate adhesive for treatment of saphenous vein incompetence / J Vasc Surg Venous Lymphat Disord 1:174~180

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

Morrison N / 2015 / Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous veins(VeClose) / J Vasc Surg 61:985~994

Morrison N / 2017 / VeClose trial 12-month outcomes of cyanoacrylate closure versus radiofrequency ablation for incompetent great saphenous veins / J Vasc Surg Venous Lymphat Disord 5:321~330

Gibson K / 2018 / Twenty-four month results from a randomized trial of cyanoacrylate closure versus radiofrequency ablation for the treatment of incompetent great saphenous veins / J Vasc Surg Venous Lymphat Disord 6:606~613

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