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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2016 Feb 12

language: English

Venous hemodynamic improvement after endovenous radiofrequency ablation of saphenous varicose veins

Toshiya NISHIBE 1, 2, Masayasu NISHIBE 2, Shun SUZUKI 1, Satoshi TAKAHASHI 1, Kayo TOGUCHI 1, Kentaro KAMIYA 1, Toru IWAHASHI 1, Hitoshi OGINO 1

1 Department of Cardiovascular Surgery, Tokyo Medical University, Tokyo, Japan; 2 Department of Surgery, Eniwa Midorino Clinic, Eniwa, Hokkaido, Japan


PURPOSE: Endovenous radiofrequency abalation (RFA) has been a viable treatment option for patients with saphenous varicose veins. The purpose of our study is to assess venous hemodynamic change before and after RFA by using air plethysmography (APG).
PATIENTS AND METHODS: We prospectively analyzed the data of consecutive 91 patients with 124 limbs who underwent RFA for primary varicose veins. Overall venous hemodynamics of the limb was assessed using APG. The venous filling index (VFI) was determined as a measure of reflux (normal range, <2mL). Duplex scanning were performed to evaluate saphenous vein occlusion, deep venous thrombus and endovenous heat-induced thrombosis (EHIT).
RESULTS: The VFI were significantly reduced from 4.1±3.1 preoperatively to 1.4±1.0, 1.3±0.8 and 1.4±1.2 at 1 week, 1 month and 4 month postoperatively, respectively. The percentage of the VFI>2 ml/s was 77% preoperatively, while it significantly decreased to 17 %, 16%, and 18% at 1 week, 1 month, and 4 month postoperatively, respectively. Duplex scanning showed 100% of saphenous vein occlusion and no significant EHIT II-IV.
CONCLUSIONS: Correction or significant improvement of venous reflux was achieved by RFA. Together with duplex scanning findings, RFA is a safe and hemodynamically effective treatment for varicose veins.

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