Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein

Hye Young Woo, Suh Min Kim, Daehwan Kim, Jung Kee Chung, In Mok Jung

Research output: Contribution to journalReview articleResearchpeer-review

Abstract

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 mm, group B > 12 mm). 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 mm) and 59 in group B (mean diameter, 13.17 ± 1.28 mm). 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.

Original languageEnglish
Pages (from-to)313-318
Number of pages6
JournalAnnals of Surgical Treatment and Research
Volume96
Issue number6
DOIs
StatePublished - 1 Jun 2019

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Saphenous Vein
Veins
Quality of Life
Quality Improvement
compound A 12
Incidence
Varicose Veins
Extremities

Keywords

  • Radiofrequency ablation
  • Saphenous vein
  • Varicose veins

Cite this

@article{aa634d83a66042f386a5f94c755ac11f,
title = "Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein",
abstract = "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 mm, group B > 12 mm). 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 mm) and 59 in group B (mean diameter, 13.17 ± 1.28 mm). 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.",
keywords = "Radiofrequency ablation, Saphenous vein, Varicose veins",
author = "Woo, {Hye Young} and Kim, {Suh Min} and Daehwan Kim and Chung, {Jung Kee} and Jung, {In Mok}",
year = "2019",
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doi = "10.4174/astr.2019.96.6.313",
language = "English",
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Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein. / Woo, Hye Young; Kim, Suh Min; Kim, Daehwan; Chung, Jung Kee; Jung, In Mok.

In: Annals of Surgical Treatment and Research, Vol. 96, No. 6, 01.06.2019, p. 313-318.

Research output: Contribution to journalReview articleResearchpeer-review

TY - JOUR

T1 - Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein

AU - Woo, Hye Young

AU - Kim, Suh Min

AU - Kim, Daehwan

AU - Chung, Jung Kee

AU - Jung, In Mok

PY - 2019/6/1

Y1 - 2019/6/1

N2 - 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 mm, group B > 12 mm). 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 mm) and 59 in group B (mean diameter, 13.17 ± 1.28 mm). 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.

AB - 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 mm, group B > 12 mm). 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 mm) and 59 in group B (mean diameter, 13.17 ± 1.28 mm). 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.

KW - Radiofrequency ablation

KW - Saphenous vein

KW - Varicose veins

UR - http://www.scopus.com/inward/record.url?scp=85067925235&partnerID=8YFLogxK

U2 - 10.4174/astr.2019.96.6.313

DO - 10.4174/astr.2019.96.6.313

M3 - Review article

VL - 96

SP - 313

EP - 318

JO - Annals of Surgical Treatment and Research

JF - Annals of Surgical Treatment and Research

SN - 2288-6575

IS - 6

ER -