Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein
10.4174/astr.2019.96.6.313
- Author:
Hye Young WOO
1
;
Suh Min KIM
;
Daehwan KIM
;
Jung Kee CHUNG
;
In Mok JUNG
Author Information
1. Department of Surgery, Seoul Metropolitan Government
- Publication Type:Original Article
- Keywords:
Varicose veins;
Radiofrequency ablation;
Saphenous vein
- MeSH:
Catheter Ablation;
Extremities;
Humans;
Incidence;
Quality of Life;
Saphenous Vein;
Varicose Veins;
Veins
- From:Annals of Surgical Treatment and Research
2019;96(6):313-318
- CountryRepublic of Korea
- Language:English
-
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.
