Incidence and Risk Factors for Deep Vein Thrombosis after Radiofrequency and Laser Ablation of the Lower Extremity Veins

Itoga, Nathan K.; Rothenberg, Kara A.; Deslarzes-Dubuis, Céline; George, Elizabeth; Chandra, Venita; Harris, E. John

doi:10.1016/j.avsg.2019.04.008

Cited by 18 publications

(11 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…New strategies such as laser, radiofrequency ablation, cyanoacrylate glue, and other intracavitary minimally invasive techniques have improved varicose vein treatment in the lower extremities in recent years [ 5 , 6 ]. However, intracavitary treatment still fails to effectively overcome the limitations of its application scope and high long-term recurrence rate compared with exfoliation surgery [ 7 , 8 ]. Stripping the great saphenous vein (GSV) has long been considered the operating standard for varicose vein treatment of the lower extremities, obtaining satisfactory long-term clinical effects [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Modified Above-Knee and Conventional Surgery with the Stripping of the Great Saphenous Vein of Varicose Veins of the Lower Extremities: A Retrospective Study

Liu

Peng

Zhang

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

Objective. To compare the clinical effects of modified above-knee and conventional surgery with the stripping of the great saphenous vein of varicose veins of the lower extremities. Methods. Clinical data of patients with a varicose vein of the lower extremity from May 2016 to May 2018 were collected. A retrospective study was conducted on the patients receiving modified above-knee and conventional surgery with the great saphenous vein stripping. The baseline characteristics and long-term follow-up data were compared between the groups. Results. There were no significant differences in baseline characteristics between the two groups ( P > 0.05 ). The surgeries were successfully performed by the same group of surgeons under local anesthesia and neuraxial anesthesia. The hospital stay, operation time, intraoperative blood loss, total length, and number of incisions in the above-knee group were comparable to those in the conventional surgery group ( P > 0.05 ). The incidence of saphenous nerve injury and subcutaneous hematoma in the above-knee group was lower than that in the conventional surgery group ( P < 0.05 ). There were no significant differences in recurrent varicose vein incidences ( P > 0.05 ). After surgery, the venous clinical severity score (VCSS) and chronic venous insufficiency questionnaire (CIVIQ-14) scores of both groups were higher than those before operation ( P < 0.05 ). There was no significant difference in VCSS score or CIVIQ-14 scores between the two groups postoperation ( P > 0.05 ). At 24 months after surgery, the above-knee group (71.8%) and conventional surgery group (73.2%) resulted in changes of at least two CEAP-C clinical classes lower than baseline, respectively. Conclusion. The modified above-knee technique can ensure clinical outcomes, reduce intraoperative blood loss and complication incidences, and shorten the operative time. This gives evidence that the modified above-knee technique is worthy of clinical application.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison of Modified Above-Knee and Conventional Surgery with the Stripping of the Great Saphenous Vein of Varicose Veins of the Lower Extremities: A Retrospective Study

Liu

Peng

Zhang

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

show abstract

“…7 Rates of DVT following endothermal ablation have been reported to be as high as 16%; 8 however, the two largest studies in this area suggest that the true incidence lies between 0.5 and 3.2%. 9,10 VTE risk assessment and targeted administration of pharmacoprophylaxis could mitigate this complication when patients have additional risk factors for VTE. At present, there is an absence of evidence-based or consensus guidelines to inform clinicians in this area.…”

Section: Introductionmentioning

confidence: 99%

“…Such cases have attracted media coverage (6) and may have significant medico-legal implications for clinicians (7). Rates of DVT following endothermal ablation have been reported to be as high as 16% (8), however the 2 largest studies in this area suggest the true incidence lies between 0.5% and 3.2% (9,10). VTE risk assessment and targeted administration of pharmacoprophylaxis could mitigate this complication when patients have additional risk factors for VTE.…”

Section: Introductionmentioning

confidence: 99%

Reducing the risk of venous thromboembolism following superficial endovenous treatment: A UK and Republic of Ireland consensus study

et al. 2020

View full text Add to dashboard Cite

Objectives Venous thromboembolism is a potentially fatal complication of superficial endovenous treatment. Proper risk assessment and thromboprophylaxis could mitigate this hazard; however, there are currently no evidence-based or consensus guidelines. This study surveyed UK and Republic of Ireland vascular consultants to determine areas of consensus. Methods A 32-item survey was sent to vascular consultants via the Vascular and Endovascular Research Network (phase 1). These results generated 10 consensus statements which were redistributed (phase 2). ‘Good’ and ‘very good’ consensus were defined as endorsement/rejection of statements by >67% and >85% of respondents, respectively. Results Forty-two consultants completed phase 1. This generated seven statements regarding risk factors mandating peri-procedural pharmacoprophylaxis and three statements regarding specific pharmacoprophylaxis regimes. Forty-seven consultants completed phase 2. Regarding venous thromboembolism risk factors mandating pharmacoprophylaxis, ‘good’ and ‘very good’ consensus was achieved for 5/7 and 2/7 statements, respectively. Regarding specific regimens, ‘very good’ consensus was achieved for 3/3 statements. Conclusions The main findings from this study were that there was ‘good’ or ‘very good’ consensus that patients with any of the seven surveyed risk factors should be given pharmacoprophylaxis with low-molecular-weight heparin. High-risk patients should receive one to two weeks of pharmacoprophylaxis rather than a single dose.

show abstract

“…No one in both groups recorded DVT or nerve injury. Itoga et al (21) reported an incidence of DVT after endothermal ablation of around 1.9 and 3.2% at 7 and 30 days after the procedure, respectively. Shutze et al (22) found a higher incidence of 5.1% of DVT in their study, whereas in our study, no DVT occurred in all cases.…”

Section: Discussionmentioning

confidence: 99%

Endovenous Laser Ablation (EVLA) Below the Knee with and without Chemical Ablation below Knee in Great Saphenous Vein Varicosity

Moawed

2022

The Egyptian Journal of Hospital Medicine

View full text Add to dashboard Cite

Background: For many years, varicose veins have been one of the most frequently treated venous issues. In the treatment of superficial venous insufficiency, endovenous laser ablation (EVLA) and concurrent ultrasound-guided foam sclerotherapy have recently emerged as viable alternatives to surgery. Aim: This study aimed to compare between outcome of EVLA below the knee with and without foam sclerotherapy in great saphenous vein (GSV) varicosity. Patients and methods: This study involved 160 patients presented by primary GSV varicosities of the lower limb (LL). Patients were split evenly between two groups; Patients in group (A) received EVLA only below the knee. However, Patients in group (B) had combined full EVLA and sclerotherapy (chemical ablation) below the knee. In the present investigation, the Venous Clinical Severity Score (VCSS) and Visual Analogue Scales (VAS) were used both before and after the therapy. Results: After one week of interventions, combined EVLA and chemical ablation group has a higher occlusion rate (100%) compared to (97.5%) for EVLA only group where complete occlusion was more prominent than partial occlusion, however, two patients (2.5%) have a recanalization in EVLA only group with significant difference between both groups regarding complete and partial occlusion (p=0.015 and 0.038). Also, after six months of interventions, percent of complete occlusion increased with one patient has a recanalization in EVLA only group with significant difference between both groups regarding complete and partial occlusion (p<0.001 and 0.028). Conclusion: Combining EVLA and sclerotherapy (chemical ablation) for below-the-knee long saphenous varicosities offers a very successful method to extend the treatment down to the foot, decrease the prevalence of saphenous nerve injury, and reduce the number of treatment session and recurrence.

show abstract

Incidence and Risk Factors for Deep Vein Thrombosis after Radiofrequency and Laser Ablation of the Lower Extremity Veins

Cited by 18 publications

References 28 publications

Comparison of Modified Above-Knee and Conventional Surgery with the Stripping of the Great Saphenous Vein of Varicose Veins of the Lower Extremities: A Retrospective Study

Comparison of Modified Above-Knee and Conventional Surgery with the Stripping of the Great Saphenous Vein of Varicose Veins of the Lower Extremities: A Retrospective Study

Reducing the risk of venous thromboembolism following superficial endovenous treatment: A UK and Republic of Ireland consensus study

Endovenous Laser Ablation (EVLA) Below the Knee with and without Chemical Ablation below Knee in Great Saphenous Vein Varicosity

Contact Info

Product

Resources

About