Postoperative hemodynamic changes after endovenous laser ablation and phlebectomy in varicose vein surgery

Park, Yoong-Seok; Kim, Young‐Wook; Park, Yang-Jin; Kim, Dong Ik

doi:10.1016/j.jvsv.2014.07.009

Cited by 2 publications

(1 citation statement)

References 18 publications

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“…This is a serial study of a report from 2015, comparing hemodynamic changes using APG of the lower leg after varicose vein surgery of GSV (great saphenous vein). 11…”

Section: Introductionmentioning

confidence: 99%

Analysis of the postoperative hemodynamic changes in varicose vein surgery related with small saphenous vein reflux

et al. 2023

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Purpose To evaluate the postoperative hemodynamic changes in varicose vein surgery related with SSV reflux using APG. Methods Totals of 181 limbs and 178 patients who underwent high ligation and stripping (HLS) (87 limbs), radiofrequency ablation (RFA) (43 limbs), or endovenous laser ablation (EVLA) (51 limbs) for SSV reflux from 1995 to 2022 were enrolled. We measured venous volume (VV), venous filling index (VFI), ejection fraction (EF), and residual volume fraction (RVF) preoperatively and at postoperative one and 6 months. Results Comparing preoperative results to those at postoperative 1 month, the reduction rates of VV, VFI, and RVF were 27, 53, and 31%, while EF increased by 18% ( p < 0.001). Comparing preoperative and postoperative 6 month, the reduction rates of VV, VFI, and RVF were 27, 45, and 35%, while EF increased by 27% ( p < 0.001). Conclusions There were hemodynamic improvement in the lower leg after varicose vein surgery including HLS, RFA, and EVLA.

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“…This is a serial study of a report from 2015, comparing hemodynamic changes using APG of the lower leg after varicose vein surgery of GSV (great saphenous vein). 11…”

Section: Introductionmentioning

confidence: 99%

Analysis of the postoperative hemodynamic changes in varicose vein surgery related with small saphenous vein reflux

et al. 2023

Self Cite

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Venous Hemodynamic Outcomes in Patients with Primary Varicose Vein Treated with High Ligation with Stripping, Endovenous Laser Ablation, and Radio Frequency Ablation

Kim,

Park

et al. 2024

Ann Phlebology

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Varicose veins Hemodynamic changes High ligation and stripping Endovenous laser ablation Radio frequency ablationObjective To determine hemodynamic changes after surgical treatment for great saphenous vein (GSV) incompetence. Methods According to clinical, etiological, anatomical, and pathophysiological classification, all patients were classified as C2EpAsPr. A total of 976 limbs of 900 patients with primary varicose veins who underwent surgical treatment at the Samsung Medical Center were retrospectively reviewed. Surgical modalities were high ligation (HL) with stripping, endovenous laser ablation (EVLA), and radiofrequency ablation (RFA) of GSV. Hemodynamic changes were measured using air plethysmography preoperatively and 1 and 6 months postoperatively. Duplex scans were performed to evaluate the GSV status after surgery. Results Of the 900 patients, 250, 139, and 511 underwent EVLA, RFA, and HL with stripping, respectively. All groups showed a significant increase in the ejection fraction (EF) and a decrease in the venous volume (VV), venous filling index (VFI), and residual volume fraction (RVF) at 1 month postoperatively, compared with the corresponding preoperative values. When the rate of reduction was compared between the treatment modalities, the 1-month postoperative rate of reduction in the VV was higher in the RFA group and those of the VFI, EF, and RVF were higher in the HL with stripping group, compared with the other groups (p<0.05). The GSV occlusion rates at 1 and 6 months were 85.6% and 97.5% in the EVLA group and 95.7% and 99.4% in the RFA group, respectively. Conclusion All three surgical modalities improved the hemodynamic parameters after treatment for GSV incompetence. Thus, appropriate surgical methods can be selected according to the patient's condition and physician's preference.

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Postoperative hemodynamic changes after endovenous laser ablation and phlebectomy in varicose vein surgery

Cited by 2 publications

References 18 publications

Analysis of the postoperative hemodynamic changes in varicose vein surgery related with small saphenous vein reflux

Analysis of the postoperative hemodynamic changes in varicose vein surgery related with small saphenous vein reflux

Venous Hemodynamic Outcomes in Patients with Primary Varicose Vein Treated with High Ligation with Stripping, Endovenous Laser Ablation, and Radio Frequency Ablation

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