Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

Bisang, U; Meier, Thomas; Enzler, M; Thalhammer, Christoph; Husmann, Marc; Amann-Vesti, Beatrice

doi:10.1258/phleb.2010.010089

Cited by 31 publications

(30 citation statements)

References 26 publications

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“…Bisang and colleagues performed RFA on 16 SSVs over a 2-year period and also demonstrated 100% occlusion. 17 One PE was noted in their series. There were no reported long-term nerve injuries in either study.…”

Section: Discussionmentioning

confidence: 94%

Management of endovenous heat-induced thrombus using a classification system and treatment algorithm following segmental thermal ablation of the small saphenous vein

Harlander-Locke

Jiménez

Lawrence

et al. 2013

Journal of Vascular Surgery

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RFA of the SSV in symptomatic patients has a high success rate with a low risk of DVT. A classification system and treatment protocol based on the level of EHIT in relation to the saphenopopliteal junction is useful in managing patients. The approach to patients with thrombus flush with the popliteal vein or bulging has not been previously defined; our outcomes were excellent, using our treatment algorithm.

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Section: Discussionmentioning

confidence: 94%

Management of endovenous heat-induced thrombus using a classification system and treatment algorithm following segmental thermal ablation of the small saphenous vein

Harlander-Locke

Jiménez

Lawrence

et al. 2013

Journal of Vascular Surgery

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“…8 Outpatient radiofrequency ablation (ClosureFast; Covidien, Dublin, Ireland) and EVLT are under investigation. 8,9 EVLT delivers energy directly to the endothelial lumen, resulting in non-thrombotic vein occlusion as a result of collagen contraction, denudation of endothelium, vein wall thickening, microperforation and eventual luminal contraction and fibrosis. 1,5 This is aided by tumescent anaesthesia providing a heat sink and compression of the vein against the laser fibre.…”

mentioning

confidence: 99%

“…8 Moreover, there is increased development in the use of endovenous ablation and tributary procedures in outpatient settings. 9 At our centre, we aim to perform all the tributary procedures required in a single visit. Further procedures are necessary for the anterior thigh vein or short saphenous system varicosities.…”

mentioning

confidence: 99%

Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins

Alder

Rahi

2014

annals

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INTRODUCTION Endovenous ablation of saphenous varicose veins has decreased morbidity and recovery time compared with open surgery. This study assessed the outcome and mid-term patient satisfaction of single-visit endovenous laser treatment (EVLT) alone, EVLT combined with phlebectomies and endovenous chemical ablation. METHODS A retrospective review was conducted of all patients (n=91) in 2008-2009 who underwent single-visit day-case EVLT using local anaesthesia under a single surgeon. Postoperative venous ultrasonography at 2 and 14 months was reviewed. A telephone questionnaire was carried out to assess recurrence of symptoms and quality of life at 42 months. RESULTS Overall, 124 limbs underwent day-case EVLT under local anaesthesia using an 810nm diode laser at a continuous setting of 14W. Forty-eight of these underwent EVLT alone while fifty underwent EVLT with phlebectomies and twenty-six underwent EVLT with endovenous chemical ablation. Ninety-one per cent of limbs underwent two-month postoperative imaging. All had satisfactory great saphenous vein (GSV) ablation (anterior thigh vein patency: n=1). The majority (84%) of limbs underwent 14-month imaging with a 98% GSV ablation rate. Three per cent had anterior thigh vein and saphenofemoral junction incompetence. Recurrence of GSV patency and reflux was <1%. The response rate to the questionnaire was 60%: 95% of respondents confirmed improvement following treatment, 62% remained symptom free at 42 months while 65% of patients with a return of symptoms deemed them mild. The questionnaire was scored out of 56 for symptoms and quality of life. Those with symptoms scored significantly higher. CONCLUSIONS At 42 months, the majority of limbs remained asymptomatic. The short-term GSV ablation rates were excellent. Overall mid-term review of patients has shown a well received single-visit service with concomitant phlebectomy or endovenous ablation, and good ablation and patient satisfaction rates.

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“…19,32,46 The improvement in the perioperative period was better with RFA than with open surgery; 18,19,21 however, this difference disappeared after a few weeks. Gale and colleagues 41 reported no significant difference in improvement in quality of life between RFA and laser treatment.…”

Section: Quality Of Life Pain and Satisfactionmentioning

confidence: 99%

Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis

Poder

Fisette

Bédard

et al. 2018

cjs

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Background: Since the 1990s, new techniques for the treatment of varicose veins have emerged, including radiofrequency ablation (RFA) and laser treatment. We performed a study to compare the safety, efficacy and outcomes of RFA compared to those of open surgery and laser ablation for the treatment of varicose veins. We also carried out a cost analysis of RFA compared to open surgery to assess whether RFA could help free up operating room time by being performed in an outpatient context. Methods:We conducted a systematic literature review (publication date May 2010-September 2013 for articles in English, January 1991-September 2013 for those in French). We used several checklists to measure the quality of the studies. We also collected data on costing. Results:The literature search identified 924 publications, of which 38 were retained for analysis: 15 literature reviews, 1 good-practice guideline and 22 new primary studies. The overall level of evidence was low to moderate owing to the limited sample sizes, lack of information on patient characteristics and lack of standardization of the outcome measures. However, the results obtained are consistent from study to study. In the short and medium term, RFA is considered as effective as open surgery or laser treatment (moderate level of evidence) and presents fewer major and minor complications than open surgery (low level of evidence). Radiofrequency ablation can be performed on an outpatient basis. We calculated that RFA would be about $110-$220 more expensive per patient than open surgery. Conclusion:Radiofrequency ablation is a valuable alternative to open surgery and would free up operating room time in a context of low accessibility.

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Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

Cited by 31 publications

References 26 publications

Management of endovenous heat-induced thrombus using a classification system and treatment algorithm following segmental thermal ablation of the small saphenous vein

Management of endovenous heat-induced thrombus using a classification system and treatment algorithm following segmental thermal ablation of the small saphenous vein

Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins

Is radiofrequency ablation of varicose veins a valuable option? A systematic review of the literature with a cost analysis

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