Risk factors for saphenous vein recanalization after endovenous radiofrequency ablation

Lomazzi, Chiara; Bissacco, Daniele; Logan, Meryl Simon; Grassi, Viviana; Piffaretti, Gabriele; Trimarchi, Santi; Bush, Ruth L.

doi:10.23736/s0021-9509.21.11908-1

Cited by 10 publications

(8 citation statements)

References 54 publications

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“…According to our previous review of the current literature, BMI and saphenous trunk diameter seem to be the only two recognized factors that likely affect short and long-term recanalization rate, although CVI status, sex, target vein treatment length, and other factors may be considered. 13 Surprisingly, BMI did not affect outcomes in our population, probably because the baseline range was very small (25.6 ± 2.7) and Rec and nRec cohorts remained similar in terms of BMI throughout the follow-up periods.…”

Section: Discussionmentioning

confidence: 64%

“…This retrospective, single-center, cohort study enrolled all consecutive patients with CVD who underwent RFA of GSV using ClosureFast TM catheter (Medtronic Inc., CA, US) between 2009 and 2018. Inclusion criteria for RFA were adopted according to clinical and color Doppler ultrasound scan (CDUS) standard recommendations mentioned in international guidelines 13,14 and in a previous publication. 15 In brief, patients with a GSV diameter >4 mm and with a reflux time >0.5 s detected at saphenofemoral junction (SFJ) and in more than two points along the thigh and/or leg were eligible.…”

Section: Study Design and Preoperative Assessmentmentioning

confidence: 99%

“…In a recent literature review, Lomazzi et al found high body mass index (BMI), large GSV diameter, and CVI as the most frequently described risk factors for early and longterm GSV recanalization, despite, as the Authors concede, published data regarding this topic remaining debated and incomplete. 13 Knowledge of risk factors increasing patients' recurrence rate is extremely important to balance risks, benefits, and most of all, effectiveness of the endovenous intervention. Moreover, determination of risk factors for short-term, midterm, and long-term postoperative periods contributes to a complete and rigorous evaluation of patient risk.…”

Section: Introductionmentioning

confidence: 99%

“…In a recent literature review, Lomazzi et al found high body mass index (BMI), large GSV diameter, and CVI as the most frequently described risk factors for early and long-term GSV recanalization, despite, as the Authors concede, published data regarding this topic remaining debated and incomplete. 13…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for short and long-term great saphenous vein recanalization in patients treated with endovenous radiofrequency ablation

et al. 2021

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Purpose The aim of this retrospective single-center study is to describe and analyze short-, mid-, and long-term risk factors for great saphenous vein (GSV) recanalization after endovenous radiofrequency ablation (RFA). Materials and methods All consecutive patients with GSV incompetence and varicose veins underwent RFA were enrolled between 2009 and 2018. Data on demographic, pre- and postoperative color Doppler scan (CDUS) findings, perioperative complications, and follow-up were prospectively collected. Primary outcome was GSV recanalization rate at 1 week after RFA. Secondary outcomes were postoperative complication rate, as well as GSV recanalization rate at 1, 3, and 5 years after RFA. Risk factors for recanalization were also analyzed, for each follow-up assessment, identifying differences in recanalized (Rec) and non-recanalized (nRec) groups. Results During the study period, 1297 patients were treated. Among these, 1265 had at least 1 week of follow-up. Mean follow-up time was 3.0 ± 1.9 years. Recanalization rate at 1 week, 1, 3, and 5 years was 2.4%, 4.3%, 9.3%, and 17.5%, respectively. After multivariate analysis for each follow-up evaluation, CEAP classes C4 and 5, as well as preoperative GSV diameter >6 mm and history of smoking were found to be independent predictors of recanalization. Furthermore, age >61 years and postoperative complications such as pigmentation, edema, and paresthesia were found to be dependent risk factors. Conclusion RFA remains a safe and durable technique to ablate incompetent GSV. Despite this, particular attention should be paid to patients with high CEAP classes to avoid short and long-term recanalization.

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Section: Discussionmentioning

confidence: 64%

Section: Study Design and Preoperative Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for short and long-term great saphenous vein recanalization in patients treated with endovenous radiofrequency ablation

et al. 2021

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“…Several studies emphasized causes and patterns of RVVs, defining risk factors, and quality of life impairment. 1 With the advent of endovenous techniques, saphenous trunk recanalization (STR) has been indicated as one of the causes of RVVs and as a failure of the ablation therapy. In addition, relief or recurrence of venous symptoms (VSym) should also be considered despite it is difficult to identify and quantify their presence and severity.…”

Section: Introductionmentioning

confidence: 99%

Relationship between great saphenous vein recanalization, venous symptoms reappearance, and varicose veins recurrence rates after endovenous radiofrequency ablation

et al. 2022

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The term “recurrence” in chronic venous disease remains not yet well defined, despite numerous reports describing patterns and causes of the presence of recurrent varicose veins (RVVs). Moreover, saphenous trunk recanalization (STR) has also been documented as one of the major source of RVVs and it is widely used to indicate the “failure” of endovenous ablation. Finally, reappearance of venous symptoms (VSym) should be considered to reach a complete “recurrence” evaluation. RVVs, STR, and VSym rates and mutual co-presence after endovenous treatments are still unclear. The aim of this report is to describe and analyze these three recurrence components after 6 years in patients underwent radiofrequency ablation of the great saphenous vein.

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Vein of Giacomini can lead to the recurrence of varicosities after endovenous laser ablation of varicose veins

Goyal

Misra

Pahade

2023

Indian J Thorac Cardiovasc Surg

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Risk factors for saphenous vein recanalization after endovenous radiofrequency ablation

Cited by 10 publications

References 54 publications

Risk factors for short and long-term great saphenous vein recanalization in patients treated with endovenous radiofrequency ablation

Risk factors for short and long-term great saphenous vein recanalization in patients treated with endovenous radiofrequency ablation

Relationship between great saphenous vein recanalization, venous symptoms reappearance, and varicose veins recurrence rates after endovenous radiofrequency ablation

Vein of Giacomini can lead to the recurrence of varicosities after endovenous laser ablation of varicose veins

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