The utility of the venous clinical severity score in 682 limbs treated by radiofrequency saphenous vein ablation

Vasquez, Michael; Wang, Jiping; Mahathanaruk, Marchyan; Buczkowski, Glenn; Sprehe, Esther; Dosluoglu, Hasan H.

doi:10.1016/j.jvs.2006.12.061

Cited by 86 publications

(63 citation statements)

References 20 publications

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“…These newer methods may have some of the advantages of UGFS. Previous reports suggest that the incidence of bruising after RFA and EVLA, while significantly less than after surgery, is still higher than the 7·2 per cent rate after UGFS in the present study 7,16,17,20,21 .…”

Section: Questionnaire Resultscontrasting

confidence: 61%

Recovery after ultrasound-guided foam sclerotherapy compared with conventional surgery for varicose veins

Darvall

Bate

Adam

et al. 2009

British Journal of Surgery

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Section: Questionnaire Resultscontrasting

confidence: 61%

Recovery after ultrasound-guided foam sclerotherapy compared with conventional surgery for varicose veins

Darvall

Bate

Adam

et al. 2009

British Journal of Surgery

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“…The severity of insuffi ciency in GSVs or SSVs was determined, vein diameter was measured, and mapping and determination of refl ux sources in the aff ected veins were performed during the CDUS examination. The current venous insuffi ciency symptoms were assessed based on the venous clinical severity score (VCSS), whereas the clinical fi ndings were assessed based on the clinical, aetiological, anatomical and pathophysiological classifi cation for chronic venous disorders (CEAP) [17,18]. The quality of life (QOL) assessment, including general pain and associated physical, social, and psychological parameters, was performed using the Chronic Venous Insufficiency Quality of Life Questionnaire (CIVIQ ), version 2 [19].…”

Section: Methodsmentioning

confidence: 99%

N-butyl cyanoacrylate in the treatment of venous insufficiency - the effect of embolisation with ablative polymerisation

Çalık

Arslan

Ayaz

et al. 2016

Vasa

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Summary: Background:The primary objective of this multicentre prospective observational study was to evaluate the early results of a new non-thermal embolisation method using N-butyl cyanoacrylate in venous insuffi ciency. Patients and methods: A total of 181 patients with a varicose vein diagnosis were treated with the VariClose: Vein Sealing Systems at four different centres. The protocol included physical and colour Doppler ultrasonography examination, venous clinical severity score and quality of life assessment before and after the procedure on days 1 and 7 and at months 1, 3 and 6. Clinical recovery was evaluated by comparing the venous clinical severity score and the quality of life assessment before and after the procedure. Results: In total, 215 embolisation procedures were successfully completed on 181 patients (110 female) with a mean age of 37.6 ± 13.2 years (range 18 -72 years). The 215 procedures consisted of 25 bilateral applications on 206 great saphenous veins and 9 small saphenous veins. The average pre-interventional diameter of great saphenous veins was 6.5 ± 1.4 mm (4.3 -14 mm), and the mean diameter of small saphenous veins was 5.2 ± 1.3 mm (3.8 -8.6 mm). The average length of the sealed vein segments was 31.6 ± 6.1 cm (23 -70 cm), and the average N-butyl cyanoacrylate usage for the patient was 0.9 ml (0.7 -2.1 ml). The procedural occlusion rate was 100 %. Post-operative pain was observed in 11 patients (6.1 %), and thrombophlebitis was observed in 1 patient (0.5 %). No total recanalisation was observed. Five (2.7 %) partial recanalisations were observed at the 6 month follow-up. The 6 month total occlusion rate was 97.2 %. Conclusions: This new tumescent-free non-thermal embolisation method can be applied safely with high success rates.

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“…The strength of the VCSS lies in its ability to identify subtle intrasubject changes after intervention over time [6].…”

Section: Discussionmentioning

confidence: 99%

“…Vasquez et al [6] examined the results of RFA on venous clinical severity score and CEAP classification in 682 limbs treated with RFA. Overall mean baseline venous clinical severity scores were 8.8 at baseline and 3.6 at last follow-up visit.…”

Section: Discussionmentioning

confidence: 99%

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Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

Hammad¹,

Modaber²,

Aliyev³

2017

Vascul Dis Ther

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Conventional surgery has been used for a long time for treatment of varicose veins with variable degrees of minor to major complications. Endovenous RA of VV has been established as a practical and effective alternative to conventional surgery. Segmental radiofrequency ablation provides high ablation rates in conjunction with a very moderate side effect profile. The advantages of RFA are far greater than its associated risks. There are certain points, which need to be carefully addressed during the RFA technique which was taken into consideration during gaining more experience with more number of cases which allowed to clarify our message from the study to achieve better results and avoid complications. Of most importance is an adequate Duplex scan to identify accessory channels and double superficial systems. Reconfirming the catheter tip position after leg elevation is a must. Blind positioning of the catheter must be avoided, as is the advancement of the catheter into the femoral vein to prevent unnecessary intimal damage. Tumescent anesthesia should be instilled below the saphenous fascia and above the deep muscular fascia surrounding the vein using ultrasound guidance. The purpose of tumescence is threefold; analgesia, protecting skin by displacing the vein away from it and neighboring structures against heat (heat sink effect) to displace heat radiating up to 1.5 mm beyond the vein wall, favoring the contact made between the electrode and a dry "saphenous vein" with inflow tributaries eliminated by compression is also created. The GSV should be compressed to separate it from the inflow tributaries, to maintenance an adequate probe temperature in contact with the vein wall. The avoidance of propagation of steam bubbles (or thrombus) by compression is of extreme importance. Further follow up ad studies is needed to improve the efficiency and decrease the incidence of complications of this well-established technique.

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The utility of the venous clinical severity score in 682 limbs treated by radiofrequency saphenous vein ablation

Cited by 86 publications

References 20 publications

Recovery after ultrasound-guided foam sclerotherapy compared with conventional surgery for varicose veins

Recovery after ultrasound-guided foam sclerotherapy compared with conventional surgery for varicose veins

N-butyl cyanoacrylate in the treatment of venous insufficiency - the effect of embolisation with ablative polymerisation

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

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