Publication: Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency
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Date
2020-08-01T00:00:00Z
Authors
AY, YASİN
Gunes, Esra
TÜRKKOLU, ŞEVKET TUNA
SELÇUK, Emre
ÇALIM, Muhittin
AKAL, Ramazan
AYDIN, CEMALETTİN
İNAN, BEKİR
KÖKSAL, CENGİZ
KAHRAMAN AY, Nuray
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Abstract
Objectives To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV). Method This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments. Results Surgical stripping group had significantly higher closure rates than the other groups (p < 0.05). At 12 months, decrease in VCSS scores was less pronounced in the cyanoacrylate embolization group when compared to the other two groups (p < 0.05). Improvement in CIVIQ-14 scores was better in the radiofrequency ablation group when compared to the cyanoacrylate embolization group (p < 0.05). Surgical stripping or radiofrequency ablation groups performed better on several domains of SF-36, when compared to the cyanoacrylate embolization group. Conclusions Surgical stripping and radiofrequency ablation seem to provide a better quality of life results at one year in patients undergoing treatment for GSV insufficiency.
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AY Y., Gunes E., TÜRKKOLU Ş. T. , SELÇUK E., ÇALIM M., AKAL R., AYDIN C., İNAN B., KÖKSAL C., KAHRAMAN AY N., -Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency-, PHLEBOLOGY, 2020