NDLI: Occlusion rate, venous symptoms and patient satisfaction after radiofrequency-induced thermotherapy (RFITT®): are there differences between the great and the small saphenous veins?

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Occlusion rate, venous symptoms and patient satisfaction after radiofrequency-induced thermotherapy (RFITT®): are there differences between the great and the small saphenous veins?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Doerler, Martin Blenkers, Thomas Reich-Schupke, Stefanie Altmeyer, Peter Stücker, Markus
Description	Country affiliation: Germany Author Affiliation: Doerler M ( 1 Department of Dermatology, Venereology and Allergology, Ruhr-University Bochum, Vein Center of the Departments of Dermatology and Vascular Surgery Bochum, Germany.)
Abstract	BACKGROUND: Previous studies on the therapy of insufficient saphenous veins mainly compare different treatment methods. Only a few investigate differences of a specific treatment option between the great (GSV) and the small saphenous vein (SSV). The aim of this study was to evaluate the efficacy, clinical improvement and patient satisfaction after radiofrequency-induced thermotherapy (RFITT®) with regard to the treated vein. PATIENTS AND METHODS: We included 65 patients (40 women, 25 men; mean age 54.75 years) who were treated with RFITT® for incompetent saphenous veins (n = 83: 62 GSV, 21 SSV). Occlusion rates were determined by duplex-sonography. Additionally, we performed a prospective analysis of venous symptoms and signs by means of a standardized questionnaire and of patient satisfaction using a semi-quantitative rating (1 = very good, 6 = insufficient). RESULTS: The GSV group showed a significantly greater reduction of venous symptoms in comparison to the SSV group (p = 0.005) despite no significant differences in long term occlusion rates (mean time after operation: 22 months) of 90 % in the GSV group and 81.8 % in the SSV group (p = 0.598). Following the procedure, detailed analysis revealed significantly more swelling (p = 0.022), feeling of heavy legs (p = 0.002) and nightly calf cramps (p = 0.001) in the SSV group. Additionally, RFITT® led to a significant improvement in patient satisfaction in the GSV group (from 1.93 at day 1 - 3 to 1.41 after 6 - 12 months, p = 0.009) but not in the SSV group (from 2.29 to 2.07, p = 0.43). CONCLUSIONS: With regard to the improvement of venous symptoms and patient satisfaction, the benefit of RFITT® is greater for patients with incompetent GSV compared to those with incompetent SSV.
File Format	HTM / HTML
ISSN	03011526
e-ISSN	16642872
Journal	Vasa
Issue Number	3
Volume Number	44
Language	English
Publisher	Hogrefe Verlag
Publisher Date	2015-05-01
Publisher Place	Switzerland
Access Restriction	Open
Subject Keyword	Discipline Cardiology Catheter Ablation Saphenous Vein Surgery Venous Insufficiency Adverse Effects Chronic Disease Patient Satisfaction Postoperative Complications Etiology Prospective Studies Retrospective Studies Questionnaires Time Factors Ultrasonography, Doppler, Duplex Diagnosis Physiopathology Comparative Study
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine

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