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Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein

Hye Young Woo1, Suh Min Kim2, Daehwan Kim1

  • 1Department of Surgery, Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Korea.

Annals of Surgical Treatment and Research
|June 12, 2019
PubMed

Insights

Radiofrequency ablation (RFA) effectively closes large diameter great saphenous veins (GSV). This minimally invasive treatment offers comparable closure rates, complication profiles, and quality of life improvements for all GSV sizes.

Area of Science:

  • Vascular Surgery
  • Minimally Invasive Procedures
  • Phlebology

Background:

  • Limited data exists on radiofrequency ablation (RFA) outcomes for large diameter saphenous veins.
  • Understanding treatment efficacy in larger veins is crucial for optimizing patient care.
  • Radiofrequency ablation is a common treatment for varicose veins.

Purpose of the Study:

  • To evaluate the impact of large great saphenous vein (GSV) diameter on RFA outcomes.
  • To compare closure rates, complication incidence, and clinical/quality of life (QoL) improvements between different GSV diameters treated with RFA.

Main Methods:

  • A retrospective study of 722 limbs treated with ClosureFAST RFA between January 2012 and September 2016.
  • Patients were grouped based on GSV diameter (≤12 mm vs. >12 mm) measured 3 cm below the saphenofemoral junction.
  • Vein closure assessed by duplex scan; complications, Venous Clinical Severity Score (VCSS), and Aberdeen Varicose Vein Symptom Severity Score (AVSS) evaluated.

Main Results:

  • 12-month closure rates were high and comparable: 98.9% for veins ≤12 mm (n=663) and 100% for veins >12 mm (n=59).
  • No significant differences in complication rates were observed between the groups.
  • Both groups demonstrated significant improvements in VCSS and AVSS scores, indicating enhanced clinical status and QoL.

Conclusions:

  • Radiofrequency ablation demonstrates comparable efficacy and safety for treating both normal and large-diameter great saphenous veins.
  • Large GSV diameter does not negatively impact closure rates, complication profiles, or patient-reported outcomes following RFA.
  • RFA is a reliable treatment option for varicose veins regardless of saphenous vein size.
Abstract

Keywords:
Radiofrequency ablationSaphenous veinVaricose veins

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