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Compression therapy after endovenous laser ablation: Patient compliance and impact on clinical outcome
Carmen K Dietrich1, Markus Stucker2, Karsten Hartmann3
1Department for Dermatology, University of Heidelberg, Heidelberg, Germany.
Objectives:
This study aimed to investigate the impact of post-interventional compression therapy on clinical outcomes after endovenous laser ablation (EVLA) of incompetent saphenous veins.
Methods:
This prospective, controlled, multicenter study in Germany involved 493 varicose vein patients followed-up for 6 months.
Results:
Compression therapy significantly reduced symptoms compared to no compression (VCSS: 1.4 ± 1.6 vs 2.2 ± 2.2; p = .007). Post-interventional therapy duration of up to 14 days was found to be most effective for improving patient-reported disease severity (p < .001) and higher quality of life (p = .001). Patient compliance was high (82%), and non-compliance was linked to worse disease severity (VCSS 1.4 ± 1.5 vs 2.1 ± 2.3, p = .009).
Conclusion:
In conclusion, post-interventional compression therapy is beneficial by reducing symptoms and improving quality of life. High patient compliance with the therapy is observed, and non-compliance is associated with worse disease severity.
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