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在管理护理组织中,静脉与射频消去结果的比较

Caryssa Lim¹, Jeffrey Hsu², Truong Vo²

¹Department of Vascular Surgery, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA.

Annals of vascular surgery

|November 12, 2023

概括

这项研究比较了VenaSeal和射频除 (RFA) 治疗慢性静脉功能不充分. 这两种治疗方法在12个月后都有效地关闭了大沙静脉 (GSV),VenaSeal显示不劣于RFA和类似的皮肤反应率.

科学领域:

血管外科血管外科
最少侵入性手术的方法
医疗器械技术医疗器械技术

背景情况:

慢性静脉功能不充分影响超过3000万美国成年人.
射频剥离 (RFA) 和VenaSeal等静脉内疗法已经改变了治疗.
直接比较RFA和VenaSeal的结果对于临床决策至关重要.

研究的目的:

为了直接比较VenaSeal和RFA的临床结果,用于大沙静脉 (GSV) 关闭.
评估诸如深静脉血栓症 (DVT),栓塞和皮肤反应等并发症.
评估每种治疗模式后需要进行后续程序的需要.

主要方法:

在2020年5月至2021年12月期间,对87名患者进行了97次手术 (VenaSeal n=55,RFA n=42) 的回顾性图表审查.
主要结局包括成功关闭GSV,DVT,栓塞,SFJ血栓,皮肤反应和与程序相关的ER/UC访问.
所有手术都采用了手术内超声波,以及在7天内进行的术后超声波.

主要成果:

在12个月的随访中,VenaSeal和RFA都实现了有效的GSV关闭.
在任何患者中都没有观察到软骨关节 (SFJ) 血栓.
在VenaSeal患者中的9.1%和RFA患者中的7.1%报告了术后皮肤反应. 与程序相关的紧急护理访问发生在3.6%的VenaSeal患者中,而RFA的患者为0%.

结论:

在12个月内实现GSV关闭方面,VenaSeal不低于RFA.
与RFA相比,VenaSeal的术后皮肤反应并没有显著增加.
这两种静脉内疗法都为慢性静脉缺陷提供了有效的治疗选择.

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