Introduction: Extension of thrombus from the great saphenous vein into the common femoral vein can be an early postprocedural complication of endothermal ablation (ETA).
Methods: A retrospective review was performed over a 3-year period. Intraprocedural ultrasound images demonstrating the distance of the catheter tip to the saphenofemoral junction (SFJ) were available for 519 procedures, and this distance was measured.
Results: Twenty-one (4.0%) cases of endovenous heat-induced thrombus (EHIT) were diagnosed. In all, 15 (6.4%) EHITs occurred following endovenous laser ablation and 6 (2.1%) after radiofrequency (P = .02). Distance from catheter tip to SFJ, vein diameter, concomitant treatments, and perioperative anticoagulation were not significant risk factors for EHIT. Of the clinical factors assessed, gender (P = .002), Clinical, Etiologic, Anatomic and Pathophysiologic classification 3 to 6 (P = .003), history of prior thrombosis (P = .04), and Caprini thrombosis risk factor assessment score (P = .004) were significant. On multivariate analysis, Caprini score (P = .0002) and male gender (P = .0003) remained significant.
Conclusions: Male gender and increased Caprini score are predictive factors for EHIT following ETA.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/1538574413478494 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Randomised, Single Blind, Controlled Trial Comparing Flush Endovenous Laser Ablation with Standard Endovenous Laser Ablation of the Great Saphenous Vein.
Eur J Vasc Endovasc Surg
January 2025
Department of Phlebology, Skin and Vein Clinic Oosterwal, Alkmaar, the Netherlands.
Objective: The aim of this study was to compare anterior accessory saphenous vein (AASV) reflux after standard endovenous laser ablation (EVLA) vs. flush EVLA (fEVLA) of the great saphenous vein (GSV).
Methods: This was as randomised, single blind, controlled trial (Dutch Trial Register, NL5283).
Flush Endovenous Laser Ablation (fEVLA) in the Treatment of Lower Limb Venous Insufficiency a Systematic Review and Meta-Analysis.
Ann Vasc Surg
December 2024
Department of Vascular Surgery, Aristotle University of Thessaloniki, AHEPA University General Hospital, Thessaloniki, Greece.
Background: To assess the safety and efficacy of flush endovenous laser ablation (fEVLA) in the treatment of chronic venous insufficiency (CVI).
Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines, a systematic review aiming to identify studies published from inception to March 2024 was conducted. The investigation covered single-arm studies and studies comparing fEVLA to standard EVLA (sEVLA).
Feasibility and Safety of Flush Endovenous Thermal Ablation of the Great Saphenous Vein with Consecutive Foam Sclerotherapy of Saphenofemoral Junction Tributaries: A Single-Center Experience.
J Clin Med
November 2024
Department of Vascular Surgery, Jun's Vascular Clinic, Busan 47256, Republic of Korea.
Blood flow from the saphenofemoral junction(SFJ) tributaries may cause recurrence of varicose veins. Flush occlusion is defined as the total occlusion of the great saphenous vein(GSV) right to the saphenofemoral junction. The purpose of this study was to evaluate the efficacy and safety of flush endovenous thermal ablation with saphenofemoral junction tributary occlusion.
View Article and Find Full Text PDFTechnique and early results of endovenous laser ablation in morphologically complex varicose vein recurrence after small saphenous vein surgery.
PLoS One
October 2024
Department of Vascular Surgery, Dermatologikum Hamburg GmbH, Hamburg, Germany.
Article Synopsis
- - The study focused on the use of endovenous laser ablation (EVLA) to treat recurrent varicose veins after small saphenous vein (SSV) surgery, analyzing its feasibility and initial results in 40 patients.
- - Out of 45 EVLA procedures, there was a 97.8% immediate technical success rate, but 13.3% of limbs experienced further issues requiring additional treatment within a median follow-up period of 77 days.
- - The majority of patients had complex vein anatomy, but no significant complications arose that required further medical intervention, demonstrating that EVLA is a promising option for managing recurrent varicose veins.
Can internal cooling radiofrequency catheters with local hypothermia eliminate the need for tumescent anesthesia? A single-center, retrospective, observational study.
Phlebology
September 2024
Department of Thoracic and Cardiovascular Surgery, Bundang Jesaeng General Hospital, Seongnam, Korea.
Article Synopsis
- Tumescent anesthesia is linked to longer operation times and increased postoperative issues, prompting a study on tumescentless radiofrequency ablation (RFA) using an internal cooling system.
- The research compared two patient groups: those receiving conventional tumescent anesthesia (50 patients) and those undergoing non-tumescent RFA (59 patients), finding significantly shorter operation times for the non-tumescent group.
- Results showed no severe complications in either group, and postoperative pain and minor complications were comparable, suggesting that tumescentless RFA is a safer and more efficient option.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!