Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins
Aim: Superficial venous insufficiency is less prevalent in the lesser saphenous vein compared to the great saphenous vein. Treating the lesser saphenous vein often presents greater challenges due to its proximity to the sural nerve and anatomical variations. This study evaluates the long-term effica...
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| Format: | Article |
| Language: | English |
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Turkish National Vascular and Endovascular Surgery Society
2024-03-01
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| Series: | Turkish Journal of Vascular Surgery |
| Subjects: | |
| Online Access: | https://turkishjournalofvascularsurgery.org//?mno=214555 |
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| _version_ | 1823858499529998336 |
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| author | Ahmet Kayan Ali Fuat Karacuha Nur Dikmen Cagdas Baran Mustafa Sirlak |
| author_facet | Ahmet Kayan Ali Fuat Karacuha Nur Dikmen Cagdas Baran Mustafa Sirlak |
| author_sort | Ahmet Kayan |
| collection | DOAJ |
| description | Aim: Superficial venous insufficiency is less prevalent in the lesser saphenous vein compared to the great saphenous vein. Treating the lesser saphenous vein often presents greater challenges due to its proximity to the sural nerve and anatomical variations. This study evaluates the long-term efficacy of radiofrequency ablation (RFA) and cyanoacrylate closure (CAC) for managing small saphenous veins and discusses our treatment approach.
Material and Methods: We performed a retrospective analysis involving 137 patients (64 treated with CAC and 73 with RFA) who received treatment for small saphenous vein insufficiency at our clinic between 2014 and 2019. We assessed quality of life and clinical outcomes at 6 months, and at 1, 3, and 5 years post-treatment.
Results: Our findings indicated that radiofrequency ablation showed greater improvements compared to cyanoacrylate embolization in terms of VCSS. However, over the 5-year follow-up period, recurrence rates were observed in 11 (17.1%) patients in the CAC group and 5 (6.8%) patients in the RFA group, with this difference being statistically significant (p=0.045).
Conclusion: Radiofrequency ablation for treating venous insufficiency offers superior long-term quality of life benefits compared to cyanoacrylate closure, particularly after three years. [Turk J Vasc Surg 2024; 33(3.000): 139-45] |
| format | Article |
| id | doaj-art-9814a99365e643d1ae816fe6da04beb7 |
| institution | Kabale University |
| issn | 2667-5080 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Turkish National Vascular and Endovascular Surgery Society |
| record_format | Article |
| series | Turkish Journal of Vascular Surgery |
| spelling | doaj-art-9814a99365e643d1ae816fe6da04beb72025-02-11T11:13:16ZengTurkish National Vascular and Endovascular Surgery SocietyTurkish Journal of Vascular Surgery2667-50802024-03-0133313945214555Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veinsAhmet Kayan0Ali Fuat Karacuha1Nur Dikmen2Cagdas Baran3Mustafa Sirlak4Kirikkale High Specialization Hospital Trabzon Kanuni Training and Research Hospital Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of MedicineAim: Superficial venous insufficiency is less prevalent in the lesser saphenous vein compared to the great saphenous vein. Treating the lesser saphenous vein often presents greater challenges due to its proximity to the sural nerve and anatomical variations. This study evaluates the long-term efficacy of radiofrequency ablation (RFA) and cyanoacrylate closure (CAC) for managing small saphenous veins and discusses our treatment approach. Material and Methods: We performed a retrospective analysis involving 137 patients (64 treated with CAC and 73 with RFA) who received treatment for small saphenous vein insufficiency at our clinic between 2014 and 2019. We assessed quality of life and clinical outcomes at 6 months, and at 1, 3, and 5 years post-treatment. Results: Our findings indicated that radiofrequency ablation showed greater improvements compared to cyanoacrylate embolization in terms of VCSS. However, over the 5-year follow-up period, recurrence rates were observed in 11 (17.1%) patients in the CAC group and 5 (6.8%) patients in the RFA group, with this difference being statistically significant (p=0.045). Conclusion: Radiofrequency ablation for treating venous insufficiency offers superior long-term quality of life benefits compared to cyanoacrylate closure, particularly after three years. [Turk J Vasc Surg 2024; 33(3.000): 139-45]https://turkishjournalofvascularsurgery.org//?mno=214555small saphenous veinradiofrequency ablationcyanoacrylate adhesive |
| spellingShingle | Ahmet Kayan Ali Fuat Karacuha Nur Dikmen Cagdas Baran Mustafa Sirlak Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins Turkish Journal of Vascular Surgery small saphenous vein radiofrequency ablation cyanoacrylate adhesive |
| title | Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins |
| title_full | Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins |
| title_fullStr | Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins |
| title_full_unstemmed | Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins |
| title_short | Long-term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins |
| title_sort | long term outcomes of radiofrequency ablation and cyanoacrylate closure for treatment of small saphenous veins |
| topic | small saphenous vein radiofrequency ablation cyanoacrylate adhesive |
| url | https://turkishjournalofvascularsurgery.org//?mno=214555 |
| work_keys_str_mv | AT ahmetkayan longtermoutcomesofradiofrequencyablationandcyanoacrylateclosurefortreatmentofsmallsaphenousveins AT alifuatkaracuha longtermoutcomesofradiofrequencyablationandcyanoacrylateclosurefortreatmentofsmallsaphenousveins AT nurdikmen longtermoutcomesofradiofrequencyablationandcyanoacrylateclosurefortreatmentofsmallsaphenousveins AT cagdasbaran longtermoutcomesofradiofrequencyablationandcyanoacrylateclosurefortreatmentofsmallsaphenousveins AT mustafasirlak longtermoutcomesofradiofrequencyablationandcyanoacrylateclosurefortreatmentofsmallsaphenousveins |