Citations 1
A multi-institutional review of endovenous thermal ablation of the saphenous vein finds male sex and use of anticoagulation are predictors of long-term failure
Erben, Young , Vasquez, Isabel, Li, Yupeng , Gloviczki, Péter , Kalra, Manju , Martino, Randall R. De , Bjarnason, Haraldur , Neisen, Melissa , Moore, January , Rocha-Franco, Joao A. Da, Sanchez-Valenzuela, Maria C., Frey, G. , Toskich, Beau , Devcic, Zlatko , Farres, Houssam , Oldenburg, W. A., Gomez-Perez, Jessica, Yarbrough, Justin, Adalia, Michael, Stone, William M., Meltzer, Andrew J., Hakaim, Albert G., Oderich, Gustavo, De Martino, Randall R, Neisen, Melissa J, Moore, January F, Da Rocha-Franco, Joao A, Oldenburg, Warren A, Yarbrough, Justin R, Stone, William, Bjarnason, Haraldur , Oderich, Gustavo S. , Gloviczki, Péter
Phlebology: The Journal of Venous Disease | November 12, 2020 | Volume: 36 | Issue: 4 | Pages: 283-289
Background To review long-term outcomes and saphenous vein (SV) occlusion rate after endovenous ablation (EVA) for symptomatic varicose veins. Methods A review of our EVA database (1998–2018) with at least 3-years of clinical and sonographic follow-up. The primary end point was SV closure rate. Results 542 limbs were evaluated. 358 limbs had radiofrequency and 323 limbs had laser ablations; 542 great saphenous veins (GSV), 106 small saphenous veins (SSV) and 33 anterior accessory saphenous veins (AASV) were treated. Follow-up was 5.6 ± 2.3 years; 508 (74.6%) veins were occluded, 53 (7.8%) partially occluded and 120 (17.6%) were patent. On multivariable Cox regression analysis, male sex (HR 1.6, 95% CI [0.46–018], p = 0.012) and use anticoagulation (HR 2.0, 95% CI [0.69–0.34], p = 0.044) were predictors of long-term failure. On Kaplan-Meier curve, we had an 86.3% occlusion rate. Conclusion Our experience revealed a 5-year closure rate of 86.3%. Ablations have satisfactory occlusion rate.