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Mechanochemical ablation for symptomatic great saphenous vein reflux: A two-year follow-up.

Publication ,  Journal Article
Kim, PS; Bishawi, M; Draughn, D; Boter, M; Gould, C; Koziarski, J; Bernstein, R; Hamilton, R
Published in: Phlebology
February 2017

Background Several studies have shown comparable early efficacy of mechanochemical ablation to endothermal techniques. The goal of this report was to show if early efficacy is maintained at 24 months. Methods This was a two-year analysis on the efficacy of mechanochemical ablation in patients with symptomatic C2 or more advanced chronic venous disease. Patients with reflux in the great saphenous vein involving the sapheno-femoral junction and no previous venous interventions were included. Demographic information, clinical, and procedural data were collected. The occlusion rate of treated veins was assessed with duplex ultrasound. Patient clinical improvement was assessed by Clinical-Etiology-Anatomy-Pathophysiology (CEAP) class and venous clinical severity score. Results Of the initial 126 patients, there were 65 patients with 24 month follow-up. Of these 65 patients, 70% were female, with a mean age of 70 ± 14 years and an average body mass index (BMI) of BMI of 30.5 ± 6. The mean great saphenous vein diameter in the upper thigh was 7.6 mm and the mean treatment length was 39 cm. Adjunctive treatment of the varicosities was performed in 14% of patients during the procedure. Closure rates were 100% at one week, 98% at three months, 95% at 12 months, and 92% at 24 months. There was one patient with complete and four with partial recanalization ranging from 7 to 12 cm (mean length 9 cm). There was significant improvement in CEAP and venous clinical severity score (P < .001) for all time intervals. Conclusion Early high occlusion rate with mechanochemical ablation is associated with significant clinical improvement which is maintained at 24 months, making it a very good option for the treatment of great saphenous vein incompetence.

Duke Scholars

Published In

Phlebology

DOI

EISSN

1758-1125

ISSN

0268-3555

Publication Date

February 2017

Volume

32

Issue

1

Start / End Page

43 / 48

Related Subject Headings

  • Varicose Veins
  • Ultrasonography, Doppler, Duplex
  • Saphenous Vein
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Femoral Vein
  • Female
  • Catheter Ablation
 

Citation

APA
Chicago
ICMJE
MLA
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Kim, P. S., Bishawi, M., Draughn, D., Boter, M., Gould, C., Koziarski, J., … Hamilton, R. (2017). Mechanochemical ablation for symptomatic great saphenous vein reflux: A two-year follow-up. Phlebology, 32(1), 43–48. https://doi.org/10.1177/0268355515627260
Kim, Pamela S., Muath Bishawi, David Draughn, Marab Boter, Charles Gould, John Koziarski, Rick Bernstein, and Richard Hamilton. “Mechanochemical ablation for symptomatic great saphenous vein reflux: A two-year follow-up.Phlebology 32, no. 1 (February 2017): 43–48. https://doi.org/10.1177/0268355515627260.
Kim PS, Bishawi M, Draughn D, Boter M, Gould C, Koziarski J, et al. Mechanochemical ablation for symptomatic great saphenous vein reflux: A two-year follow-up. Phlebology. 2017 Feb;32(1):43–8.
Kim, Pamela S., et al. “Mechanochemical ablation for symptomatic great saphenous vein reflux: A two-year follow-up.Phlebology, vol. 32, no. 1, Feb. 2017, pp. 43–48. Epmc, doi:10.1177/0268355515627260.
Kim PS, Bishawi M, Draughn D, Boter M, Gould C, Koziarski J, Bernstein R, Hamilton R. Mechanochemical ablation for symptomatic great saphenous vein reflux: A two-year follow-up. Phlebology. 2017 Feb;32(1):43–48.
Journal cover image

Published In

Phlebology

DOI

EISSN

1758-1125

ISSN

0268-3555

Publication Date

February 2017

Volume

32

Issue

1

Start / End Page

43 / 48

Related Subject Headings

  • Varicose Veins
  • Ultrasonography, Doppler, Duplex
  • Saphenous Vein
  • Middle Aged
  • Male
  • Humans
  • Follow-Up Studies
  • Femoral Vein
  • Female
  • Catheter Ablation