The feasibility of combined thermal and nonthermal endovenous ablation in comparison of nonthermal ablation for superficial vein insufficiency from single center

Volume 6, Issue 6, December 2021     |     PP. 462-473      |     PDF (166 K)    |     Pub. Date: October 10, 2021
DOI: 10.54647/cm32636    86 Downloads     4483 Views  

Author(s)

KJ Choi, Department of cardiovascular surgery, Khatlon state medical university, Tajikistan
HJ Jun, Department of vascular surgery, Jun’s vascular clinic, Busan, Republic of Korea
Myunghee Yoon, Department of Surgery, Pusan National University Hospital, Republic of Korea

Abstract
Background: Nonthermal endovenous ablation has been needed high amount of sclerosant for the treatment of saphenous vein insufficiency. However, its safe amount has not been known clearly and nonthermal edovenous ablation should be performed avoiding thrombotic complication. This study is to evaluate the feasibility of the combined nonthermal and thermal endovenous ablation technique to reduce the amount of sclerosant in comparison of nonthermal endovenous ablation monotherapy.
Methods: Between June 2018 and May 2020, a total of 327 patients diagnosed with superficial vein insufficiency were evaluated retrospectively. 130 patients were includedin Nonthermal mechanochemical ablation (MOCA, Group I) monotherapy, 197 patients in combined thermal and nonthermal endovenous ablation treatment (EVLA with MOCA, Group II) from one surgeon of single center. Combined EVLA and MOCA therapy was mostly performed for patients who had varicose veins in 3 or more veins.
Results: The amount of STD used per number of legs was 5.5±2.05 mL, 4.51±1.2 mL in Group I, Group II respectively (p<0.001). The amount of STD used per numberof veins was 4.77±1.91 mL, 3.12±1.02 mL in Group I, Group II respectively (p<0.001). Recanalization rates were 0% (0/130) within 52 weeks, 2.31% (3/130) after 52 weeks in Group I, 5.58% (11/197) within 52 weeks, 6.60% (13/197) after 52 weeks inGroup II, it was not statistically significant. Complications within 4 weeks Complicationrates were 3.84%, 7.11% in Group I, Group II respectively
Conclusions: Combined EVLA and MOCA procedure was effective for those who had3 or more varicose veins insufficiency. The varicose vein anatomical occlusion at 1 year, patient satisfaction and complication rates were included.

Keywords
Chronic venous insufficiency, Thermal endovenous laser ablation, non-thermal mechanochemical ablation, sclerosant, occlusion

Cite this paper
KJ Choi, HJ Jun, Myunghee Yoon, The feasibility of combined thermal and nonthermal endovenous ablation in comparison of nonthermal ablation for superficial vein insufficiency from single center , SCIREA Journal of Clinical Medicine. Volume 6, Issue 6, December 2021 | PP. 462-473. 10.54647/cm32636

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