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
- Author
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Jessica Gomez-Perez, Albert G. Hakaim, Maria C. Sanchez-Valenzuela, Gregory T. Frey, Joao A. Da Rocha-Franco, Beau Toskich, Andrew J. Meltzer, Zlatko Devcic, Gustavo S. Oderich, Haraldur Bjarnason, Peter Gloviczki, Randall R. De Martino, Warren A. Oldenburg, Young Erben, Yupeng Li, Michael Adalia, Melissa J. Neisen, January Moore, William M. Stone, Isabel Vasquez, Manju Kalra, Houssam Farres, and Justin R Yarbrough
- Subjects
Male ,medicine.medical_specialty ,Thermal ablation ,Venous flow ,Venous stasis ,Varicose Veins ,Occlusion ,medicine ,Humans ,Multicenter Studies as Topic ,Saphenous Vein ,Vein ,business.industry ,Anticoagulants ,Endovenous ablation ,General Medicine ,Femoral Vein ,medicine.disease ,Surgery ,Treatment Outcome ,medicine.anatomical_structure ,Venous Insufficiency ,Catheter Ablation ,Venous reflux ,Laser Therapy ,Cardiology and Cardiovascular Medicine ,Venous disease ,business - Abstract
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.
- Published
- 2020
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