Comparison between radiofrequency ablation and CHIVA procedure in patients with varicose veins.

IF 1.6 4区医学 Q3 PERIPHERAL VASCULAR DISEASE Phlebology Pub Date : 2023-08-01 DOI:10.1177/02683555231181857

Seungjoon Lee, Sangchul Yun, Jihyoun Lee, Sang Hyun Kim, Myung Hoon Ihn, Daegwang Yoo, So Kyung Yun, Mi-Ok Hwang

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Abstract

Objective: Conservatrice et Hémodynamique de l'Insuffisance Veineuse en Ambulatoire, the French acronym for CHIVA, is a strategy aimed to convert a venous reflux into a physiological drainage. We compared CHIVA with radiofrequency ablation and determined its possible advantages.

Methods: We retrospectively analyzed the clinical recurrence, ultrasound recurrence, quality of life scores, and complications. They were compared after propensity score matching.

Results: 212 limbs of 166 patients were included: 42 limbs underwent radiofrequency ablation and 170 limbs underwent CHIVA. The hospital stay was shorter in the CHIVA group. There was no difference in clinical, ultrasound recurrence, quality of life scores and complications between the two groups. The preoperative saphenous vein diameter was larger in the recurrence cases.

Conclusions: CHIVA showed comparable results to radiofrequency ablation. There was more ultrasound recurrence with larger vein diameters. The CHIVA appears to be a simple and more efficient treatment method when performed on select patients.

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静脉曲张患者射频消融与CHIVA治疗的比较。

目的:CHIVA的法语首字母缩略词Conservatrice et hsammodynamique de l'Insuffisance Veineuse en Ambulatoire是一种旨在将静脉回流转化为生理引流的策略。我们比较了CHIVA和射频消融，并确定其可能的优势。方法:回顾性分析临床复发、超声复发率、生活质量评分及并发症。在倾向得分匹配后进行比较。结果:166例患者共212条肢体，其中射频消融42条肢体，CHIVA 170条肢体。CHIVA组住院时间较短。两组患者的临床、超声复发率、生活质量评分及并发症均无差异。复发患者术前隐静脉直径较大。结论:CHIVA显示了与射频消融相当的结果。静脉直径越大，超声复发率越高。CHIVA似乎是一种简单和更有效的治疗方法，当对特定的患者进行时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Phlebology 医学-外周血管病

CiteScore

3.30

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The leading scientific journal devoted entirely to venous disease, Phlebology is the official journal of several international societies devoted to the subject. It publishes the results of high quality studies and reviews on any factor that may influence the outcome of patients with venous disease. This journal provides authoritative information about all aspects of diseases of the veins including up to the minute reviews, original articles, and short reports on the latest treatment procedures and patient outcomes to help medical practitioners, allied health professionals and scientists stay up-to-date on developments. Print ISSN: 0268-3555