Compression therapy after endovenous laser ablation: Patient compliance and impact on clinical outcome.

Phlebology Pub Date : 2024-08-01 Epub Date: 2024-05-07 DOI:10.1177/02683555241249222

Carmen K Dietrich, Markus Stucker, Karsten Hartmann, Tobias Hirsch, Thomas Mattausch, Hans-Christian Wenzel, Philipp Zollmann, Jürgen Veltman, Thomas K Weiler, Guido Lengfellner, Lars Müller, Felizitas Pannier, Christiane Cussigh, Lorenz Uhlmann, Christine Müller-Christmann

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Abstract

Objectives: This study aimed to investigate the impact of post-interventional compression therapy on clinical outcomes after endovenous laser ablation (EVLA) of incompetent saphenous veins.

Methods: This prospective, controlled, multicenter study in Germany involved 493 varicose vein patients followed-up for 6 months.

Results: Compression therapy significantly reduced symptoms compared to no compression (VCSS: 1.4 ± 1.6 vs 2.2 ± 2.2; p = .007). Post-interventional therapy duration of up to 14 days was found to be most effective for improving patient-reported disease severity (p < .001) and higher quality of life (p = .001). Patient compliance was high (82%), and non-compliance was linked to worse disease severity (VCSS 1.4 ± 1.5 vs 2.1 ± 2.3, p = .009).

Conclusion: In conclusion, post-interventional compression therapy is beneficial by reducing symptoms and improving quality of life. High patient compliance with the therapy is observed, and non-compliance is associated with worse disease severity.

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静脉腔内激光消融术后的压迫疗法：患者依从性及其对临床结果的影响。

研究目的本研究旨在探讨静脉腔内激光消融术（EVLA）治疗无功能隐静脉后，介入治疗后加压疗法对临床疗效的影响：这项在德国进行的前瞻性、对照、多中心研究对493名静脉曲张患者进行了为期6个月的随访：结果：与不压迫相比，压迫疗法能明显减轻症状（VCSS：1.4 ± 1.6 vs 2.2 ± 2.2；p = .007）。干预治疗后持续长达 14 天的时间对改善患者报告的疾病严重程度（p < .001）和提高生活质量（p = .001）最为有效。患者的依从性很高（82%），不依从与疾病严重程度恶化有关（VCSS 1.4 ± 1.5 vs 2.1 ± 2.3，p = .009）：总之，介入治疗后加压疗法可减轻症状，提高生活质量。患者对治疗的依从性很高，不依从与疾病严重程度恶化有关。

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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Phlebology

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