Fabricio Duarte, Diego Mello de Souza, Ademar Regueira Filho, Laércio João Bazzanella, Flávia Del Castanhel, Getúlio Rodrigues de Oliveira Filho
{"title":"Treatment of varicose great saphenous vein with endovenous laser alone or combined with eco-guided foam sclerotherapy: A randomized controlled trial.","authors":"Fabricio Duarte, Diego Mello de Souza, Ademar Regueira Filho, Laércio João Bazzanella, Flávia Del Castanhel, Getúlio Rodrigues de Oliveira Filho","doi":"10.1177/02683555241263224","DOIUrl":null,"url":null,"abstract":"<p><p><b>Objectives:</b> This study compares Endovenous Laser Ablation (EVLA) alone versus combined with ultrasound-guided foam sclerotherapy (UGFS) for Great Saphenous Vein (GSV) insufficiency. <b>Methods:</b> Sixty patients were randomly allocated to EVLA or EVLA-UGFS groups which focused on GSV occlusion rates, complications, additional treatments, and quality of life (QoL) changes. <b>Results:</b> Among 55 participants, the EVLA group had higher 12-month occlusion rates (92.3% vs. 75.8%, <i>p</i> = 0.11). Nervous injury (NI) was rarer in EVLA-UGFS (3.4% vs. 23.1%, <i>p</i> = 0.04). No significant difference in other complication rates (<i>p</i> > 0.05). QoL improved in both groups (<i>p</i> < 0.001). EVLA-UGFS required more subsequent procedures (24.1% vs. 7.7%, <i>p</i> = 0.03). <b>Conclusions:</b> EVLA and EVLA-UGFS effectively treat GSV insufficiency, enhancing QoL. The combined method reduces NI risk but may require more follow-up procedures.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"660-668"},"PeriodicalIF":1.5000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Phlebology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/02683555241263224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/18 0:00:00","PubModel":"Epub","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: This study compares Endovenous Laser Ablation (EVLA) alone versus combined with ultrasound-guided foam sclerotherapy (UGFS) for Great Saphenous Vein (GSV) insufficiency. Methods: Sixty patients were randomly allocated to EVLA or EVLA-UGFS groups which focused on GSV occlusion rates, complications, additional treatments, and quality of life (QoL) changes. Results: Among 55 participants, the EVLA group had higher 12-month occlusion rates (92.3% vs. 75.8%, p = 0.11). Nervous injury (NI) was rarer in EVLA-UGFS (3.4% vs. 23.1%, p = 0.04). No significant difference in other complication rates (p > 0.05). QoL improved in both groups (p < 0.001). EVLA-UGFS required more subsequent procedures (24.1% vs. 7.7%, p = 0.03). Conclusions: EVLA and EVLA-UGFS effectively treat GSV insufficiency, enhancing QoL. The combined method reduces NI risk but may require more follow-up procedures.
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