Comparison of a compression for seven days or overnight after endovenous radiofrequency ablation of superficial vein: A randomized controlled trial.

IF 1 4区医学 Q4 PERIPHERAL VASCULAR DISEASE Vascular Pub Date : 2024-12-10 DOI:10.1177/17085381241302147

Nawaphan Taengsakul, Mullika Buttakosa, Marisa Kijrattana

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引用次数: 0

Abstract

Objective: To compare the efficacy of compression stockings worn for 7 days or overnight after EVRFA.

Methods: A single-centre, prospective, non-inferiority randomised controlled trial. The study included patients with clinical class C2-C4 chronic venous disease who underwent endovenous radiofrequency ablation (EVRFA) at Chulabhorn Hospital between October 2021 and October 2023. Sixty patients were assigned to wear the overnight compression group (n = 30) or for the 7-day compression group (n = 30). The primary outcome was targeted vein obliteration at 12 weeks. The secondary outcome measures were the revised Venous Clinical Severity Score (r-VCSS), Aberdeen Varicose Veins Severity Score (AVSS), pain score, complications and patient satisfaction.

Results: At 12 weeks, both groups had a 100% target vein occlusion rate. There was no statistically significant difference in the r-VCSS, AVSS, patient satisfaction score, complications or pain score at day 1, day 14 and 12-16 weeks after the procedure. Overnight compression improved r-VCSS significantly.

Conclusion: Overnight compression was non-inferior to compression for 7 days after EVRFA.

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静脉内射频消融浅表静脉后7天或一夜压迫的比较：一项随机对照试验。

目的：比较EVRFA术后7天和夜间穿压缩袜的效果。方法：单中心、前瞻性、非劣效性随机对照试验。该研究纳入了临床级别为C2-C4的慢性静脉疾病患者，这些患者于2021年10月至2023年10月在朱拉蓬医院接受了静脉内射频消融（EVRFA）。60例患者被分配到夜间压迫组（n = 30）或7天压迫组（n = 30）。12周时的主要结果是靶向静脉闭塞。次要结局指标为修订后的静脉临床严重程度评分（r-VCSS）、阿伯丁静脉曲张严重程度评分（AVSS）、疼痛评分、并发症和患者满意度。结果：12周时，两组静脉目标闭塞率均为100%。术后第1天、第14天和第12-16周的r-VCSS、AVSS、患者满意度评分、并发症或疼痛评分差异无统计学意义。夜间压缩显著改善了r-VCSS。结论：EVRFA术后7天的夜间压迫效果不逊于夜间压迫。

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

Vascular 医学-外周血管病

CiteScore

2.30

自引率

9.10%

发文量

196

审稿时长

6-12 weeks

期刊介绍： Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.