Analysis of the postoperative hemodynamic changes in varicose vein surgery related with small saphenous vein reflux.

IF 1.6 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE Phlebology Pub Date : 2023-09-01 Epub Date: 2023-07-21 DOI:10.1177/02683555231186508
Joon-Kee Park, Shin-Young Woo, Shin-Seok Yang, Dong-Ik Kim
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Abstract

Purpose: To evaluate the postoperative hemodynamic changes in varicose vein surgery related with SSV reflux using APG.

Methods: Totals of 181 limbs and 178 patients who underwent high ligation and stripping (HLS) (87 limbs), radiofrequency ablation (RFA) (43 limbs), or endovenous laser ablation (EVLA) (51 limbs) for SSV reflux from 1995 to 2022 were enrolled. We measured venous volume (VV), venous filling index (VFI), ejection fraction (EF), and residual volume fraction (RVF) preoperatively and at postoperative one and 6 months.

Results: Comparing preoperative results to those at postoperative 1 month, the reduction rates of VV, VFI, and RVF were 27, 53, and 31%, while EF increased by 18% (p < 0.001). Comparing preoperative and postoperative 6 month, the reduction rates of VV, VFI, and RVF were 27, 45, and 35%, while EF increased by 27% (p < 0.001).

Conclusions: There were hemodynamic improvement in the lower leg after varicose vein surgery including HLS, RFA, and EVLA.

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小隐静脉反流引起的静脉曲张术后血液动力学变化分析。
目的:使用APG评估与SSV反流相关的静脉曲张手术的术后血液动力学变化。方法:纳入1995年至2022年接受高位结扎剥离术(HLS)(87条肢体)、射频消融术(RFA)(43条肢体)或静脉内激光消融术(EVLA)(51条肢体)治疗SSV反流量的181条肢体和178名患者。我们在术前和术后1个月和6个月测量了静脉容积(VV)、静脉充盈指数(VFI)、射血分数(EF)和残余容积分数(RVF),VV、VFI和RVF的降低率分别为27%、45%和35%,EF增加27%(p<0.001)。
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来源期刊
Phlebology
Phlebology 医学-外周血管病
CiteScore
3.30
自引率
11.80%
发文量
84
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
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