Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency
Objectives To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV). Method This prospective observational study included 217 patients that underwent surgical stripping (n =...
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Veröffentlicht in: | Phlebology 2021-02, Vol.36 (1), p.54-62 |
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creator | Ay, Yasin Gunes, Esra Turkkolu, Sevket Tuna Selcuk, Emre Calim, Muhittin Akal, Ramazan Aydin, Cemalettin Inan, Bekir Koksal, Cengiz Kahraman Ay, Nuray |
description | Objectives
To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV).
Method
This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments.
Results
Surgical stripping group had significantly higher closure rates than the other groups (p |
doi_str_mv | 10.1177/0268355520947292 |
format | Article |
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To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV).
Method
This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments.
Results
Surgical stripping group had significantly higher closure rates than the other groups (p < 0.05). At 12 months, decrease in VCSS scores was less pronounced in the cyanoacrylate embolization group when compared to the other two groups (p < 0.05). Improvement in CIVIQ-14 scores was better in the radiofrequency ablation group when compared to the cyanoacrylate embolization group (p < 0.05). Surgical stripping or radiofrequency ablation groups performed better on several domains of SF-36, when compared to the cyanoacrylate embolization group.
Conclusions
Surgical stripping and radiofrequency ablation seem to provide a better quality of life results at one year in patients undergoing treatment for GSV insufficiency.</description><identifier>ISSN: 0268-3555</identifier><identifier>EISSN: 1758-1125</identifier><identifier>DOI: 10.1177/0268355520947292</identifier><identifier>PMID: 32741257</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>Phlebology, 2021-02, Vol.36 (1), p.54-62</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-7b604176e09514ef6d106c35b2d07d08dac954c8e2a8d3df8f2756ccfa5e1a3c3</citedby><cites>FETCH-LOGICAL-c337t-7b604176e09514ef6d106c35b2d07d08dac954c8e2a8d3df8f2756ccfa5e1a3c3</cites><orcidid>0000-0002-1656-2193</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0268355520947292$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0268355520947292$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32741257$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ay, Yasin</creatorcontrib><creatorcontrib>Gunes, Esra</creatorcontrib><creatorcontrib>Turkkolu, Sevket Tuna</creatorcontrib><creatorcontrib>Selcuk, Emre</creatorcontrib><creatorcontrib>Calim, Muhittin</creatorcontrib><creatorcontrib>Akal, Ramazan</creatorcontrib><creatorcontrib>Aydin, Cemalettin</creatorcontrib><creatorcontrib>Inan, Bekir</creatorcontrib><creatorcontrib>Koksal, Cengiz</creatorcontrib><creatorcontrib>Kahraman Ay, Nuray</creatorcontrib><title>Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency</title><title>Phlebology</title><addtitle>Phlebology</addtitle><description>Objectives
To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV).
Method
This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments.
Results
Surgical stripping group had significantly higher closure rates than the other groups (p < 0.05). At 12 months, decrease in VCSS scores was less pronounced in the cyanoacrylate embolization group when compared to the other two groups (p < 0.05). Improvement in CIVIQ-14 scores was better in the radiofrequency ablation group when compared to the cyanoacrylate embolization group (p < 0.05). Surgical stripping or radiofrequency ablation groups performed better on several domains of SF-36, when compared to the cyanoacrylate embolization group.
Conclusions
Surgical stripping and radiofrequency ablation seem to provide a better quality of life results at one year in patients undergoing treatment for GSV insufficiency.</description><issn>0268-3555</issn><issn>1758-1125</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kcFu1TAQRS0Eoq-FPSvkD2jAduI4b4meKCBVYgPraGKPg6vETu2kUvg-Pgy7D1hUYmV77r1nxhpC3nD2jnOl3jPRdrWUUrBjo8RRPCMHrmRXcS7kc3IoclX0C3KZ0h1jTCilXpKLWqgmW9SB_DqFeYEIq3tAitY6DXqn4A2dnEV6v8Hk1r0oqNdEg6Vpi2N2TTSt0S2L8-M1jWBcsBHvN_QlPkwZGPz1I0jv4APouOdi7jEPYXI_H3XqPF3yDX1Gb95gHEPm0TUirHOuUhsiHcuLJlh-oA9bog_oSjJtZVpXGr4iLyxMCV__Oa_I95uP306fq9uvn76cPtxWuq7VWqmhZQ1XLbKj5A3a1nDW6loOwjBlWGdAH2WjOxTQmdrYzgolW60tSORQ6_qKsDNXx5BSRNsv0c0Q956zviykf7qQHHl7jizbMKP5F_i7gWyozoYEI_Z3YYs-f-H_wN84tZot</recordid><startdate>202102</startdate><enddate>202102</enddate><creator>Ay, Yasin</creator><creator>Gunes, Esra</creator><creator>Turkkolu, Sevket Tuna</creator><creator>Selcuk, Emre</creator><creator>Calim, Muhittin</creator><creator>Akal, Ramazan</creator><creator>Aydin, Cemalettin</creator><creator>Inan, Bekir</creator><creator>Koksal, Cengiz</creator><creator>Kahraman Ay, Nuray</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-1656-2193</orcidid></search><sort><creationdate>202102</creationdate><title>Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency</title><author>Ay, Yasin ; Gunes, Esra ; Turkkolu, Sevket Tuna ; Selcuk, Emre ; Calim, Muhittin ; Akal, Ramazan ; Aydin, Cemalettin ; Inan, Bekir ; Koksal, Cengiz ; Kahraman Ay, Nuray</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-7b604176e09514ef6d106c35b2d07d08dac954c8e2a8d3df8f2756ccfa5e1a3c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ay, Yasin</creatorcontrib><creatorcontrib>Gunes, Esra</creatorcontrib><creatorcontrib>Turkkolu, Sevket Tuna</creatorcontrib><creatorcontrib>Selcuk, Emre</creatorcontrib><creatorcontrib>Calim, Muhittin</creatorcontrib><creatorcontrib>Akal, Ramazan</creatorcontrib><creatorcontrib>Aydin, Cemalettin</creatorcontrib><creatorcontrib>Inan, Bekir</creatorcontrib><creatorcontrib>Koksal, Cengiz</creatorcontrib><creatorcontrib>Kahraman Ay, Nuray</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Phlebology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ay, Yasin</au><au>Gunes, Esra</au><au>Turkkolu, Sevket Tuna</au><au>Selcuk, Emre</au><au>Calim, Muhittin</au><au>Akal, Ramazan</au><au>Aydin, Cemalettin</au><au>Inan, Bekir</au><au>Koksal, Cengiz</au><au>Kahraman Ay, Nuray</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency</atitle><jtitle>Phlebology</jtitle><addtitle>Phlebology</addtitle><date>2021-02</date><risdate>2021</risdate><volume>36</volume><issue>1</issue><spage>54</spage><epage>62</epage><pages>54-62</pages><issn>0268-3555</issn><eissn>1758-1125</eissn><abstract>Objectives
To compare traditional surgery with two minimally invasive endo-venous procedures in terms of their long-term effect on the quality of life in great saphenous vein insufficiency (GSV).
Method
This prospective observational study included 217 patients that underwent surgical stripping (n = 62), radiofrequency ablation (n = 70), or cyanoacrylate embolization (n = 85) for the treatment of GSV insufficiency. Venous Clinical Severity Score (VCSS) assessments were made, 36-item Short-Form Health Survey (SF-36) questionnaire and Chronic Venous Insufficiency quality of life Questionnaire (CIVIQ-14) were administered, before and 1 year after the treatments.
Results
Surgical stripping group had significantly higher closure rates than the other groups (p < 0.05). At 12 months, decrease in VCSS scores was less pronounced in the cyanoacrylate embolization group when compared to the other two groups (p < 0.05). Improvement in CIVIQ-14 scores was better in the radiofrequency ablation group when compared to the cyanoacrylate embolization group (p < 0.05). Surgical stripping or radiofrequency ablation groups performed better on several domains of SF-36, when compared to the cyanoacrylate embolization group.
Conclusions
Surgical stripping and radiofrequency ablation seem to provide a better quality of life results at one year in patients undergoing treatment for GSV insufficiency.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32741257</pmid><doi>10.1177/0268355520947292</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-1656-2193</orcidid></addata></record> |
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source | SAGE Complete A-Z List |
title | Comparative efficacy and life quality effects of surgical stripping, radiofrequency ablation, and cyanoacrylate embolization in patients undergoing treatment for great saphenous vein insufficiency |
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