Pilot single-arm study to investigate the efficacy and safety of endovenous Microwave ablations for treatment of varicose veins in Singapore – one year results of the MAESTRO registry
Objectives Aim was to report a prospective two-centre Singaporean experience using Endovenous Microwave Ablation (EMA) to treat symptomatic primary great saphenous vein reflux. We evaluated 1-year safety, efficacy and patient satisfaction. Methods 50 patients (63 limbs; 29 females; mean age 58.0 ± 1...
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| Veröffentlicht in: | Phlebology 2022-12, Vol.37 (10), p.709-720 |
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| creator | Tang, Tjun Yip Chan, Karen Ka Wing Yap, Charyl Jia Qi Chan, Sze Ling Soon, Shereen Xue Yun Khoo, Vanessa Wong, Julian Chi Leung |
| description | Objectives
Aim was to report a prospective two-centre Singaporean experience using Endovenous Microwave Ablation (EMA) to treat symptomatic primary great saphenous vein reflux. We evaluated 1-year safety, efficacy and patient satisfaction.
Methods
50 patients (63 limbs; 29 females; mean age 58.0 ± 12.1 years) were included. Patients were reviewed at 2-weeks, 3-, 6- and 12-months and underwent Duplex ultrasound assessment. Three quality of life (QoL) questionnaires were completed.
Results
The truncal closure rates at 2-weeks, 3-, 6- and 12-months were 63/63 (100%), 59/59 (100%), 58/58 (100%) and 59/60 (98.3%), respectively. There was 100% technical success and no serious adverse events. There were sustained improvement of QoL questionnaire scores from 2 weeks to 12 months.
Conclusion
EMA is a safe and efficacious venous ablative technology at 12 months and is associated with a high rate of target vein occlusion and sustained QoL improvement. |
| doi_str_mv | 10.1177/02683555221129386 |
| format | Article |
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Aim was to report a prospective two-centre Singaporean experience using Endovenous Microwave Ablation (EMA) to treat symptomatic primary great saphenous vein reflux. We evaluated 1-year safety, efficacy and patient satisfaction.
Methods
50 patients (63 limbs; 29 females; mean age 58.0 ± 12.1 years) were included. Patients were reviewed at 2-weeks, 3-, 6- and 12-months and underwent Duplex ultrasound assessment. Three quality of life (QoL) questionnaires were completed.
Results
The truncal closure rates at 2-weeks, 3-, 6- and 12-months were 63/63 (100%), 59/59 (100%), 58/58 (100%) and 59/60 (98.3%), respectively. There was 100% technical success and no serious adverse events. There were sustained improvement of QoL questionnaire scores from 2 weeks to 12 months.
Conclusion
EMA is a safe and efficacious venous ablative technology at 12 months and is associated with a high rate of target vein occlusion and sustained QoL improvement.</description><identifier>ISSN: 0268-3555</identifier><identifier>EISSN: 1758-1125</identifier><identifier>DOI: 10.1177/02683555221129386</identifier><identifier>PMID: 36154744</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Female ; Humans ; Microwaves - therapeutic use ; Middle Aged ; Prospective Studies ; Quality of Life ; Registries ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - surgery ; Singapore ; Time Factors ; Treatment Outcome ; Varicose Veins - diagnostic imaging ; Varicose Veins - surgery ; Venous Insufficiency - diagnostic imaging ; Venous Insufficiency - surgery</subject><ispartof>Phlebology, 2022-12, Vol.37 (10), p.709-720</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c340t-338a0f2a71c22a02eb6a4fe2ab39d2e9a18f2ec38feecaefbdd70979f3d16dbc3</citedby><cites>FETCH-LOGICAL-c340t-338a0f2a71c22a02eb6a4fe2ab39d2e9a18f2ec38feecaefbdd70979f3d16dbc3</cites><orcidid>0000-0002-8524-7912 ; 0000-0003-3057-5983 ; 0000-0002-8606-0842</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/02683555221129386$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/02683555221129386$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21799,27903,27904,43600,43601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36154744$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tang, Tjun Yip</creatorcontrib><creatorcontrib>Chan, Karen Ka Wing</creatorcontrib><creatorcontrib>Yap, Charyl Jia Qi</creatorcontrib><creatorcontrib>Chan, Sze Ling</creatorcontrib><creatorcontrib>Soon, Shereen Xue Yun</creatorcontrib><creatorcontrib>Khoo, Vanessa</creatorcontrib><creatorcontrib>Wong, Julian Chi Leung</creatorcontrib><title>Pilot single-arm study to investigate the efficacy and safety of endovenous Microwave ablations for treatment of varicose veins in Singapore – one year results of the MAESTRO registry</title><title>Phlebology</title><addtitle>Phlebology</addtitle><description>Objectives
Aim was to report a prospective two-centre Singaporean experience using Endovenous Microwave Ablation (EMA) to treat symptomatic primary great saphenous vein reflux. We evaluated 1-year safety, efficacy and patient satisfaction.
Methods
50 patients (63 limbs; 29 females; mean age 58.0 ± 12.1 years) were included. Patients were reviewed at 2-weeks, 3-, 6- and 12-months and underwent Duplex ultrasound assessment. Three quality of life (QoL) questionnaires were completed.
Results
The truncal closure rates at 2-weeks, 3-, 6- and 12-months were 63/63 (100%), 59/59 (100%), 58/58 (100%) and 59/60 (98.3%), respectively. There was 100% technical success and no serious adverse events. There were sustained improvement of QoL questionnaire scores from 2 weeks to 12 months.
Conclusion
EMA is a safe and efficacious venous ablative technology at 12 months and is associated with a high rate of target vein occlusion and sustained QoL improvement.</description><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Microwaves - therapeutic use</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Registries</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - surgery</subject><subject>Singapore</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Varicose Veins - diagnostic imaging</subject><subject>Varicose Veins - surgery</subject><subject>Venous Insufficiency - diagnostic imaging</subject><subject>Venous Insufficiency - surgery</subject><issn>0268-3555</issn><issn>1758-1125</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UUtu3DAMFYoGzTTpAbopeAGn-tiWvQyC9AMkSJHP2qBtaqrAIw0k2YF3vUNPk-vkJLUxbTcFuiJIvg_Ix9h7wc-E0Pojl2WliqKQUghZq6p8xTZCF1W2tMVrtln32Qo4Zm9jfOScS631G3asSlHkOs837PmbHXyCaN12oAzDDmIa-xmSB-smisluMRGk7wRkjO2wmwFdDxENpRm8AXK9n8j5McK17YJ_wokA2wGT9S6C8QFSIEw7cmnFTxhs5yPBRHbZWwd3iznufSB4-fETvCOYCQMEiuOQ4spZ7a_PL-_ub2-W8dbGFOZTdmRwiPTudz1hD58u7y--ZFc3n79enF9lncp5ypSqkBuJWnRSIpfUlpgbktiqupdUo6iMpE5VhqhDMm3fa17r2qhelH3bqRMmDrrLbTEGMs0-2B2GuRG8WWNo_olh4Xw4cPZju6P-L-PP3xfA2QEQcUvNox-DW274j-IvY2qWWA</recordid><startdate>202212</startdate><enddate>202212</enddate><creator>Tang, Tjun Yip</creator><creator>Chan, Karen Ka Wing</creator><creator>Yap, Charyl Jia Qi</creator><creator>Chan, Sze Ling</creator><creator>Soon, Shereen Xue Yun</creator><creator>Khoo, Vanessa</creator><creator>Wong, Julian Chi Leung</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><orcidid>https://orcid.org/0000-0002-8524-7912</orcidid><orcidid>https://orcid.org/0000-0003-3057-5983</orcidid><orcidid>https://orcid.org/0000-0002-8606-0842</orcidid></search><sort><creationdate>202212</creationdate><title>Pilot single-arm study to investigate the efficacy and safety of endovenous Microwave ablations for treatment of varicose veins in Singapore – one year results of the MAESTRO registry</title><author>Tang, Tjun Yip ; Chan, Karen Ka Wing ; Yap, Charyl Jia Qi ; Chan, Sze Ling ; Soon, Shereen Xue Yun ; Khoo, Vanessa ; Wong, Julian Chi Leung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-338a0f2a71c22a02eb6a4fe2ab39d2e9a18f2ec38feecaefbdd70979f3d16dbc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Microwaves - therapeutic use</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Registries</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - surgery</topic><topic>Singapore</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Varicose Veins - diagnostic imaging</topic><topic>Varicose Veins - surgery</topic><topic>Venous Insufficiency - diagnostic imaging</topic><topic>Venous Insufficiency - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tang, Tjun Yip</creatorcontrib><creatorcontrib>Chan, Karen Ka Wing</creatorcontrib><creatorcontrib>Yap, Charyl Jia Qi</creatorcontrib><creatorcontrib>Chan, Sze Ling</creatorcontrib><creatorcontrib>Soon, Shereen Xue Yun</creatorcontrib><creatorcontrib>Khoo, Vanessa</creatorcontrib><creatorcontrib>Wong, Julian Chi Leung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>Phlebology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tang, Tjun Yip</au><au>Chan, Karen Ka Wing</au><au>Yap, Charyl Jia Qi</au><au>Chan, Sze Ling</au><au>Soon, Shereen Xue Yun</au><au>Khoo, Vanessa</au><au>Wong, Julian Chi Leung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pilot single-arm study to investigate the efficacy and safety of endovenous Microwave ablations for treatment of varicose veins in Singapore – one year results of the MAESTRO registry</atitle><jtitle>Phlebology</jtitle><addtitle>Phlebology</addtitle><date>2022-12</date><risdate>2022</risdate><volume>37</volume><issue>10</issue><spage>709</spage><epage>720</epage><pages>709-720</pages><issn>0268-3555</issn><eissn>1758-1125</eissn><abstract>Objectives
Aim was to report a prospective two-centre Singaporean experience using Endovenous Microwave Ablation (EMA) to treat symptomatic primary great saphenous vein reflux. We evaluated 1-year safety, efficacy and patient satisfaction.
Methods
50 patients (63 limbs; 29 females; mean age 58.0 ± 12.1 years) were included. Patients were reviewed at 2-weeks, 3-, 6- and 12-months and underwent Duplex ultrasound assessment. Three quality of life (QoL) questionnaires were completed.
Results
The truncal closure rates at 2-weeks, 3-, 6- and 12-months were 63/63 (100%), 59/59 (100%), 58/58 (100%) and 59/60 (98.3%), respectively. There was 100% technical success and no serious adverse events. There were sustained improvement of QoL questionnaire scores from 2 weeks to 12 months.
Conclusion
EMA is a safe and efficacious venous ablative technology at 12 months and is associated with a high rate of target vein occlusion and sustained QoL improvement.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>36154744</pmid><doi>10.1177/02683555221129386</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-8524-7912</orcidid><orcidid>https://orcid.org/0000-0003-3057-5983</orcidid><orcidid>https://orcid.org/0000-0002-8606-0842</orcidid></addata></record> |
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| source | MEDLINE; Sage Journals |
| subjects | Aged Female Humans Microwaves - therapeutic use Middle Aged Prospective Studies Quality of Life Registries Saphenous Vein - diagnostic imaging Saphenous Vein - surgery Singapore Time Factors Treatment Outcome Varicose Veins - diagnostic imaging Varicose Veins - surgery Venous Insufficiency - diagnostic imaging Venous Insufficiency - surgery |
| title | Pilot single-arm study to investigate the efficacy and safety of endovenous Microwave ablations for treatment of varicose veins in Singapore – one year results of the MAESTRO registry |
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