Comparison of Clinical Outcomes Based on Venous Clinical Severity Score and Venous Disability Score Assessment of Patients with Chronic Vein Insufficiency Underwent Endovenous Laser Ablation With Puncture Above The Knee And Below The Knee Techniques
Year: 2024
Type: article
Study design: Observational Study
Abstract: Background: Patients with chronic venous insufficiency (CVI) undergo a standard puncture below the knee to access the great saphenous vein (GSV) for endovenous laser ablation (EVLA). However, in some cases, getting a puncture below the knee is difficult; a puncture above the knee to access the incompetent saphenous vein is another option. Objective: This study compared CVI patients' clinical results after EVLA with below- and above-the-knee punctures. Material and Methods: This retrospective, single-centre cohort study compared clinical outcomes after two EVLA technical punctures (puncturing the GSV below- and above-knee). At all follow-up visits, clinical outcomes, closure rate, and complications were assessed. Result: This study has recruited 248 patients, with 132 patients in the below-knee group and 116 patients in the above-knee group. Similar clinical outcomes after the procedure were seen in both groups with improving of the Venous Clinical Severity Score (VCSS) and the Venous Disability Score (VDS) (p < 0.05). The closure rate in both groups was 97% (p = 0.595). Complications, including thrombosis, bruises and paresthesia did not show statistical significance between groups (p = 1.000, p = 0.101 and p = 0.667 respectively). Burn injury was absent in both groups. Conclusion: The EVLA for incompetence GSV using an above-knee puncture was safe and effective and should be considered as an alternative method if the below-knee puncture fails in Non Ulcer CVI patients. Keyword: Chronic Venous Insufficiency, Endovenous Laser Ablation, Great Saphenous Vein.
Source: Heart Science Journal
Institution: University of Brawijaya
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4401069899