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Título : Prospective randomized trial comparing radiofrequency ablation and complete saphenous vein stripping in patients with mild to moderate chronic venous disease with a 3-year follow-up
Otros títulos : Ensaio clínico randomizado prospectivo comparando a ablação por radiofrequência e a retirada completa de veia safena em pacientes com doença venosa crônica leve à moderada com seguimento de 3 anos
Autor : Sincos, Igor Rafael
Baptista, Anna Paula Weinhardt
Coelho Neto, Felipe
Labropoulos, Nicos
Alledi, Luciane Basílio
Marins, Emmanuel Machado de
Puggina, Juliana
Belczak, Sergio Quilici
Cardoso, Mirian Gonçalves
Aun, Ricardo
metadata.dc.identifier.orcid: http://orcid.org/0000-0002-1525-1051
http://orcid.org/0000-0002-8990-2689
http://orcid.org/0000-0002-0924-279X
http://orcid.org/0000-0002-3984-1582
http://orcid.org/0000-0001-7448-9388
http://orcid.org/0000-0002-4584-2928
http://orcid.org/0000-0002-2514-3433
http://orcid.org/0000-0003-1458-5276
http://orcid.org/0000-0001-5403-7691
http://orcid.org/0000-0001-8833-2402
Assunto:: Ablação por cateter
Veia safena
Ondas de rádio
Qualidade de vida
Fecha de publicación : 2019
Editorial : Instituto Israelita de Ensino e Pesquisa Albert Einstein
Citación : SINCOS, Igor Rafael et al. Prospective randomized trial comparing radiofrequency ablation and complete saphenous vein stripping in patients with mild to moderate chronic venous disease with a 3-year follow-up. Einstein (São Paulo), São Paulo, v. 17, n. 2, eAO4526, 2019. DOI: https://doi.org/10.31744/einstein_journal/2019ao4526. Disponível em: http://scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000200210. Acesso em: 12 maio 2020. _________________________________________________________________________________________________________________________________________________________
SINCOS, Igor Rafael et al. Ensaio clínico randomizado prospectivo comparando a ablação por radiofrequência e a retirada completa de veia safena em pacientes com doença venosa crônica leve à moderada com seguimento de 3 anos. Einstein (São Paulo), São Paulo, v. 17, n. 2, eAO4526, 2019. DOI: https://doi.org/10.31744/einstein_journal/2019ao4526. Disponível em: http://scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082019000200210. Acesso em: 12 maio 2020.
Abstract: Objective: To compare the use of the radiofrequency thermoablation of the saphenous vein with the ligation technique, and complete removal of the saphenous vein, from the saphenofemoral junction to the ankle. Methods: A total of 49 patients with chronic venous disease in the Comprehensive Classification System for Chronic Venous Disorders (CEAP) classes 2 to 4 for clinical signs, etiology, anatomic distribution and pathophysiology, were assessed at baseline, after 4 weeks, and after 1 year. The parameters assessed were complications, period of absence from activities, Venous Clinical Severity Score (VCSS) and quality of life scores according to Aberdeen Varicose Veins Questionnaire (AVVQ). They were re-examined 1 and 3 years after treatment to evaluate recurrence rates. Results: The success rate per limb (p=0.540), VCSS (p=0.636), AVVQ (p=0.163), and clinical complications were similar in the two treatment groups. Nevertheless, the radiofrequency thermoablation group had significant shorter length of hospital stay (0.69±0.47) and absence from activities (8.62±4.53), p<000.1. Conclusion: Patients submitted to radiofrequency thermoablation had an occlusion rate, clinical recurrence and improvement in quality of life comparable to removal of the saphenous vein. However, these patients spent less time hospitalized and away from their daily activities during recovering.
metadata.dc.description.unidade: Faculdade de Medicina (FMD)
Licença:: (CC BY) - Esta obra está licenciada sob uma Licença Creative Commons Atribuição 4.0 Internacional.
DOI: https://doi.org/10.31744/einstein_journal/2019ao4526
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