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

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Glavni avtor: Sincos, Igor Rafael
Publication Date: 2019
Drugi avtorji: 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
Format: Article
Jezik: eng
Source: Repositório Institucional da UnB
Download full: https://repositorio.unb.br/handle/10482/36540
https://doi.org/10.31744/einstein_journal/2019ao4526
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
Izvleček: 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.
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author Sincos, Igor Rafael
author2 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
author2_role author
author
author
author
author
author
author
author
author
author_browse Alledi, Luciane Basílio
Aun, Ricardo
Baptista, Anna Paula Weinhardt
Belczak, Sergio Quilici
Cardoso, Mirian Gonçalves
Coelho Neto, Felipe
Labropoulos, Nicos
Marins, Emmanuel Machado de
Puggina, Juliana
Sincos, Igor Rafael
author_facet 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
author_role author
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bitstream.url.fl_str_mv http://repositorio.unb.br/bitstream/10482/36540/1/ARTIGO_ProspectiveRandomizedTrial.pdf
http://repositorio.unb.br/bitstream/10482/36540/2/ARTIGO_EnsaioClinicoRandomizado.pdf
collection Repositório Institucional da UnB
dc.contributor.author.fl_str_mv 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
dc.date.accessioned.fl_str_mv 2020-01-24T10:31:40Z
dc.date.available.fl_str_mv 2020-01-24T10:31:40Z
dc.date.issued.fl_str_mv 2019
dc.identifier.citation.fl_str_mv 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.
dc.identifier.doi.pt_BR.fl_str_mv https://doi.org/10.31744/einstein_journal/2019ao4526
dc.identifier.orcid.none.fl_str_mv 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
dc.identifier.uri.fl_str_mv https://repositorio.unb.br/handle/10482/36540
dc.language.iso.fl_str_mv eng
dc.publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.rights.driver.fl_str_mv (CC BY) - Esta obra está licenciada sob uma Licença Creative Commons Atribuição 4.0 Internacional.
info:eu-repo/semantics/openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da UnB
instname:Universidade de Brasília (UnB)
instacron:UNB
dc.subject.keyword.pt_BR.fl_str_mv Ablação por cateter
Veia safena
Ondas de rádio
Qualidade de vida
dc.title.alternative.none.fl_str_mv 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
dc.title.pt_BR.fl_str_mv 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
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
description 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.
eu_rights_str_mv openAccess
format article
id UNB_5a7b87828a7e9ecbbd7fe66a204d3e07
identifier_str_mv 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.
instacron_str UNB
institution UNB
instname_str Universidade de Brasília (UnB)
language eng
network_acronym_str UNB
network_name_str Repositório Institucional da UnB
oai_identifier_str oai:repositorio.unb.br:10482/36540
publishDate 2019
publishDateSort 2019
publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
reponame_str Repositório Institucional da UnB
repository.mail.fl_str_mv repositorio@unb.br
repository.name.fl_str_mv Repositório Institucional da UnB - Universidade de Brasília (UnB)
repository_id_str
rights_invalid_str_mv (CC BY) - Esta obra está licenciada sob uma Licença Creative Commons Atribuição 4.0 Internacional.
spelling Sincos, Igor RafaelBaptista, Anna Paula WeinhardtCoelho Neto, FelipeLabropoulos, NicosAlledi, Luciane BasílioMarins, Emmanuel Machado dePuggina, JulianaBelczak, Sergio QuiliciCardoso, Mirian GonçalvesAun, Ricardo2020-01-24T10:31:40Z2020-01-24T10:31:40Z2019SINCOS, 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.https://repositorio.unb.br/handle/10482/36540https://doi.org/10.31744/einstein_journal/2019ao4526http://orcid.org/0000-0002-1525-1051http://orcid.org/0000-0002-8990-2689http://orcid.org/0000-0002-0924-279Xhttp://orcid.org/0000-0002-3984-1582http://orcid.org/0000-0001-7448-9388http://orcid.org/0000-0002-4584-2928http://orcid.org/0000-0002-2514-3433http://orcid.org/0000-0003-1458-5276http://orcid.org/0000-0001-5403-7691http://orcid.org/0000-0001-8833-2402Instituto Israelita de Ensino e Pesquisa Albert Einstein(CC BY) - Esta obra está licenciada sob uma Licença Creative Commons Atribuição 4.0 Internacional.info:eu-repo/semantics/openAccessProspective randomized trial comparing radiofrequency ablation and complete saphenous vein stripping in patients with mild to moderate chronic venous disease with a 3-year follow-upEnsaio 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 anosinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAblação por cateterVeia safenaOndas de rádioQualidade de vidaObjective: 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.Faculdade de Medicina (FM)engreponame:Repositório Institucional da UnBinstname:Universidade de Brasília (UnB)instacron:UNBORIGINALARTIGO_ProspectiveRandomizedTrial.pdfapplication/pdf341994http://repositorio.unb.br/bitstream/10482/36540/1/ARTIGO_ProspectiveRandomizedTrial.pdf392bbfee95b9ca5d53828298714f5db8MD51open accessARTIGO_EnsaioClinicoRandomizado.pdfARTIGO_EnsaioClinicoRandomizado.pdfapplication/pdf343386http://repositorio.unb.br/bitstream/10482/36540/2/ARTIGO_EnsaioClinicoRandomizado.pdff412ae215673a6ddfe24278227b4bc13MD52open access10482/365402025-01-15 14:48:01.316open accessoai:repositorio.unb.br:10482/36540Repositório InstitucionalPUBhttps://repositorio.unb.br/oai/requestrepositorio@unb.bropendoar:2025-01-15T17:48:01Repositório Institucional da UnB - Universidade de Brasília (UnB)
spellingShingle 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
Sincos, Igor Rafael
Ablação por cateter
Veia safena
Ondas de rádio
Qualidade de vida
status_str publishedVersion
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Ablação por cateter
Veia safena
Ondas de rádio
Qualidade de vida
url https://repositorio.unb.br/handle/10482/36540
https://doi.org/10.31744/einstein_journal/2019ao4526
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