Abstract
Background:The objective of this work was to evaluate the first results of the radio ablation of the great saphenous vein in the processing of chronic venous insufficiency. Method: This is a monocentric retrospective study of radio ablation of the great saphenous vein using VNUS Closure® FAST for superficial venous insufficiency of the great saphenous vein, between January 2012 and December 2014. Results: 42 patients (57 limbs) were operated on with this technology. There were 33 women and 9 men (mean age: 46.5 years). Thirty-nine patients (92. 8%) were symptomatic. Thirty-two patients (76.1%) were classified CEAP 2. The average diameter of the saphenous vein was 8.5 ± 1.5 mm. Three patients (7.1%) had a percutaneous approach. A perfect occlusion of the saphenous vein was observed in all patients. No incident or undesirable event was observed during the procedure. One case of delayed deep-vein thrombosis was observed. At one month of follow-up, six patients (14.2%) had induration opposite to the occluded vein. Forty-three percent of the patients stated they were very satisfied with the procedure. Conclusion: The effectiveness, security and simplicity of the closure method are real. More studies are necessary to assess the long-term results of this procedure.
Highlights
The objective of this work was to evaluate the first results of the radio ablation of the great saphenous vein in the processing of chronic venous insufficiency
This is a monocentric retrospective study of radio ablation of the great saphenous vein using VNUS Closure® FAST for superficial venous insufficiency of the great saphenous vein, between January 2012 and December 2014
Crossectomy with ligation of the collaterals and stripping of the saphenous trunks is considering the gold standard in the treatment of varicose veins in superficial venous insufficiency of the lower limbs
Summary
Crossectomy with ligation of the collaterals and stripping of the saphenous trunks is considering the gold standard in the treatment of varicose veins in superficial venous insufficiency of the lower limbs This surgery is associated with complications and above all with a non-negligible recurrence rate [1] [2]. In 2008 in addition to the classic crossectomy, we introduced venous radio ablation by the VNUS Closure® (Closure®) process (VNUS Medical Technologies, San Jose, California) at Cholet hospital center. This technology was less offered to patients because of its cost because the catheter was not reimbursed by social security. The objective of this was to assess the accessibility and the first results of the method, but above all to describe the difficulties associated with its practice by the vascular surgeon in the Cholet HOSPITAL center
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