1. Treatment of varicose great saphenous vein with endovenous laser alone or combined with eco-guided foam sclerotherapy: A randomized controlled trial.
- Author
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Duarte F, de Souza DM, Regueira Filho A, Bazzanella LJ, Del Castanhel F, and de Oliveira Filho GR
- Subjects
- Humans, Female, Male, Middle Aged, Adult, Aged, Endovascular Procedures methods, Ultrasonography, Interventional, Combined Modality Therapy, Sclerotherapy methods, Saphenous Vein surgery, Saphenous Vein diagnostic imaging, Varicose Veins therapy, Varicose Veins surgery, Laser Therapy methods, Quality of Life
- Abstract
Objectives: This study compares Endovenous Laser Ablation (EVLA) alone versus combined with ultrasound-guided foam sclerotherapy (UGFS) for Great Saphenous Vein (GSV) insufficiency. Methods: Sixty patients were randomly allocated to EVLA or EVLA-UGFS groups which focused on GSV occlusion rates, complications, additional treatments, and quality of life (QoL) changes. Results: Among 55 participants, the EVLA group had higher 12-month occlusion rates (92.3% vs. 75.8%, p = 0.11). Nervous injury (NI) was rarer in EVLA-UGFS (3.4% vs. 23.1%, p = 0.04). No significant difference in other complication rates ( p > 0.05). QoL improved in both groups ( p < 0.001). EVLA-UGFS required more subsequent procedures (24.1% vs. 7.7%, p = 0.03). Conclusions: EVLA and EVLA-UGFS effectively treat GSV insufficiency, enhancing QoL. The combined method reduces NI risk but may require more follow-up procedures., Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Published
- 2024
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