Endovenous Celon radiofrequency-induced thermal therapy of great saphenous vein: A retrospective study with a 3-year follow-up.

Autor:	Quehe P; L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France., Alavi Z; Inserm CIC 1412, CHRU La Cavale Blanche, Brest, France., Kurylo-Touz T; L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France., Saliou AH; Service de gynécologie-obstétrique, CHRU Morvan, Brest, France., Badra A; Service de la chirurgie vasculaire, CHRU La Cavale Blanche, Brest, France., Baudino L; L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France., Gladu G; Clinique du Ter, Lorient, France., Ledan F; L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France., Haudebourg R; L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France., Gestin S; L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France., Bressollette L; L'unité d'écho-doppler et de médecine vasculaire, CHRU La Cavale Blanche, Brest, France.
Jazyk:	angličtina
Zdroj:	SAGE open medicine [SAGE Open Med] 2018 Aug 21; Vol. 6, pp. 2050312118794591. Date of Electronic Publication: 2018 Aug 21 (Print Publication: 2018).
DOI:	10.1177/2050312118794591
Abstrakt:	Objective: Our main objective was to evaluate the short- and long-term efficacy of Celon radiofrequency-induced thermal therapy for endovenous treatment of incompetent great saphenous vein. The secondary objectives were to report on possible short-term side effects and complications. Methods: This was a retrospective study of 112 consecutive patients included between 2013 and June 2015. These patients were treated (146 great saphenous vein, C2-C6) either at the hemodynamic room using local anesthesia or at the operating theater under general anesthesia with or without phlebectomy. All patients received radiofrequency-induced thermal therapy at 18 W power, 1 s/cm pullback rate and 5-7 pullbacks per segment of 10 cm (i.e. maximum 10 pullbacks). A clinical follow-up via ultrasound monitoring was done at 1 week, 1 month, 6 months, 1 year, 2 years and 3 years. Results: The 3-year survival occlusion rate was 96.71% and 98% for overall and radiofrequency-induced thermal therapy patients, respectively. No major side effects were observed. A case of endovenous heat-induced thrombosis was reported. Slight neurological disorders were reported (0.88%). Conclusion: Our unit's endovenous Celon radiofrequency-induced thermal therapy of incompetent great saphenous vein was efficient, well tolerated, without major side effects. Moreover, in order to reduce possible neurological disorders, we advise multiple pullbacks at 1 s/cm and using tumescence anesthesia. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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