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: | Emmanuel Machado de Marins, Anna Paula Weinhardt Baptista, Mirian Gonçalves Cardoso, Ricardo Aun, Igor Rafael Sincos, Felipe Coelho Neto, Nicos Labropoulos, Sergio Quilici Belczak, Luciane Basílio Alledi, Juliana Puggina |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Ablação por cateter Time Factors Veia safena Saphenous vein/surgery Radiofrequency ablation medicine.medical_treatment lcsh:Medicine Severity of Illness Index law.invention 0302 clinical medicine Randomized controlled trial law Recurrence Veia safena/cirurgia Occlusion Absenteeism 030212 general & internal medicine Postoperative Period Prospective Studies Ultrasonography Doppler Color Prospective cohort study Radio waves General Medicine Middle Aged medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Female Original Article medicine.symptom Adult Quality of life medicine.medical_specialty Catheter ablation/methods Vein stripping 03 medical and health sciences Young Adult Qualidade de vida Ablação por cateter/métodos Ondas de rádio Varicose veins Severity of illness medicine Humans Saphenous Vein Vascular Diseases Vein Ligation Aged Radiofrequency Ablation business.industry lcsh:R Length of Stay Surgery Chronic Disease business Follow-Up Studies |
| Zdroj: | Einstein (São Paulo), Volume: 17, Issue: 2, Article number: eAO4526, Published: 02 MAY 2019 Einstein Repositório Institucional da UnB Universidade de Brasília (UnB) instacron:UNB einstein (São Paulo) v.17 n.2 2019 Einstein (São Paulo) Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE Einstein (São Paulo), Vol 17, Iss 2 |
| Popis: | 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 |
| Databáze: | OpenAIRE |
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