Thermal ablation of saphenous veins is feasible and safe in patients older than 75 years: A prospective study (EVTA study).

Détails

ID Serval
serval:BIB_6C8CDA72E26F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Thermal ablation of saphenous veins is feasible and safe in patients older than 75 years: A prospective study (EVTA study).
Périodique
Phlebology / Venous Forum of the Royal Society of Medicine
Auteur⸱e⸱s
Hamel-Desnos C., Desnos P., Allaert F.A., Kern P.
Collaborateur⸱rice⸱s
"Thermal group" for the French Society of Phlebology, the Swiss Society of Phlebology
Contributeur⸱rice⸱s
Allouche L., Néaume N., Bammatter JP., Bourgeois L., Bracon JF., Burcheri B., Ravelojaona M., Cales B., Chauzat B., Ducrey N., Gracia S., Gueddi S., Hamel-Desnos C., Desnos P., Hévia M., Kern P., Merminod T., Ouvry P., Poulain C., Sintes P., Lampel M., Thiên QT.
ISSN
1758-1125 (Electronic)
ISSN-L
0268-3555
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
30
Numéro
8
Pages
525-532
Langue
anglais
Notes
Publication types: Clinical Trial ; Comparative Study ; Journal Article ; Multicenter Study ; Observational Study
Publication Status: ppublish
Résumé
OBJECTIVES: To investigate the tolerance and safety of thermal ablation (TA), consisting of radiofrequency or endovenous laser (EVLA) of saphenous veins (SV) in elderly (group 1 ≥75 years), compared with a control group (group 2 <75 years).
METHOD: An Observational multicenter-prospective study was conducted, under the aegis of the French and Swiss Societies of Phlebology (18 centers). Ninety patients were included in group 1, 617 in group 2 (mean age 80 years and 53 years; 69% women in both groups), representing 863 SV. Mean trunk diameters were similar in both groups (small SV: 6 mm; great SV: 7 mm). In group 1, comorbidities were more frequent, particularly cardiac insufficiency, diabetes, history of thrombosis, and CEAP clinical class was significantly higher.
RESULTS: EVLA was used in 86% of cases. Settings used were similar in both groups for each technique. Only 6% of TA was performed in an operating room for group 1 (14% group 2). Tumescent local anaesthesia (TLA) alone was used in 91% of cases in group 1 (85% group 2). The mean pain score was only 1.6 for the procedure itself (VASP 0-10; 10 max.) and 1.4 for the 10 days following the procedure. Side effects were few, but rate of paraesthesia was higher when general anaesthesia was used (11.8%) compared with TLA alone (2.2%). At three months, 100% of SV was occluded in group 1 (99.5% group 2), with high satisfaction score (9.3/10).
CONCLUSION: TA is safe and effective in elderly; it should be performed strictly under TLA to minimize side effects.
Mots-clé
Aged, Aged, 80 and over, Catheter Ablation/adverse effects, Catheter Ablation/methods, Female, Humans, Laser Therapy/adverse effects, Laser Therapy/methods, Male, Middle Aged, Prospective Studies, Saphenous Vein/surgery, Venous Insufficiency/surgery
Pubmed
Web of science
Création de la notice
22/09/2015 16:25
Dernière modification de la notice
20/08/2019 14:26
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