Jun Jooeun, Yoon Myunghee, Jung Hyukjae, Jun Heejae
Department of Vascular Surgery, Jun's Vascular Clinic, Busan 47256, Republic of Korea.
Department of Surgery, Pusan National University Hospital, Biomedical Research Institute, Pusan National University, Busan 46241, Republic of Korea.
J Clin Med. 2024 Nov 26;13(23):7148. doi: 10.3390/jcm13237148.
Blood flow from the saphenofemoral junction(SFJ) tributaries may cause recurrence of varicose veins. Flush occlusion is defined as the total occlusion of the great saphenous vein(GSV) right to the saphenofemoral junction. The purpose of this study was to evaluate the efficacy and safety of flush endovenous thermal ablation with saphenofemoral junction tributary occlusion. Between January 2019 and December 2022, 722 patients (total of 1273 limbs) were diagnosed with chronic vein insufficiency by one surgeon at a single center. Of the 722 patients, 476 (65.9%) were female and 246 (34.1%) were male. Of the 1273 limbs, endovenous laser ablation(EVLA) was performed in 609 limbs and radiofrequency ablation(RFA) in 664 limbs. Of the 1273 limbs, the recurrence rate was 3.69% ( = 47), the development of endovenous heat-induced thromboembolism(EHIT) was 0.31% ( = 4), and neovascularization was 1.49% ( = 19). Flush endovenous thermal ablation was an effective method for decreasing recurrence without inducing endovenous heat-induced thromboembolism. Consecutive foam sclerotherapy for saphenofemoral junction tributaries may be feasible for reducing the recurrence of varicose veins.
来自隐股静脉交界处（SFJ）分支的血流可能导致静脉曲张复发。完全闭塞定义为大隐静脉（GSV）在隐股静脉交界处右侧的完全闭塞。本研究的目的是评估隐股静脉交界处分支闭塞的静脉内热消融术的有效性和安全性。在2019年1月至2022年12月期间，一名外科医生在单一中心诊断出722例患者（共1273条肢体）患有慢性静脉功能不全。在这722例患者中，476例（65.9%）为女性，246例（34.1%）为男性。在1273条肢体中，609条肢体进行了静脉内激光消融（EVLA），664条肢体进行了射频消融（RFA）。在1273条肢体中，复发率为3.69%（n = 47），静脉内热诱导血栓栓塞（EHIT）的发生率为0.31%（n = 4），新生血管形成率为1.49%（n = 19）。静脉内热消融术是一种有效降低复发率且不诱发静脉内热诱导血栓栓塞的方法。对隐股静脉交界处分支进行连续泡沫硬化治疗可能是降低静脉曲张复发的可行方法。
