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Randomised clinical trial comparing endovenous laser ablation with stripping of the great saphenous vein: clinical outcome and recurrence after 2 years.
Eur J Vasc Endovasc Surg. 2010 May; 39(5):630-5.EJ

Abstract

OBJECTIVE

This study aims to compare the outcome 2years after treatment of varicose veins by endovenous laser ablation (EVLA) or surgery by assessing recurrence, venous clinical severity score (VCSS) and quality of life.

METHODS

A total of 121 patients (137 legs) were randomised to either EVLA or saphenofemoral ligation and stripping of the great saphenous vein (GSV). Follow-up included clinical and duplex ultrasound examinations, VCSS and quality of life questionnaires.

RESULTS

A total of 18 (26%) and 25 patients (37%) in the EVLA and surgery group, respectively, developed recurrent varicose veins (not significant (NS) between groups). The source of reflux was not significantly different between the groups. Technical failure occurred in three EVLA and two surgery patients, reflux in the anterior accessory GSV, the groin, thigh and calf perforators was found in six, two, four, and three EVLA patients, and in three, three, nine and six surgery patients. VCSS, Aberdeen Varicose Vein Severity Score and several domains of the Medical Outcomes Study Short Form 36 (SF36) quality of life score improved significantly in both groups.

CONCLUSIONS

No significant differences in clinical or ultrasound recurrences were found between EVLA and surgery groups. Our study also shows that similar improvements in clinical severity scores and quality of life were gained in both treatments.

Authors+Show Affiliations

The Danish Vein Centres - Areknudeklinikken Naestved and Copenhagen, Denmark. Larshrasmussen@yahoo.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20064730

Citation

Rasmussen, L H., et al. "Randomised Clinical Trial Comparing Endovenous Laser Ablation With Stripping of the Great Saphenous Vein: Clinical Outcome and Recurrence After 2 Years." European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, vol. 39, no. 5, 2010, pp. 630-5.
Rasmussen LH, Bjoern L, Lawaetz M, et al. Randomised clinical trial comparing endovenous laser ablation with stripping of the great saphenous vein: clinical outcome and recurrence after 2 years. Eur J Vasc Endovasc Surg. 2010;39(5):630-5.
Rasmussen, L. H., Bjoern, L., Lawaetz, M., Lawaetz, B., Blemings, A., & Eklöf, B. (2010). Randomised clinical trial comparing endovenous laser ablation with stripping of the great saphenous vein: clinical outcome and recurrence after 2 years. European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery, 39(5), 630-5. https://doi.org/10.1016/j.ejvs.2009.11.040
Rasmussen LH, et al. Randomised Clinical Trial Comparing Endovenous Laser Ablation With Stripping of the Great Saphenous Vein: Clinical Outcome and Recurrence After 2 Years. Eur J Vasc Endovasc Surg. 2010;39(5):630-5. PubMed PMID: 20064730.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Randomised clinical trial comparing endovenous laser ablation with stripping of the great saphenous vein: clinical outcome and recurrence after 2 years. AU - Rasmussen,L H, AU - Bjoern,L, AU - Lawaetz,M, AU - Lawaetz,B, AU - Blemings,A, AU - Eklöf,B, Y1 - 2010/01/12/ PY - 2009/08/26/received PY - 2009/11/26/accepted PY - 2010/1/13/entrez PY - 2010/1/13/pubmed PY - 2010/5/14/medline SP - 630 EP - 5 JF - European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery JO - Eur J Vasc Endovasc Surg VL - 39 IS - 5 N2 - OBJECTIVE: This study aims to compare the outcome 2years after treatment of varicose veins by endovenous laser ablation (EVLA) or surgery by assessing recurrence, venous clinical severity score (VCSS) and quality of life. METHODS: A total of 121 patients (137 legs) were randomised to either EVLA or saphenofemoral ligation and stripping of the great saphenous vein (GSV). Follow-up included clinical and duplex ultrasound examinations, VCSS and quality of life questionnaires. RESULTS: A total of 18 (26%) and 25 patients (37%) in the EVLA and surgery group, respectively, developed recurrent varicose veins (not significant (NS) between groups). The source of reflux was not significantly different between the groups. Technical failure occurred in three EVLA and two surgery patients, reflux in the anterior accessory GSV, the groin, thigh and calf perforators was found in six, two, four, and three EVLA patients, and in three, three, nine and six surgery patients. VCSS, Aberdeen Varicose Vein Severity Score and several domains of the Medical Outcomes Study Short Form 36 (SF36) quality of life score improved significantly in both groups. CONCLUSIONS: No significant differences in clinical or ultrasound recurrences were found between EVLA and surgery groups. Our study also shows that similar improvements in clinical severity scores and quality of life were gained in both treatments. SN - 1532-2165 UR - https://www.unboundmedicine.com/medline/citation/20064730/Randomised_clinical_trial_comparing_endovenous_laser_ablation_with_stripping_of_the_great_saphenous_vein:_clinical_outcome_and_recurrence_after_2_years_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1078-5884(09)00645-5 DB - PRIME DP - Unbound Medicine ER -