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Influence of Superficial Venous Ablation on Deep Venous Dilation and Reflux in Patients With Saphenous Varicose Veins.
Vasc Endovascular Surg. 2020 Nov; 54(8):687-691.VE

Abstract

BACKGROUND

To investigate the influence of superficial venous ablation on deep venous dilation and reflux in patients with saphenous varicose veins, and to elucidate the association between superficial venous reflux and deep venous morphology and hemodynamics.

METHODS

The data of 154 patients with 223 limbs, who underwent endovenous radiofrequency ablation (RFA) of the great saphenous vein for primary varicose veins between September 2014 and March 2016 in Eniwa Midorino Clinic, were retrospectively analyzed. Overall venous hemodynamics of the leg, including functional venous volume (VV) and venous filling index (VFI), was assessed using air-plethysmography. Saphenous and deep vein reflux and diameter were evaluated with duplex scanning.

RESULTS

Hemodynamic and morphologic changes were evaluated before and 1 month after RFA. The VV and VFI were significantly decreased in postoperative values than in preoperative values (P < .001). Limbs with deep venous reflux significantly decreased postoperatively than preoperatively (P < .001). There were significant differences in the diameter of the common femoral vein (CFV) and popliteal vein (PV) between the preoperative and postoperative values (P < .001). There were strong to moderate correlations between the VV and the diameter of the CFV or PV (CFV, r = 0.47, P < .001; PV, r = 0.35, P < .001), while there were moderate to weak correlations between the VFI and the diameter of the CFV or PV (CFV, r = 0.23, P < .001; PV, r = 0.33, P <.001).

CONCLUSIONS

Superficial venous ablation significantly reduced deep venous dilation and reflux in patients with saphenous varicose veins. Significant correlations existed between the VV or VFI, which reflected superficial venous reflux, and the diameter of the deep veins. These findings reveal that volume overload due to superficial venous reflux is associated with deep venous morphology and hemodynamics.

Authors+Show Affiliations

Department of Surgery, Eniwa Midorino Clinic, Eniwa, Japan. Department of Cardiovascular Surgery, 38548Tokyo Medical University, Tokyo, Japan.Department of Surgery, Eniwa Midorino Clinic, Eniwa, Japan.Department of Cardiovascular Surgery, 38548Tokyo Medical University, Tokyo, Japan.Department of Cardiovascular Surgery, 38548Tokyo Medical University, Tokyo, Japan.Department of Cardiovascular Surgery, 38548Tokyo Medical University, Tokyo, Japan.Department of Cardiovascular Surgery, 38548Tokyo Medical University, Tokyo, Japan.Department of Cardiovascular Surgery, 38548Tokyo Medical University, Tokyo, Japan.Department of Diagnostic Radiology, 13112Tokai University School of Medicine, Isehara, Japan.Department of Surgery, 5755Yale University School of Medicine, New Haven, CT, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32744168

Citation

Nishibe, Toshiya, et al. "Influence of Superficial Venous Ablation On Deep Venous Dilation and Reflux in Patients With Saphenous Varicose Veins." Vascular and Endovascular Surgery, vol. 54, no. 8, 2020, pp. 687-691.
Nishibe T, Nishibe M, Akiyama S, et al. Influence of Superficial Venous Ablation on Deep Venous Dilation and Reflux in Patients With Saphenous Varicose Veins. Vasc Endovascular Surg. 2020;54(8):687-691.
Nishibe, T., Nishibe, M., Akiyama, S., Nukaga, S., Maekawa, K., Kano, M., Ogino, H., Koizumi, J., & Dardik, A. (2020). Influence of Superficial Venous Ablation on Deep Venous Dilation and Reflux in Patients With Saphenous Varicose Veins. Vascular and Endovascular Surgery, 54(8), 687-691. https://doi.org/10.1177/1538574420945466
Nishibe T, et al. Influence of Superficial Venous Ablation On Deep Venous Dilation and Reflux in Patients With Saphenous Varicose Veins. Vasc Endovascular Surg. 2020;54(8):687-691. PubMed PMID: 32744168.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of Superficial Venous Ablation on Deep Venous Dilation and Reflux in Patients With Saphenous Varicose Veins. AU - Nishibe,Toshiya, AU - Nishibe,Masayasu, AU - Akiyama,Shinobu, AU - Nukaga,Saori, AU - Maekawa,Koki, AU - Kano,Masaki, AU - Ogino,Hitoshi, AU - Koizumi,Jun, AU - Dardik,Alan, Y1 - 2020/08/03/ PY - 2020/8/4/pubmed PY - 2020/10/28/medline PY - 2020/8/4/entrez KW - deep vein KW - hemodynamics KW - morphology KW - varicose vein SP - 687 EP - 691 JF - Vascular and endovascular surgery JO - Vasc Endovascular Surg VL - 54 IS - 8 N2 - BACKGROUND: To investigate the influence of superficial venous ablation on deep venous dilation and reflux in patients with saphenous varicose veins, and to elucidate the association between superficial venous reflux and deep venous morphology and hemodynamics. METHODS: The data of 154 patients with 223 limbs, who underwent endovenous radiofrequency ablation (RFA) of the great saphenous vein for primary varicose veins between September 2014 and March 2016 in Eniwa Midorino Clinic, were retrospectively analyzed. Overall venous hemodynamics of the leg, including functional venous volume (VV) and venous filling index (VFI), was assessed using air-plethysmography. Saphenous and deep vein reflux and diameter were evaluated with duplex scanning. RESULTS: Hemodynamic and morphologic changes were evaluated before and 1 month after RFA. The VV and VFI were significantly decreased in postoperative values than in preoperative values (P < .001). Limbs with deep venous reflux significantly decreased postoperatively than preoperatively (P < .001). There were significant differences in the diameter of the common femoral vein (CFV) and popliteal vein (PV) between the preoperative and postoperative values (P < .001). There were strong to moderate correlations between the VV and the diameter of the CFV or PV (CFV, r = 0.47, P < .001; PV, r = 0.35, P < .001), while there were moderate to weak correlations between the VFI and the diameter of the CFV or PV (CFV, r = 0.23, P < .001; PV, r = 0.33, P <.001). CONCLUSIONS: Superficial venous ablation significantly reduced deep venous dilation and reflux in patients with saphenous varicose veins. Significant correlations existed between the VV or VFI, which reflected superficial venous reflux, and the diameter of the deep veins. These findings reveal that volume overload due to superficial venous reflux is associated with deep venous morphology and hemodynamics. SN - 1938-9116 UR - https://www.unboundmedicine.com/medline/citation/32744168/Influence_of_Superficial_Venous_Ablation_on_Deep_Venous_Dilation_and_Reflux_in_Patients_With_Saphenous_Varicose_Veins_ L2 - https://journals.sagepub.com/doi/10.1177/1538574420945466?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -