Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency Robert F. Merchant,

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Presentation transcript:

Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency Robert F. Merchant, MD, Olivier Pichot, MD Journal of Vascular Surgery Volume 42, Issue 3, Pages 502-510 (September 2005) DOI: 10.1016/j.jvs.2005.05.007 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 On the left, a duplex ultrasound image of the area near the saphenofemoral junction 1 week after radiofrequency obliteration of the great saphenous vein (GSV). The image on the right was recorded at the 5-year follow-up. Transverse views of patent tributaries (Trib) are seen. There are no longer any discernible landmarks for the GSV, Epi, Superficial epigastric vein; FE, femoral vein. (Images courtesy of Olivier Pichot, MD) Journal of Vascular Surgery 2005 42, 502-510DOI: (10.1016/j.jvs.2005.05.007) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 The the types of anatomical failure are illustrated in the panels (left to right). A, Type I, great saphenous vein (GSV) failure to completely occlude, with or without reflux present. B and C, Type II, partially recanalized GSV. D, Type III, the treated GSV is occluded, but reflux is present involving branches near the saphenofemoral junction (SFJ). CFV, Common femoral vein. Journal of Vascular Surgery 2005 42, 502-510DOI: (10.1016/j.jvs.2005.05.007) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 3 As a measure of symptom relief following treatment, presence or absence of limb pain, fatigue or edema was recorded. Journal of Vascular Surgery 2005 42, 502-510DOI: (10.1016/j.jvs.2005.05.007) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 4 Limbs that were asymptomatic at each time point for limb pain, fatigue, or edema were separated into two groups: those for which treatment was categorized as successful and those categorized as anatomical failure. Journal of Vascular Surgery 2005 42, 502-510DOI: (10.1016/j.jvs.2005.05.007) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 5 Percentages of limbs presenting with CEAP clinical classification 0 to 1. Journal of Vascular Surgery 2005 42, 502-510DOI: (10.1016/j.jvs.2005.05.007) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions