ĐÁNH GIÁ HIỆU QUẢ ĐIỀU TRỊ TRUNG HẠN SUY TĨNH MẠCH MẠN TÍNH BẰNG PHƯƠNG PHÁP CAN THIỆP NỘI MẠCH

Dr le Minh Nguyet1, Dr Cao Thi Hong Yen1, Dr Vu Dang Luu1, Dr Nguyen Xuan Hien1, professor Pham Minh Thong1
1 Radiology Center - Bach Mai Hospital

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Abstract

Objectives: The aim of this work was to evaluate the outcomes after the endovascular interventions for chronic venous insufficiency of the lower limbs.
Methods: This study was conducted on 60 patients diagnosed with chronic venous insufficiency of the lower limbs at the Radiology Center, Bach Mai Hospital, 2018 – 2019. Convenience sampling technique was used for this study.
Results: Endovenous laser ablation was indicated for 40 patients and endovenous radiofrequency (RF) ablation was for 20 patients, showing all patients were removed from the reflux line. For the patients with laser ablation, the mean Venous Clinical Severity Score (VCSS) were 3,67 ± 3,58 (0-11) before the treatment; 1,22 ± 2,03 (0-6) at 1 month; and 0,41 ± 1,01 (0-4) at 12
months. For the patients with RF ablation, the mean VCSS were 3,62 ± 3,45 (0-10) before the treatment; 0,15 ± 0,55 (0-2) at 1 month; and 0,08 ± 0,28 (0-1) at 12 months. 18 cases were recorded the complications after the intervention
(30.00%), including dark skin, and paresthesia. 2 cases had the positions with varicose veins after 12 months (3.33%). There were no significant differences in the efficacy and complications amongst endovenous laser ablation and endovenous radiofrequency ablation (p >0.05).

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References

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