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Impact on venous haemodynamics after treatment of great saphenous vein incompetence using plethysmography and duplex ultrasound
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Thoracic and Vascular Surgery.ORCID iD: 0000-0003-1691-458x
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Health, Medicine and Caring Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Thoracic and Vascular Surgery.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Diagnostics and Specialist Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Clinical Physiology in Linköping.
2020 (English)In: Phlebology, ISSN 0268-3555, E-ISSN 1758-1125, article id 0268355519898952Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objectives

To evaluate postoperative venous haemodynamics and quality of life after treatment of great saphenous vein (GSV) incompetence.

Methods

Radiofrequency ablation and high ligation and stripping were performed in 62 patients (65 limbs) and 58 (65 limbs), respectively. Phlebectomies were performed in both modalities. Strain-gauge plethysmography on the foot combined with superficial venous occlusion was used to measure refilling time after knee bends. Strain-gauge plethysmography, duplex ultrasound and quality of life were assessed before and one month after treatment.

Results

Duplex ultrasound displayed successful intervention in all but two limbs. Refilling time increased similar in radiofrequency ablation and high ligation and stripping after treatment (p < 0.001). Postoperatively, strain-gauge plethysmography detected remaining reflux in 71% of the patients. Multivariate analysis showed that two or more incompetent calf branches were associated with remaining reflux (OR 4.82 (95% CI: 1.33–17.5), p = 0.02). No difference in quality of life was seen in patients with remaining reflux.

Conclusions

Despite successful treatment, a majority of the limbs showed remaining reflux, in which incompetent calf branches appear to play an important role.

Clinicaltials.gov: Lower Limb Venous Insufficiency and the Effect of Radiofrequency Treatment Versus Open Surgery. Nr: NCT02397226

Place, publisher, year, edition, pages
Sage Publications, 2020. article id 0268355519898952
Keywords [en]
Venous incompetence; radiofrequency ablation; high ligation; stripping; strain-gauge plethysmography; duplex ultrasound
National Category
Surgery
Identifiers
URN: urn:nbn:se:liu:diva-163631DOI: 10.1177/0268355519898952ISI: 000508777200001PubMedID: 31959059Scopus ID: 2-s2.0-85078192873OAI: oai:DiVA.org:liu-163631DiVA, id: diva2:1393820
Note

Funding Agencies|Linkoping University Hospital Research Fund, Linkoping, Sweden; ALF Grants, Region Ostergotland, Linkoping, Sweden

Available from: 2020-02-17 Created: 2020-02-17 Last updated: 2020-02-25Bibliographically approved

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Nelzén, Oskar

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Nelzén, OskarSkoog, JohanÖster, MalinZachrisson, Helene
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Division of Diagnostics and Specialist MedicineFaculty of Medicine and Health SciencesDepartment of Thoracic and Vascular SurgeryDepartment of Health, Medicine and Caring SciencesDepartment of Clinical Physiology in Linköping
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Phlebology
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