The value of ultrasound diagnostics of the superficial veins of the lower Extremities in the performance of radiofrequent ablation in outpatient Conditions

Authors

  • Yu. Yu. Sviderskyi I. Horbachevsky Ternopil National Medical University
  • O. A. Yakumchuk I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.1.12914

Keywords:

ultrasound diagnostics, sapheno-femoral junction, anterior accessory superficial vein, great saphenous vein

Abstract

The aim of the work: to establish the features of the ultrasonographic picture of the superficial venous system in varicose veins of the lower extremities in order to determine the tactical and technical measures to perform RFA in an outpatient setting.

Materials and Methods. The work is based on ultrasonographic data of 928 patients with clinical stage C2 – 391 patients; C3 – 216 patients; C4 – in 159 patients; C5 and C6, respectively, in 87 and 75 cases of observations performed before and after RFA. An ultrasonographic examination of the condition of the sapheno-femoral junction, anterior accessory superficial vein, and the diameter of the great saphenous vein was performed.

Results and Discussion. When performing ultrasonography one should pay attention to the individual anatomical features of a particular patient. In particular, the condition of the terminal and preterminal valve, the presence of reflux in the sapheno-femoral junction and in the anterior accessory superficial vein, the location of additional anterior tributaries of the great saphenous vein and their distance to the sapheno-femoral junction, the diameter of the great saphenous vein in the sapheno-femoral junction area, insufficiency of the sapheno-femoral junction and perforating veins.

References

Hyeong Yong Jin, Haeng Jin Ohe, Jeong Kye Hwang, Sang Dong Kim, Jang Yong Kim, Sun Cheol Park, Ji Il Kim, Yong Sung Won, Sang Seob Yun, & In Sung Moon (2017). Radiofrequency ablation of varicose veins improves venous clinical severity score despite failure of complete closure of thesaphenous vein after 1 year. Asian Journal of Surgery, 40 (1), 48-54.

Whiteley, M.S., Shiangoli, I., Santosab E. S.J.Dos (2017). Fifteen year results of radiofrequency ablation, using VNUS closure, for the abolition of truncal venous reflux in patients with varicose veins. European Journal of Vascular and Endovascular Surgery, 54 (3), 357-362.

Bush, P., & Flanagan, J. (2014). Factors associated with recurrence of varicose veins after thermal ablation: Results of the recurrent veins after thermal ablation study. The Scientific World Journal.

Fehimcan Sevil, Abdurrahim Colak Jr., & Münacettin Ceviz (2020). The effectiveness of endovenous radiofrequency ablation applicationin varicose vein diseases of the lower extremity. Cureus, 12 (4), e7640.

Shaidakov, E.V., Grigoryan, A.G., & Ilyukhin, E.A. (2016). Radiofrequency ablation or stripping of large-diameter in competent great saphenous varicose veins with C2 or C3 disease. Vasc. Surg. Venous Lymphat. Disord., 4 (1), 45-50.

Hye Young Woo, Suh Min Kim, Daehwan Kim (2019). Jung corresponding author. Outcome of Closure FAST radiofrequency ablation for large-diameter incompetent great saphenousvein. Ann. Surg. Treat. Res., 96 (6), 313-318.

Cabrero Fernandez, M., Martinez Lopez, I., & Hernandez Mateo (2017). Prospective study of safety and effectiveness in the use of radiofrequency ablationfor incompetent greatsaphenous vein ≥12 mm. J. Vasc. Surg. Venous. Lymphat. Disord., 5, 810-816.

Winokur, R.S., Khilnani, N.M., & Min, R.J. (2015). Recurrence patterns after end ovenous laser treatment of saphenousvein reflux. Phlebology, 31 (7), 496-500.

Theivacumar, N.S, Darwood, R.J, & Gough, M.J. (2009). Endovenous laserablation (EVLA) of the anterior accessory greatsaphenous vein (AAGSV): abolition of sapheno-femoral reflux with preservation of the great saphenousvein. Eur. J. Vasc. Endovasc. Surg., 37 (4), 477-481.

Proebstle, T.M., & Mohler, T.A. (2015). Longitudinal single- center cohort study on the prevalence and risk of accessory saphenous vein reflux after radiofrequency segmental thermal ablation of greatsaphenous veins. J. Vasc. Surg. Venous Lymphat. Disord., 3 (3), 265-269.

Laredo, J., Lee, B.B., & Neville, R.F. (2010). Endovenous thermal ablation of the anterior accessory great saphenous vein. Varicose vein interventions. Endovascular Today, 36-39.

Spiliopoulos, S., Theodosiadou, V., & Sotiriadi, A. (2015). Endovenous ablation of incompetent truncalveinsand their perforators with a new radiofrequency system. Midtermoutcomes. Vascular, 23 (6), 592-598.

Krnic, A., & Sucic, Z. (2011). Bipolar radiofrequency induced thermotherapy and 1064 nmNd: Yaglaserin endovenous occlusion of insufficient veins: short term follow up results. Vasa, (3), 235-240.

Garner, J.P, Heppell, P.S., & Leopold, P.W. (2003). The later alaccessory saphenous vein – a common cause of recurrent varicose veins. Ann. R. Coll. Surg. Engl., 85, 389-392.

Shin, S. Lee, B.B., & Deaton, D.H. (2009). Endovenous laser ablation of the anterior accessory greater saphenous vein. Presentedat: the Society for Military Vascular Surgery and Chesapeake Vascular Society 36th Annual Meeting. Bethesda, MD; December.

Published

2022-05-20

How to Cite

Sviderskyi, Y. Y., & Yakumchuk, O. A. (2022). The value of ultrasound diagnostics of the superficial veins of the lower Extremities in the performance of radiofrequent ablation in outpatient Conditions. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 26–31. https://doi.org/10.11603/2414-4533.2022.1.12914

Issue

Section

ORIGINAL INVESTIGATIONS