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KMID : 0364020090420020238
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 2 p.238 ~ p.243
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The Early Results of Endovenous Radiofrequency Ablation Using the 7 Fr. VNUS ClosureFAST® System in Varicose Veins
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Ryu Sang-Woo
Yun Ju-Sik
Oh Hye-Ryung
Kim Mi-Kyung
Hong Seong-Beom
Moon Seung-Ho
Chekar Jay-Key
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Abstract
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Background: Radiofrequency obliteration and endovenous laser therapy of the greater saphenous vein have recently been introduced as alternative, minimally invasive techniques for the treatment of saphenous vein incompetence. The 7 Fr. VNUS ClosureFAST® radiofrequency obliteration system was introduced in Gwang-Ju Veterans hospital. The purpose of this study is to evaluate the efficacy and complications of radiofrequency obliteration using the 7 Fr. VNUS ClosureFAST? system.
Material and Method: Between May 2, 2007 and May 31, 2008, we performed radiofrequency obliteration on 90 patients. The number of males was 67 and their mean age was 57.9±11.0 (range: 23∼78) years old. The patients underwent follow up exams at 3 weeks after the procedures and then every 3 months. The effects of treatment and the complications were reviewed.
Result: The postoperative complications were ecchymosis (94.4%), pain (27.8%), paresthesia (25.6%), bullous formation (8.9%), edema (6.7%) and phlebitis (2.2%). One patient showed good blood flow after 3 weeks and one patient showed good blood flow after 3 months. The one-year success rate of radiofrequency obliteration in varicose veins was 97.6%.
Conclusion: Our data showed acceptable operative results and short-term clinical results for treating varicose veins with radio frequency obliteration. Long-term follow-up and comparison of radio frequency obliteration with high ligation and stripping, previous radiofrequency ablation and endovenous laser therapy are needed in the future.
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KEYWORD
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Veins, Radiofrequency, Varicose veins
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