KMID : 0371420231040030164
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Annals of Surgical Treatment and Research 2023 Volume.104 No. 3 p.164 ~ p.169
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Endovenous radiofrequency ablation using a new bipolar electrode in a canine model: a new endovenous radiofrequency electrode
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Hwang Jin-Ho
Park Sang-Woo Min Jee-Young Yang Woo-Young Kwon Yong-Wonn Hwang Jae-Joon Kim Jun-Seok Lee Song-Am Chee Hyun-Keun
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Abstract
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Purpose : This study aimed to determine the effectiveness and safety of a newly developed endovenous radiofrequency (RF) catheter compared with that of the existing RF catheter in a canine model.
Methods : Seven dogs underwent ablation using 1 control catheter (ClosureFAST, CF; Covidien) and 1 experimental catheter (VENISTAR, VS; STARmed Co., Ltd.) in the femoral and cephalic veins. The ablated vein was evaluated macroscopically (2,3,5-triphenyltetrazolium chloride staining, TTC), microscopically (hematoxylin and eosin staining), and ultrasonographically. Vessel injury score was used to evaluate the ablating effect objectively. Veins from 1 dog were evaluated on the day of ablation, while in the remaining 6 dogs, the ablated veins were evaluated 2 weeks later.
Results : A total of 23 veins (CF, 11 veins; VS, 12 veins) were ablated in 7 dogs. Non?TTC-stained vein wall areas were identified in all ablated veins. No significant difference was observed in the mean vessel injury score (2.54 ¡¾ 1.16 vs. 2.42 ¡¾ 1.13, P = 0.656) and the mean vessel wall thickness (0.32 ¡¾ 0.03 mm vs. 0.31 ¡¾ 0.05 mm, P = 0.212) between CF and VS. There was no blood flow in all veins ablated with VS, whereas there was remaining blood flow in 1 vein ablated with CF. Perivenous complication was not observed.
Conclusion : Endovenous RF ablation using a newly developed VS RF catheter seems to provide comparable occlusion rate and degree of vein wall injury without perivenous adverse events compared to the most commonly used RF catheter (CF).
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KEYWORD
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Canine model, Endovenous ablation, New electrode, Radiofrequency
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