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KMID : 0371420231040030164
Annals of Surgical Treatment and Research
2023 Volume.104 No. 3 p.164 ~ p.169
Endovenous radiofrequency ablation using a new bipolar electrode in a canine model: a new endovenous radiofrequency electrode
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
Abstract
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).
KEYWORD
Canine model, Endovenous ablation, New electrode, Radiofrequency
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