Journal of Vascular Surgery
Volume 42, Issue 3 , Pages 502-509 , September 2005

Long-term outcomes of endovenous radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency

Presented at the Seventeenth Annual Meeting of the American Venous Forum, San Diego, Calif, Feb 9-13, 2005.

  • Robert F. Merchant, MD

      Affiliations

    • The RenoVein Clinic
    • Corresponding Author InformationReprint requests: Robert F. Merchant, MD, The Reno Vein Clinic, 1420 Holcomb Avenue, Ste A, Reno, NV 89502
    • ,
  • Olivier Pichot, MD

      Affiliations

    • Vascular Medicine Division, CHU de Grenoble
    • ,
  • Closure Study Group

Received 11 February 2005 ,Accepted 1 May 2005.

  • Image Result

    On the left, a duplex ultrasound image of the area near the saphenofemoral junction 1 week after radiofrequency obliteration of the great saphenous vein (GSV). The image on the right was recorded at t

    On the left, a duplex ultrasound image of the area near the saphenofemoral junction 1 week after radiofrequency obliteration of the great saphenous vein (GSV). The image on the right was recorded at the 5-year follow-up. Transverse views of patent tributaries (Trib) are seen. There are no longer any discernible landmarks for the GSV, Epi, Superficial epigastric vein; FE, femoral vein. (Images courtesy of Olivier Pichot, MD)

  • Image Result
    The the types of anatomical failure are illustrated in the panels (left to right). A, Type I, great saphenous vein (GSV) failure to completely occlude, with or without reflux present. B and C, Type II

    The the types of anatomical failure are illustrated in the panels (left to right). A, Type I, great saphenous vein (GSV) failure to completely occlude, with or without reflux present. B and C, Type II, partially recanalized GSV. D, Type III, the treated GSV is occluded, but reflux is present involving branches near the saphenofemoral junction (SFJ). CFV, Common femoral vein.

  • Image Result
    As a measure of symptom relief following treatment, presence or absence of limb pain, fatigue or edema was recorded.

    As a measure of symptom relief following treatment, presence or absence of limb pain, fatigue or edema was recorded.

  • Image Result
    Limbs that were asymptomatic at each time point for limb pain, fatigue, or edema were separated into two groups: those for which treatment was categorized as successful and those categorized as anatom

    Limbs that were asymptomatic at each time point for limb pain, fatigue, or edema were separated into two groups: those for which treatment was categorized as successful and those categorized as anatomical failure.

  • Image Result
    Percentages of limbs presenting with CEAP clinical classification 0 to 1.

    Percentages of limbs presenting with CEAP clinical classification 0 to 1.

 Competition of interest: R.F.M. has been paid a consulting fee as a member of the advisory board for VNUS Medical Technologies, Inc, owns shares in the company, is on its speakers bureau, and receives a stipend when providing educational opportunities for physicians. O.L. has been paid consulting fees for VNUS Medical Technologies, Inc. VNUS Medical Technologies, Inc, designed the original data collection forms, collected the data forms from the registry centers, arranged for statistical analysis as needed, assisted in the technical aspects of manuscript preparation, and provided nominal funds to assist in defraying physicians’ costs associated with collection of long-term data including follow-up ultrasound studies. R.F.M. reviewed the data personally, and the decision to submit the manuscript was made by the authors.

PII: S0741-5214(05)00758-5

doi: 10.1016/j.jvs.2005.05.007

Journal of Vascular Surgery
Volume 42, Issue 3 , Pages 502-509 , September 2005

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