Adjuvant radiofrequency thermocoagulation improves the outcome of liquid sclerotherapy in the treatment of spider veins of the leg: A pilot study

dc.authoridDiken, Adem İlkay / 0000-0002-8782-7603
dc.authoridÖzyalçın, Sertan / 0000-0003-3390-3655
dc.authorwosidDiken, Adem İlkay / ABE-8722-2020
dc.authorwosidÖzyalçın, Sertan / AAS-8758-2021
dc.contributor.authorDiken, Adem İlkay
dc.contributor.authorAlemdaroğlu, Utku
dc.contributor.authorÖzyalçın, Sertan
dc.contributor.authorHafez, İzzet
dc.contributor.authorTünel, Hüseyin A.
dc.contributor.authorYalçınkaya, Adnan
dc.contributor.authorEcevit, Ata N.
dc.date.accessioned2021-11-01T15:05:56Z
dc.date.available2021-11-01T15:05:56Z
dc.date.issued2021
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractObjective This study evaluated the effect of low-energy radiofrequency thermocoagulation added to standard liquid sclerotherapy on clinical outcomes of patients with venous insufficiency. Patients and method We included 111 patients with spider veins CEAP/C1 stage. The patients were randomized into sclerotherapy (Group 1) and sclerotherapy + sclerotherapy immediately followed by low energy percutaneous RF thermocoagulation (Group 2) groups and followed up with same protocols prospectively. Results The study groups did not differ in terms of the mean age, body mass index, the number of spider veins and pre-interventional venous clinical severity scores (VCSS). Patients' self-assessed satisfaction ratings of cosmetic outcomes were found to be higher compared to the baseline (p = 0.001). While both techniques caused a significant decline in VCSS at postprocedural third month, it was observed that the type of applied intervention did not affect the VCSS (p = 0.43 and p = 0.93, respectively). There was a significant difference in hyperpigmentation and trapped blood between the two groups after the procedure (p = 0.009 and p = 0.02, respectively), there was no statistically significant difference in terms of skin necrosis (p = 0.52). A significant difference in the self-assessed cosmetic outcomes was observed in patients treated with sclerotherapy followed by low energy percutaneous RF thermocoagulation compared with patients whom sclerotherapy performed alone (p = 0.001). Discussion This study suggests that radiofrequency thermocoagulation added to the sclerotherapy provides better cosmetic outcomes with less treatment sessions and no additional complication rates.
dc.identifier.citationDiken, A. İ., Alemdaroğlu, U., Özyalçın, S., Hafez, İ., Tünel, H. A., Yalçınkaya, A., & Ecevit, A. N. (2021). Adjuvant radiofrequency thermocoagulation improves the outcome of liquid sclerotherapy in the treatment of spider veins of the leg: A pilot study. Phlebology, 02683555211006534.
dc.identifier.doi10.1177/02683555211006534
dc.identifier.endpage626en_US
dc.identifier.issn0268-3555
dc.identifier.issn1758-1125
dc.identifier.issue8en_US
dc.identifier.pmid33813962
dc.identifier.scopus2-s2.0-85103633308
dc.identifier.scopusqualityQ2
dc.identifier.startpage620en_US
dc.identifier.urihttps://doi.org/10.1177/02683555211006534
dc.identifier.urihttps://hdl.handle.net/11491/7445
dc.identifier.volume36en_US
dc.identifier.wosWOS:000637126200001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzyalçın, Sertan
dc.institutionauthorYalçınkaya, Adnan
dc.language.isoen
dc.publisherSage Publications Inc
dc.relation.ispartofPhlebology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSclerotherapyen_US
dc.subjectradiofrequencyen_US
dc.subjectspider veinen_US
dc.subjectvaricose veinen_US
dc.subjecttelengiectasisen_US
dc.titleAdjuvant radiofrequency thermocoagulation improves the outcome of liquid sclerotherapy in the treatment of spider veins of the leg: A pilot study
dc.typeArticle

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