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Endovascular reflux-elimination of perforating veins by RFITT and foam sclerotherapy

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dc.title Endovascular reflux-elimination of perforating veins by RFITT and foam sclerotherapy en
dc.contributor.author Hnátek, Lukáš
dc.contributor.author Duben, Jiří
dc.contributor.author Gatěk, Jiří
dc.contributor.author Sáha, Tomáš
dc.contributor.author Hnátková, Gabriela
dc.relation.ispartof Phlebologie
dc.identifier.issn 0939-978X Scopus Sources, Sherpa/RoMEO, JCR
dc.date.issued 2015
utb.relation.volume 44
utb.relation.issue 1
dc.citation.spage 13
dc.citation.epage 17
dc.type article
dc.language.iso en
dc.publisher Schattauer GmbH
dc.identifier.doi 10.12687/phleb2217-1-2015
dc.relation.uri http://phlebo.schattauer.de/en/contents/archive/issue/2180/manuscript/23999.html
dc.subject Perforating veins en
dc.subject RFITT en
dc.subject foam sclerotherapy en
dc.description.abstract Introduction: During the last years, many endovascular techniques have been developed in order to eliminate not only the reflux in stem veins but in perforating veins and their tributaries, too. Aim: The aim of this study was to use endo - vascular RFITT and the foam sclerotherapy for the occlusion of perforating veins as the prime source of reflux and their tributaries. Material and Methods: The Celon method was used for the thermal treatment. Polydocalon with the concentration 1% and 2% with DSS technique was used for the foam sclerotherapy. The RFITT was accomplished in 127 perforating veins in total. This group was divided into three subgroups. The first one consists of patients where only RFITT was carried out (n= 41), in the second, there were patients with RFITT realized with sclerotherapy during one session (n= 48), in the third, RFITT was completed with sclerotherapy in one month after the RFITT intervention (n= 38). The control group included perforating veins treated only with sclerotherapy (n= 81). The power setting 6W was used on the generator during the RFITT with Celon- ProSurge micro and 18W for usage of Celon ProCurve probe. Results: The effectiveness of the procedure in the group 1 was 8.8%, in the group two 93.7%, in the group three 92.1% and in the control group 76.5% in one year follow up. There was no significant difference between the effectiveness in groups 1, 2 and 3. The marginal difference was among all three groups with RFITT and the control group. Significant differences were in the parameter of the extinction of visible varicose veins with the reflux from perforators. The extinction was faster in group 3 than in group 2 and in the control group and the slowest was in group 1. The significant difference was observed between groups 2 and 3 compared with group 1 and the margin difference was between groups 2 and 3 compared with the control group. No significant difference was observed between groups 1 and the control group. Conclusions: All procedures are effective. The most important is the combination of RFITT and the sclerotherapy one month after thermal intervention. This is associated with a low risk of recanalization and the fastest extinction of visible varicose veins. en
utb.faculty University Institute
dc.identifier.uri http://hdl.handle.net/10563/1004164
utb.identifier.obdid 43873390
utb.identifier.scopus 2-s2.0-84923109934
utb.identifier.wok 000408805700002
utb.identifier.coden PHLBE
utb.source j-scopus
dc.date.accessioned 2015-04-13T14:06:58Z
dc.date.available 2015-04-13T14:06:58Z
utb.contributor.internalauthor Hnátek, Lukáš
utb.contributor.internalauthor Sáha, Tomáš
utb.wos.affiliation [Hnatek, L.; Hnatkova, G.] Angiocor SRO, Ctr Venous Disorders, Zlin, Czech Republic; [Hnatek, L.; Saha, T.] Tomas Bata Univ, Zlin, Czech Republic; [Duben, J.; Gatek, J.] Atlas Hosp, Dept Surg, Zlin, Czech Republic
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