A Comparison of NBCA and RFA in Treating Varicose Veins in the Same Patient
Journal Title: E Journal of Cardiovascular Medicine - Year 2020, Vol 8, Issue 1
Abstract
Objectives: To compare N-butyl cyanoacrylate (NBCA) and radiofrequency ablation (RFA) in same patients with bilateral superficial venous insufficiency. Materials and Methods: Sixty patients diagnosed with bilateral saphenous vein insufficiency between January 2017 and December 2018 were enrolled. Individuals with a saphenous vein diameter smaller than 5.5 mm at the saphenofemoral junction were excluded. The Clinical Severity, Etiology, Anatomy and Pathophysiology classification system was applied preoperatively. Venous clinical severity score values yielded by scoring preoperative clinical symptoms and findings were recorded. NBCA or RFA was applied to one leg, and the other procedure, either RFA or NBCA, was applied to the contralateral extremity. Results: Minor complications observed with NBCA and RFA included induration at 20.7% and 31.0%, ecchymosis at 31.0% and 51.7%, and edema at 27.6% and 65.5%, respectively. The recanalization rate in the NBCA group was 6.8%, while no recanalization was observed in the legs undergoing RFA. Patient satisfaction rates were 51.7% for NBCA and 31.0% for RFA, while 17.2% of patients were satisfied with both. Times to return to daily activity were 0.9 days in the NBCA group and 1.3 days in the RFA group. No statistically significant difference was observed between the groups in terms of procedural or postoperative pain. However, less pain was reported in the NBCA group in both periods (p<0.02). Conclusion: NBCA may offer various advantages over RFA.
Authors and Affiliations
Orhan Bozoğlan
Keywords
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- EP ID EP685158
- DOI 10.32596/ejcm.galenos.2020.02.09
- Views 169
- Downloads 0
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