Effectiveness of internal compression therapy in primary safen vein failure

Aim: The aim of this study is to evaluate the effectiveness of internal compression therapy (ICT), a new technique used in the treatment of chronic venous insufficiency (CVI), and to share the early results. Material and Method: Between September 2018 and June 2019, 27 patients with superficial venous insufficiency due to saphenofemoral junction (SFJ) insufficiency and who underwent ICT were included in the study. Demographic data, venous color doppler ultrasonography (RDUS) results, CEAP (clinical etiology, anatomy, pathophysiology) classification, venous clinical severity score (VCSS) and visual analog scale (VAS) results were retrospectively analyzed from the files of the patients. Results: It was determined that 14 of the 27 patients were female and 13 were male in the study. While the mean CEAP classification scores were 3.9±0.5 before the procedure, it was 2.3±0.7 at the 3rd month after the procedure (p

Keywords:

Vena saphenous magna venous insufficiency, internal compression therapy,

PDF

___

Ross DS. Venous stasis ulcers: a review. Northeast Florida Medicine 2012; 63: 29-51.
Bolat A, Gültekin Y. Vena safena magnanın anatomik varyasyonu derin ven trombozu için bir risk faktörü müdür? KÜ Tıp Fak Derg 2021; 23: 343-50.
Allan PL, Bradbury AW, Evans CJ, et al. Patterns of refluxandseverity of varicoseveins in the general population--Edinburgh VeinStudy. Eur J Vasc Endovasc Surg 2000; 20: 470-7
Eroglu E, Yasim A. A Randomised clinical trial comparing n-butyl cyanoacrylate, radiofrequency ablation and endovenous laser ablation for the treatment of superficial venous incompetence: two year follow up results. Eur J Vasc Endovasc Surg 2018; 56: 553-60.
Nicolaides AN, Allegra C, Bergan J, et al. Management of chronic venous disorders of the lower limbs: Guidlines according to scientific evidence. International Angiology 2008; 27: 1–59.
Burnand KG. The physiology and hemodynamics of chronic venous insufficiency of the lower limb. In: Gloviczki P, Yao JS (eds). Handbook of Venous Disorders. 2nd ed. New York, NY: Arnold; 2001: 49-57.
Pappas PJ, Durán WN, Hobson RW. Pathology and cellular physiology of chronic venous insufficiency. In: Gloviczki P, YaoJS, eds. Handbook of Venous Disorders. 2nd ed. New York, NY: Arnold; 2001: 58-67.
Gschwandtner ME, Ehringer H. Microcirculation in chronic venous insufficiency. Vasc Med 2001; 6: 169-79.
Puggioni A, Kalra M, Carmo M, Mozes G, Gloviczki P. Endovenous laser therapy and radio frequency ablation of the great saphenous vein: analysis of early efficacy and complications. J Vasc Surg 2005; 42: 488-93.
Santler B, Goerge T. Chronic venous insufficiency - a review of pathophysiology, diagnosis, and treatment. J Dtsch Dermatol Ges 2017; 15: 538-56.
Hafız E, Şen E. A new application of external valvuloplasty using interventional injection of N-butyl cyanoacrylate for malfunctioning venous valves. J Surg Med 2020; 4: 775-8.
Yavuz T, Acar, Yavuz K, Ekingen E. A Retrospective study of deep vein insufciency treatment device: ICT. Ann Vasc Dis 2020; 3: 255–60.
Lane RJ, Cuzzilla ML, Coroneos JC. The treatment of varicose veins with external stenting to the saphenofemoral junction. Vasc Endovascular Surg 2002; 36: 179-92.
Eroğlu E, Yasim A, Arı M, et al. Mid-term results in the treatment of varicose veins with n-butyl cyanoacrylate. Phlebology. J Venous Dis 2017; 32: 665-9.
Labropoulos N, Tiongson J, Pryor L, et al. Definition of venous reflux in lowerextremity veins. J Vasc Surg 2003; 38: 793-8.
Duran E. Kalp ve Damar Cerrahisi, 1st ed.. İstanbul, Çapa Tıp Kitabevi; 2004.
Padberg FT Jr. CEAP classification for chronic venous disease. Dis Mon. 2005; 51: 176–82.
Gracely RH. Methods of testing pain mechanisms in normal man. In: Wall RD, Melzack R (eds). Textbook of Pain. 2nd ed. Singapore: Churchill Livingstone; 1989:257-69.
Kakkos SK, Rivera MA, Matsagas MI, et al. Validation of the new venous severity scoring system in varicose vein surgery. J Vasc Surg 2003; 38: 224-8.
Muhlberger D, Brenner E, Brockhoff H, et al. External valvuloplasty of the saphenofemoral junction in insufficient great saphenous veins - six weeks results of a prospective multicentre trial. Vasa 2020; 49: 411-7.
Camilli D, Platone A, Ruggeri M, et al. Use of a novel device in reconstructive venous surgery: preliminary results. Int J Angiol 2020; 29: 245-9.
Yavuz T, Acar AN, Yavuz K, Ekingen E. A retrospective study of deep vein insufficiencyt treatment device: ICT. Ann Vasc Dis Vol 2020; 13: 1-6.
Geier B, Voigt I, Marpe B, et al. External valvuloplasty in the treatment of greater saphenous vein insufficiency: a five year follow up. Phlebology 2003; 18: 137-42.
Saraç A, Talay S, Özkan M. İzole büyük safen ven yetmezliğinde eksternal valvüloplasti uygulaması ve uzun dönem sonuçlarımız. Turk J Vasc Surg 2012; 21: 175-80.
Mulhlberger D, Brenner E, Frings N, et al. Functional repair of the great saphenous vein by external valvuloplasty reduces the vein’s diameter: 6-month results of a multicentre study. J Int Med Research 2020; 49: 1-9.
Geier B, Voigt I, Marpe B. External valvuloplasty in the treatment of greater saphenous vein insufficiency: A five-year follow up. Phlebology 2003; 18: 137-42.
Joh JH, Lee KB, Yun WS, Lee BB, Kim YW, Kim DI. External banding valvuloplasty for incompetence of the great saphenous vein:10 year results. Int J Angiol 2009; 18: 25-8
Gunaydin S, Budak AB, Gunertem OE, Ozisik K. Midterm clinical outcome of minimally ınvasive vein-restoring treatment method for chronic venous ınsufficiency. J Vasc Surg 2018; 68: 160-1.
Beebe-Dimmer JL, Pfeifer JR, Engle JS, Schottenfeld D. Theepidemiology of chronic venous insufficiency and varicose veins. AnnEpidemiol 2005; 15: 175-84.
Eroğlu E, Acıpayam M. As a New method for treatment of venous insuffciency; vein restoration treatment (Vrt). KSU Med J 2020; 15: 11-5.
Chiesa R, Marone EM, Limoni C et al. Chronic venous insufficiency in Italy: the 24-cities cohort study. Eur J Vasc Endovasc Surg 2005; 30: 422-9.
Gücü A, Erdolu B, Ay D, et al. The Evaluation of patient satisfaction with visual analog scale after treatment of varicosities with endovenous laser ablation: case series. Turk J Vasc Surg 2014; 23: 29-33.
Bademci MŞ, Kocaaslan C, Aldağ M, Öztekin A, Denli Yalvaç EŞ, Aydın E. Evaluation of early patient satisfaction with visual analogue scale in the treatment of isolated great saphenous vein insufficiency with n-butyl cyanoacrylate ablation. Medeniyet Med J 2018; 33: 212-7.