|
|
 |
 |
| |
 Version imprimable |
Radiofrequency induced thermotherapy (RFITT) of varicose veins compared to endovenous laser treatment (EVLT): a non-randomized prospective study concentrating on occlusion rates, side-effects and clinical outcome. |
European Journal of Dermatology. Volume 21, Numéro 6, 945-51, November-December 2011, Therapy
|
 Full Text
|
Auteur(s) : Jens P. Tesmann, Helmut Thierbach, Andrea Dietrich, Heiko Grimme, Thomas Vogt, Knuth Rass |
Résumé :
Background:
Radiofrequency obliteration (RFO) and endovenous laser treatment (EVLT) are established techniques in varicose therapy. A novel bipolar RFO technique – Radiofrequency Induced Thermotherapy (RFITT) – was introduced in 2007. Comparative studies of RFITT and EVLT with one year follow-up are missing.
Objective: Comparison of RFITT with EVLT concentrating on occlusion, side-effects, and patients’ satisfaction in a prospective non-randomized study.
Methods:
133 patients with incompetent GSV or SSV were treated by RFITT (n\=66) or EVLT (n\=67). Follow-up at days 1, 7, and months 3, 12 included duplex, digital photoplethysmography (DPPG), assessment of VCSS and patients’ satisfaction.
Results:
Both groups were balanced concerning clinical parameters. Occlusion rates were in trend in favour of EVLT (96.9%)
vs RFITT (88.9%), p\=0.093, at 12 months follow-up. Functional outcome by DPPG (refilling time: 30.8
vs 31.9 sec.), and side-effects were comparable apart from pain in the first postoperative week, which was more frequent in the EVLT group (0
vs 16.4%, p\=0.001). Change in VCSS from baseline was advantageous for EVLT (89.9%
vs 79.3%, p\=0.005). Major complications did not occur. Both techniques provided excellent satisfaction results.
Conclusion: After one year RFITT is similarly as effective and safe as EVLT treatment of varicose insufficiency, but needs improvement in treatment parameters. |
Mots-clés : |
|
