PMID- 20116207
OWN - NLM
STAT- MEDLINE
DCOM- 20100528
LR  - 20220408
IS  - 1615-5947 (Electronic)
IS  - 0890-5096 (Linking)
VI  - 24
IP  - 3
DP  - 2010 Apr
TI  - Radiofrequency-powered segmental thermal obliteration carried out with the 
      ClosureFast procedure: results at 1 year.
PG  - 360-6
LID - 10.1016/j.avsg.2009.09.019 [doi]
AB  - This prospective and multicenter study shows the results at 1 year of 
      radiofrequency-powered segmental thermal obliteration (RSTO) carried out with the 
      ClosureFast procedure. The RSTO clinical and duplex ultrasound imaging results 
      were evaluated at 3 days, 3 months, 6 months, and 1 year. All procedures were 
      carried out on outpatients under tumescent local anesthesia. Among the 295 
      members who were treated, 289 were reexamined at 3 days, 290 at 3 months, 289 at 
      6 months, and 220 at 1 year. Occlusion scores were 99.7%, 99.3%, 98.6%, and 96.9% 
      at, respectively, 3 days, 3 months, 6 months, and 1 year. At 3 cm below the 
      saphenofemoral junction, before the procedure, the greater saphenous vein (GSV) 
      diameter was 5.4+/-2 mm (range 2-18). It decreased to 4.5+/-1.7 mm at 3 days, 
      2.4+/-1.5 mm at 6 months, and 1.3+/-0.9 mm at 1 year. In members reexamined at 1 
      year, the decrease in diameter of the treated vein compared with the 
      preprocedural measurement was 79% (p<0.001, t-test). At 1 year, in 58% of the 
      cases, duplex ultrasound imaging at mid-thigh level could not show the GSV trunk. 
      Preprocedural pain that was present in 57.5% of the cases decreased to 10.8% of 
      the cases at 3 days and 2% of the cases at 1 year (p<0.001, chi2 test). Among the 
      treated limbs, 70.1% did not present with any postprocedural pain at any time of 
      the follow-up. On the third day, the patients evaluated the mean pain intensity 
      at 0.7+/-1.6 on a visual analog scale of 0-10. During the follow-up, no painful 
      indurations were noticed in 67.7% of the legs. No thromboembolic complications 
      were reported. Paresthesias were observed in 3.4% of the cases. Invalidity 
      clinical score, evaluated at 3.9+/-2 before the procedure, decreased to 3.5+/-1.2 
      on the third day, 0.9+/-1.5 at 3 months, 0.7+/-1.2 at 6 months, and 0.5+/-1.1 at 
      1 year. This study confirms the efficacy of RSTO when using ClosureFast, which 
      allows obliteration of the GSV trunk in 97% of cases at 1 year with few side 
      effects and almost no postprocedural pain.
CI  - Copyright (c) 2010. Published by Elsevier Inc.
FAU - Creton, Denis
AU  - Creton D
AD  - Department of Vascular Surgery, Clinique Ambroise Pare, Nancy, France. 
      dcreton@veinsurg.com
FAU - Pichot, Olivier
AU  - Pichot O
FAU - Sessa, Carmine
AU  - Sessa C
FAU - Proebstle, T M
AU  - Proebstle TM
CN  - ClosureFast Europe Group
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
DEP - 20100129
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Catheter Ablation/adverse effects/instrumentation
MH  - Chi-Square Distribution
MH  - Chronic Disease
MH  - Equipment Design
MH  - Female
MH  - France
MH  - Germany
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pain Measurement
MH  - Pain, Postoperative/etiology
MH  - Paresthesia/etiology
MH  - Prospective Studies
MH  - Saphenous Vein/diagnostic imaging/*surgery
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ultrasonography, Doppler, Duplex
MH  - Varicose Veins/diagnostic imaging/*surgery
MH  - *Vascular Surgical Procedures/adverse effects/instrumentation
MH  - Venous Insufficiency/diagnostic imaging/*surgery
MH  - Young Adult
FIR - Creton, D
IR  - Creton D
FIR - Pichot, O
IR  - Pichot O
FIR - Sessa, C
IR  - Sessa C
FIR - Lebard, C
IR  - Lebard C
FIR - Proebstle, T M
IR  - Proebstle TM
FIR - Vago, B
IR  - Vago B
FIR - Alm, J
IR  - Alm J
FIR - Gockeritz, O
IR  - Gockeritz O
FIR - Wenzel, C
IR  - Wenzel C
FIR - Schmedt, C G
IR  - Schmedt CG
FIR - Noppeney, T
IR  - Noppeney T
EDAT- 2010/02/02 06:00
MHDA- 2010/05/29 06:00
CRDT- 2010/02/02 06:00
PHST- 2008/11/08 00:00 [received]
PHST- 2009/09/07 00:00 [revised]
PHST- 2009/09/10 00:00 [accepted]
PHST- 2010/02/02 06:00 [entrez]
PHST- 2010/02/02 06:00 [pubmed]
PHST- 2010/05/29 06:00 [medline]
AID - S0890-5096(09)00342-2 [pii]
AID - 10.1016/j.avsg.2009.09.019 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 2010 Apr;24(3):360-6. doi: 10.1016/j.avsg.2009.09.019. Epub 2010 
      Jan 29.