Endovascular Ablation Therapies for Varicose Veins in Elderly Patients
Background: Varicose veins are a common vascular disease in elderly patients. Both endovascular laser ablation (EVLA) and radiofrequency ablation (RFA) are reported to have good technical, clinical, and patient-reported outcomes for the treatment of varicose veins. We did not find any reports on tre...
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| Format: | Article |
| Language: | English |
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Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)
2014-12-01
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| Series: | International Journal of Gerontology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1873959814000945 |
| _version_ | 1811256602724925440 |
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| author | Hung-Bun Lam Li-Fen Chao |
| author_facet | Hung-Bun Lam Li-Fen Chao |
| author_sort | Hung-Bun Lam |
| collection | DOAJ |
| description | Background: Varicose veins are a common vascular disease in elderly patients. Both endovascular laser ablation (EVLA) and radiofrequency ablation (RFA) are reported to have good technical, clinical, and patient-reported outcomes for the treatment of varicose veins. We did not find any reports on treating elderly patients with endovascular ablation procedures in the literature. The aim of this study was to determine whether endovenous thermal ablation techniques are safe and effective in treating elderly patients with varicose veins.
Method: A retrospective analysis of 57 EVLA cases and 46 RFA cases was conducted at a single center. Patients in the 65–88-year age group were assessed for postoperative pain, hematoma, thrombophlebitis, hyperpigmentation, wound infection, and skin burn.
Results: Minor complications identified in the studied patients were hematoma (2.9%), thrombophlebitis (5.8%), hyperpigmentation (8.7%), wound infection (4.9%), and skin burn (1%). In the RFA group, 38 patients (83%) had no need for oral analgesic tablets on postoperative Day 3. In the EVLA group, 25 patients (44%) had no need for oral analgesic tablets on postoperative Day 3. Two patients in the EVLA group needed a secondary intervention due to recurrent vein issues. There were no major complications in either group.
Conclusion: The outcomes for our older patients who underwent endovascular ablation therapy were comparable to other studies performed with the general population. Our results show that both EVLA and RFA are feasible, safe, and well-tolerated by elderly patients. |
| first_indexed | 2024-04-12T17:43:47Z |
| format | Article |
| id | doaj.art-dab463cb10a348768db3bb5bd2c4cb94 |
| institution | Directory Open Access Journal |
| issn | 1873-9598 |
| language | English |
| last_indexed | 2024-04-12T17:43:47Z |
| publishDate | 2014-12-01 |
| publisher | Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) |
| record_format | Article |
| series | International Journal of Gerontology |
| spelling | doaj.art-dab463cb10a348768db3bb5bd2c4cb942022-12-22T03:22:44ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982014-12-018421922210.1016/j.ijge.2014.01.004Endovascular Ablation Therapies for Varicose Veins in Elderly PatientsHung-Bun Lam0Li-Fen Chao1Division of General Surgery, Department of General Surgery, Mackay Memorial Hospital, Taipei, TaiwanDepartment of Nursing, Chronic Diseases and Health Promotion Research Center, Chang Gung University of Science and Technology, Taoyuan, TaiwanBackground: Varicose veins are a common vascular disease in elderly patients. Both endovascular laser ablation (EVLA) and radiofrequency ablation (RFA) are reported to have good technical, clinical, and patient-reported outcomes for the treatment of varicose veins. We did not find any reports on treating elderly patients with endovascular ablation procedures in the literature. The aim of this study was to determine whether endovenous thermal ablation techniques are safe and effective in treating elderly patients with varicose veins. Method: A retrospective analysis of 57 EVLA cases and 46 RFA cases was conducted at a single center. Patients in the 65–88-year age group were assessed for postoperative pain, hematoma, thrombophlebitis, hyperpigmentation, wound infection, and skin burn. Results: Minor complications identified in the studied patients were hematoma (2.9%), thrombophlebitis (5.8%), hyperpigmentation (8.7%), wound infection (4.9%), and skin burn (1%). In the RFA group, 38 patients (83%) had no need for oral analgesic tablets on postoperative Day 3. In the EVLA group, 25 patients (44%) had no need for oral analgesic tablets on postoperative Day 3. Two patients in the EVLA group needed a secondary intervention due to recurrent vein issues. There were no major complications in either group. Conclusion: The outcomes for our older patients who underwent endovascular ablation therapy were comparable to other studies performed with the general population. Our results show that both EVLA and RFA are feasible, safe, and well-tolerated by elderly patients.http://www.sciencedirect.com/science/article/pii/S1873959814000945elderly patientsendovascular ablation therapyendovascular laser ablationradiofrequency ablationvaricose veins |
| spellingShingle | Hung-Bun Lam Li-Fen Chao Endovascular Ablation Therapies for Varicose Veins in Elderly Patients International Journal of Gerontology elderly patients endovascular ablation therapy endovascular laser ablation radiofrequency ablation varicose veins |
| title | Endovascular Ablation Therapies for Varicose Veins in Elderly Patients |
| title_full | Endovascular Ablation Therapies for Varicose Veins in Elderly Patients |
| title_fullStr | Endovascular Ablation Therapies for Varicose Veins in Elderly Patients |
| title_full_unstemmed | Endovascular Ablation Therapies for Varicose Veins in Elderly Patients |
| title_short | Endovascular Ablation Therapies for Varicose Veins in Elderly Patients |
| title_sort | endovascular ablation therapies for varicose veins in elderly patients |
| topic | elderly patients endovascular ablation therapy endovascular laser ablation radiofrequency ablation varicose veins |
| url | http://www.sciencedirect.com/science/article/pii/S1873959814000945 |
| work_keys_str_mv | AT hungbunlam endovascularablationtherapiesforvaricoseveinsinelderlypatients AT lifenchao endovascularablationtherapiesforvaricoseveinsinelderlypatients |