DIAMETER OF THE PROXIMAL SEGMENT OF THE GREAT SAPHENOUS VEIN AS A RISK FACTOR FOR RECURRENCE OF VARICOSE VEINS IN THE LOWER EXTREMITIES AFTER ENDOVENOUS LASER ABLATION
Journal Title: International scientific journal Science and Innovation - Year 2024, Vol 3, Issue 12
Abstract
The aim of this article is to evaluate the impact of the diameter of the proximal segment of the great saphenous vein (GSV) on the risk of varicose vein recurrence in the lower extremities after endovenous laser obliteration (EVLO). The study examines the correlation between the recurrence rate of varicose veins after EVLO of the GSV and the maximum vein diameter in the sapheno-femoral junction (SFJ) region at the time of the initial intervention. The study involved 304 patients with varicose veins in the lower extremities. All participants underwent EVLO to prevent chronic venous insufficiency (CVI) and related complications. Patients were randomly divided into two groups. The first group included 43 patients with a GSV diameter at the SFJ of less than 12 mm, while the second group consisted of 261 patients with a diameter greater than 12 mm. Recurrences of varicose disease were identified in 105 patients, with recanalization and the formation of a long GSV stump being the primary cause in 92 cases. In the group with a GSV diameter greater than 12 mm, recurrences were observed in 44.2% of participants, compared to 33% in the group with a diameter less than 12 mm—a difference of 11.2%. Statistical analysis demonstrated a significant difference between the groups (χ² = 8.545, p = 0.004). Patients with a larger diameter of the proximal GSV segment have a higher risk of recurrence due to a greater propensity for recanalization.
Authors and Affiliations
Suyumov A. S. , Umarov F. R. , Norkulov A. A.
Keywords
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- EP ID EP760207
- DOI 10.5281/zenodo.14583925
- Views 28
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