| Radiofrequency endovenous ClosureFAST versus laser ablation for the treatment of great saphenous reflux: a multicenter, single-blinded, randomized study (RECOVERY study). | |
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MedLine Citation:
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PMID: 19395275 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The present study was designed to address the hypothesis that radiofrequency (RF) thermal ablation, as represented by the ClosureFAST system, is associated with improved recovery and quality-of-life (QOL) parameters compared with 980-nm endovenous laser (EVL) thermal ablation of the great saphenous vein (GSV). MATERIALS AND METHODS: Eighty-seven veins in 69 patients were randomized to ClosureFAST or 980-nm EVL treatment of the GSV. The study was prospective, randomized, single-blinded, and carried out at five American sites and one European site. Primary endpoints (postoperative pain, ecchymosis, tenderness, and adverse procedural sequelae) and secondary endpoints (venous clinical severity scores and QOL issues) were measured at 48 hours, 1 week, 2 weeks, and 1 month after treatment. RESULTS: All scores referable to pain, ecchymosis, and tenderness were statistically lower in the ClosureFAST group at 48 hours, 1 week, and 2 weeks. Minor complications were more prevalent in the EVL group (P = .0210); there were no major complications. Venous clinical severity scores and QOL measures were statistically lower in the ClosureFAST group at 48 hours, 1 week, and 2 weeks. CONCLUSIONS: RF thermal ablation was significantly superior to EVL as measured by a comprehensive array of postprocedural recovery and QOL parameters in a randomized prospective comparison between these two thermal ablation modalities for closure of the GSV. |
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Authors:
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Jose I Almeida; John Kaufman; Oliver G?ckeritz; Paramjit Chopra; Martin T Evans; Daniel F Hoheim; Raymond G Makhoul; Tim Richards; Christian Wenzel; Jeffrey K Raines |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2009-04-22 |
Journal Detail:
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Title: Journal of vascular and interventional radiology : JVIR Volume: 20 ISSN: 1535-7732 ISO Abbreviation: J Vasc Interv Radiol Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-25 Completed Date: 2009-08-05 Revised Date: 2010-02-12 |
Medline Journal Info:
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Nlm Unique ID: 9203369 Medline TA: J Vasc Interv Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 752-9 Citation Subset: IM |
Affiliation:
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Miami Vein Center, 1501 South Miami Avenue, Miami, FL 33129, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Catheter Ablation
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statistics & numerical data* Comorbidity Female Humans Laser Therapy / statistics & numerical data* Male Middle Aged Single-Blind Method Treatment Outcome United States / epidemiology Varicose Veins / epidemiology*, surgery* Venous Insufficiency / epidemiology*, surgery* |
| Comments/Corrections | |
Comment In:
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J Vasc Interv Radiol. 2010 Feb;21(2):302; author reply 302-3
[PMID:
20123215
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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