Publication:
Incidence, Risk Factors, Progression, and Treatment of Endovenous Heat-Induced Thrombosis Class 2 or Greater After Endovenous Radiofrequency Ablation

dc.contributor.authorNuttawut Sermsathanasawadien_US
dc.contributor.authorWacharaphong Pitaksantayothinen_US
dc.contributor.authorNattawut Puangpunngamen_US
dc.contributor.authorKhamin Chinsakchaien_US
dc.contributor.authorChumpol Wongwaniten_US
dc.contributor.authorPramook Mutiranguraen_US
dc.contributor.authorChanean Ruangsetakiten_US
dc.contributor.otherFaculty of Medicine, Siriraj Hospital, Mahidol Universityen_US
dc.date.accessioned2020-01-27T09:56:37Z
dc.date.available2020-01-27T09:56:37Z
dc.date.issued2019-04-01en_US
dc.description.abstractBACKGROUND: Endovenous heat-induced thrombosis (EHIT) is a thrombus that extends from an ablated saphenous vein into the common femoral vein after endovenous radiofrequency ablation (RFA). OBJECTIVE: To investigate the incidence, progression, treatment, and risk factors associated with EHIT-2 or greater after RFA. MATERIALS AND METHODS: This retrospective study included patients diagnosed with symptomatic superficial venous incompetence that were treated by RFA of the great saphenous vein or anterior accessory saphenous vein during the July 2012 to December 2016 study period. Duplex ultrasound scanning was performed at 1 week, 1 month, 3 months, and every year after RFA to detect EHIT. RESULTS: A total of 317 legs from 274 patients were included. The incidence of EHIT-2 or greater was 7.0%, including 5.4% EHIT-2, 1.3% EHIT-3, and 0.3% EHIT-4. No symptomatic pulmonary embolism was found. The independent risk factors for EHIT-2 or greater were vein diameter (p = .027) and concomitant sclerotherapy (p = .037). CONCLUSION: The risk factors found to be independently associated with EHIT-2 or greater were large vein size and concomitant sclerotherapy. Screening for EHIT should be performed in patients with one or both of these risk factors within 1 week after RFA and in patients with postoperative symptoms suggestive of venous thromboembolism.en_US
dc.identifier.citationDermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. Vol.45, No.4 (2019), 573-580en_US
dc.identifier.doi10.1097/DSS.0000000000001724en_US
dc.identifier.issn15244725en_US
dc.identifier.other2-s2.0-85064239207en_US
dc.identifier.urihttps://repository.li.mahidol.ac.th/handle/123456789/51742
dc.rightsMahidol Universityen_US
dc.rights.holderSCOPUSen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85064239207&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleIncidence, Risk Factors, Progression, and Treatment of Endovenous Heat-Induced Thrombosis Class 2 or Greater After Endovenous Radiofrequency Ablationen_US
dc.typeArticleen_US
dspace.entity.typePublication
mu.datasource.scopushttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85064239207&origin=inwarden_US

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