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首页> 外文期刊>Vascular and endovascular surgery >Vein mapping prior to endovenous catheter ablation of the great saphenous vein predicts risk of endovenous heat-induced thrombosis
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Vein mapping prior to endovenous catheter ablation of the great saphenous vein predicts risk of endovenous heat-induced thrombosis

机译：静脉导管消融大隐静脉之前的静脉测绘可预测静脉内热诱发血栓形成的风险

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摘要

Objective: We investigate the value of vein mapping for predicting the risk of endovenous heat-induced thrombosis (EHIT) after endovenous laser treatment (EVLT) and radiofrequency ablation (RFA) of the great saphenous vein (GSV). Methods: In all, 355 consecutive vein mappings were retrospectively analyzed. A generalized estimating equations approach to linear logistic regression was used to evaluate the variables. Results: Among the 312 vein ablation of the GSV, 10 (3.2%) developed EHIT. When comparing the group of patients who developed EHIT versus no EHIT, the mean GSV diameter was 13.05 ± 5.59 mm versus 8.39 ± 3.38 mm (odds ratio [OR]: 1.25, P =.001), the presence of valvular incompetence at the saphenofemoral junction (SFJ) was 10.71% versus 0.44% (OR: 27.75, P =.001), and 3.09% in RFA versus 3.33% in EVLT (OR: 1.09, P =.89). Conclusions: Patients with valvular insufficiency of the SFJ and a large proximal GSV diameter had a significantly higher risk of developing heat-induced thrombosis after endovenous catheter ablation.
机译：目的：我们探讨静脉图谱在预测大隐静脉（GSV）的静脉激光治疗（EVLT）和射频消融（RFA）后发生静脉热诱发血栓形成（EHIT）的风险中的价值。方法：回顾性分析355例连续静脉图。线性逻辑回归的广义估计方程方法用于评估变量。结果：在312例GSV消融术中，有10例（3.2％）发生了EHIT。当比较发生EHIT或未发生EHIT的患者组时，平均GSV直径为13.05±5.59 mm对8.39±3.38 mm（奇数比[OR]：1.25，P = .001），在隐股静脉处存在瓣膜功能不全结（SFJ）分别为10.71％和0.44％（OR：27.75，P = .001），RFA是3.09％，而EVLT是3.33％（OR：1.09，P = .89）。结论：SFJ瓣膜功能不全且近端GSV直径较大的患者在静脉导管消融后发生热致血栓形成的风险显着更高。

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