Comparison of day surgery between varicose veins with and without superficial venous thrombosis below knee: a propensity score-matched analysis

BMC Cardiovascular Disorders

Research

Kai Huang¹  Junmeng Zheng¹  Jiatang Xu¹  Xiaolin Xu²  Jing Tian²  Xianghui Luo³  Minyi Huang³  Zuqi Xia⁴ 

[1] Department of Cardiovascular Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Haizhu District, No.33, Yingfeng Road, 510000, Guangzhou, Guangdong Province, China;Zhongshan School of Medicine, Sun Yat-Sen University, No.58, Zhongshan Rd.2, 510080, Guangzhou, Guangdong Province, China;Department of Ultrasound, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Haizhu District, No.33, Yingfeng Road, 510000, Guangzhou, Guangdong Province, China;Operating Theatre, Sun Yat-Sen University, No.58, Zhongshan Rd.2, 510080, Guangzhou, Guangdong Province, China;Zhongshan School of Medicine, Sun Yat-Sen University, No.58, Zhongshan Rd.2, 510080, Guangzhou, Guangdong Province, China;

关键词: Varicose veins;    Day surgery;    Superficial venous thrombosis;    Propensity score matching;   

DOI  :  10.1186/s12872-023-03398-2

 received in 2023-02-25, accepted in 2023-07-14,  发布年份 2023

来源: Springer

【 摘 要 】

ObjectivesDevelopment of endovenous treatment and sclerotherapy technology makes it feasible for clinicians to treat varicose veins (VV) through day surgery (DS). Superficial venous thrombosis (SVT) of lower extremities is a common complication of VV. This study aimed to investigate whether the existence of SVT below knee affect the safety and efficacy of DS for VV patients.MethodsThis is a single-center retrospective study. Clinical data of 593 VV patients was retrospectively analyzed. Raw data were matched by the using of propensity score matching model. Operation time, technical failure, postoperative DVT, skin burns, saphenous nerve injury, subcutaneous induration, and bleeding were compared between the groups. Also, we compared VV recurrence, SVT formation, DVT events and the change of VCSS score with 12 months.ResultsFifty-nine patients complicated with SVT below knee were matched with 118 patients had VV only. Perioperative and follow-up outcomes were similar in both groups except for the number of incisions (median = 6 [5, 7] VS median = 4 [4, 5], P < 0.001). Both groups experienced a great decrease in VCSS score.ConclusionWe systematically compared the clinical outcomes of DS in VV patients. Our results indicate DS is safe and effective for patients with VV, whether accompanied by SVT below the knee.Trial registrationThe ClinicalTrials.gov identifier for this trial is NCT05380895 (retrospectively registered).

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

【 图 表 】

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