Multiple Ambulatory Venous Procedures Do Not Increase Risk of Complications When Performed in a Single Session
Einstein Juma, MD, Ian Schlieder, DO, Matthew Cornacchia, David Mann, DO, Alexander Ostapenko, MD, Shawn Liechty, MD, Syed Rizvi, DO, Dahlia Plummer, MD, Alan Dietzek, MD.
Danbury hospital, Danbury, CT, USA.
OBJECTIVES Endovenous ablation has become the treatment of choice for symptomatic chronic venous disease. Literature for complications after multiple venous procedures in a single session is lacking. Thus, we sought to determine if there is an increased risk of complications including deep venous thrombosis (DVT) in this cohort. METHODS A retrospective data review was performed for patients between 2014-2018 who underwent outpatient venous procedures in our office. The patients were divided in two groups. Group A underwent radiofrequency ablation (RFA) plus additional RFA &/or phlebectomy, concomitantly. Group B only underwent RFA in a single session. Group B patients were selected randomly and matched with Group A for age, gender, race, pre-procedural comorbidities, CEAP and VCSS. RESULTS Of 317 Patients 66% were female. Group A had 157 patients. In addition to RFA, Group A had 78.1% of patients underwent second vein RFA, 14.2% stab/microphlebectomy, and 0.3% sclerotherapy in the single session. Risk of DVT was 1.26% and 0.32% for Group A and Group B, respectively (p=0.18). The risk of phlebitis was 3.15% and 2.84% for Group A and Group B, respectively (p=0.85). The risk of Infection was 0.95% and 0% for Group A and Group B, respectively (p=0.085). There were no post procedural hematomas or mortality in either group. CONCLUSIONS There was no difference in post procedural complications in patients who underwent single session RFA alone versus multiple ambulatory venous procedures. Therefore, performing multiple ambulatory venous procedures in a single setting is appropriate.
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