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Compression therapy after endovenous laser ablation: patient compliance and impact on clinical outcome

Objectives - This study aimed to investigate the impact of post-interventional compression therapy on clinical outcomes after endovenous laser ablation (EVLA) of incompetent saphenous veins. - Methods - This prospective, controlled, multicenter study in Germany involved 493 varicose vein patients fo...

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Main Authors: Dietrich, Carmen (Author) , Stücker, Markus (Author) , Hartmann, Karsten (Author) , Hirsch, Tobias (Author) , Mattausch, Thomas (Author) , Wenzel, Hans-Christian (Author) , Zollmann, Philipp (Author) , Veltman, Jürgen (Author) , Weiler, Thomas K (Author) , Lengfellner, Guido (Author) , Müller, Lars (Author) , Pannier-Fischer, Felizitas Maria (Author) , Cussigh, Christiane (Author) , Uhlmann, Lorenz (Author) , Müller-Christmann, Christine (Author)
Format: Article (Journal)
Language:English
Published: may 7, 2024
In: Phlebology
Year: 2024, Volume: 39, Issue: 7, Pages: 477-487
ISSN:1758-1125
DOI:10.1177/02683555241249222
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1177/02683555241249222
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Author Notes:Carmen K Dietrich, Markus Stucker, Karsten Hartmann, Tobias Hirsch, Thomas Mattausch, Hans-Christian Wenzel, Philipp Zollmann, Jürgen Veltman, Thomas K Weiler, Guido Lengfellner, Lars Müller, Felizitas Pannier, Christiane Cussigh, Lorenz Uhlmann, Christine Müller-Christmann
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Summary:Objectives - This study aimed to investigate the impact of post-interventional compression therapy on clinical outcomes after endovenous laser ablation (EVLA) of incompetent saphenous veins. - Methods - This prospective, controlled, multicenter study in Germany involved 493 varicose vein patients followed-up for 6 months. - Results - Compression therapy significantly reduced symptoms compared to no compression (VCSS: 1.4 ± 1.6 vs 2.2 ± 2.2; p = .007). Post-interventional therapy duration of up to 14 days was found to be most effective for improving patient-reported disease severity (p < .001) and higher quality of life (p = .001). Patient compliance was high (82%), and non-compliance was linked to worse disease severity (VCSS 1.4 ± 1.5 vs 2.1 ± 2.3, p = .009). - Conclusion - In conclusion, post-interventional compression therapy is beneficial by reducing symptoms and improving quality of life. High patient compliance with the therapy is observed, and non-compliance is associated with worse disease severity.
Item Description:Gesehen am 11.09.2024
Physical Description:Online Resource
ISSN:1758-1125
DOI:10.1177/02683555241249222

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