Source CX 2017
Primary patency is significantly better with open but not secondary ones.
There are risk factors that make endo prone to failure ..
VeClose trial comparing adhesive vs. RFA treatment
Source: CX 2017
108 Pts had veClose vs 114 had RFA
No difference in pain even without tumescent in adhesive. Less bruising found in adhesive vs RFA.
Complete occlusion 99% in adhesive vs 94% in 3 months, then after 33 months 91% in RFA vs 94% in adhesives
Quality of life is not different however.
Results presented by Kathleen Gibson from Bellevue USA
COMETA trial shows better pain score and reduced bruise but similar quality of life
Source: CX 2017
This Trial showed that using stockings for one week following thermal ablation of veins have better outcome in general.
ATTRACT trial for DVT showing no benefit from thrombolysis
Source: Charing Cross vasc symposium April2017
This trial was presented only and not published yet; but the results shown shows more bleeding (1.6% vs 0.3% in control) and more bleeding episodes (4.5% vs 1.7% in control). No fatal consequences noted.
Long term results: 46.7% from interventional arm had post thrombotic syndrome vs 48.2% in control
Both iliofemoral and fenoropopliteal DVTs were included.