THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN

Anastasiia Glagolieva; Roman Gerashchenko; Andrii Kurmanskyi; Vladyslav Gorbovets; Sergii Savolyuk; Valentyn Khodos

doi:10.5114/hpc.2020.94100

eISSN: 2354-0265
ISSN: 2353-6942

Health Problems of Civilization Physical activity: diseases and issues recognized by the WHO

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abstract:

Original paper

THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN

Anastasiia Glagolieva

¹

,

Roman Gerashchenko

¹

,

Andrii Kurmanskyi

¹

,

Vladyslav Gorbovets

¹

,

Sergii Savolyuk

¹

,

Valentyn Khodos

¹

The P.L. Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine

Health Prob Civil. 2020; 14(2): 94-99.

DOI: https://doi.org/10.5114/hpc.2020.94100

Online publish date: 2020/04/22

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AMA

Glagolieva A, Gerashchenko R, Kurmanskyi A, Gorbovets V, Savolyuk S, Khodos V. THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN. Health Problems of Civilization. 2020;14(2):94-99. doi:10.5114/hpc.2020.94100.

APA

Glagolieva, A., Gerashchenko, R., Kurmanskyi, A., Gorbovets, V., Savolyuk, S.,  & Khodos, V. (2020). THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN. Health Problems of Civilization, 14(2), 94-99. https://doi.org/10.5114/hpc.2020.94100

Chicago

Glagolieva, Anastasiia, Roman Gerashchenko, Andrii Kurmanskyi, Vladyslav Gorbovets, Sergii Savolyuk,  and Valentyn Khodos. 2020. "THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN". Health Problems of Civilization 14 (2): 94-99. doi:10.5114/hpc.2020.94100.

Harvard

Glagolieva, A., Gerashchenko, R., Kurmanskyi, A., Gorbovets, V., Savolyuk, S.,  and Khodos, V. (2020). THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN. Health Problems of Civilization, 14(2), pp.94-99. https://doi.org/10.5114/hpc.2020.94100

MLA

Glagolieva, Anastasiia et al. "THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN." Health Problems of Civilization, vol. 14, no. 2, 2020, pp. 94-99. doi:10.5114/hpc.2020.94100.

Vancouver

Glagolieva A, Gerashchenko R, Kurmanskyi A, Gorbovets V, Savolyuk S, Khodos V. THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN. Health Problems of Civilization. 2020;14(2):94-99. doi:10.5114/hpc.2020.94100.

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Backgorund
Acute ascending thrombophlebitis of the great saphenous vein (GSV) is an adverse complication of varicose veins of the lower extremities. Conventional surgical treatment comprises traumatic removal of thrombotic vein trunk by means of a Babcock probe. Endovascular welding is a promising, minimally invasive treatment for varicose veins, which may also be applied for hemodynamic correction of impaired venous blood flow of the lower extremities in urgent conditions.

Material and methods
Thirty-six patients diagnosed with acute ascending thrombophlebitis type III and IV, stage C2-C6 (CEAP) were treated using an EK300M electric welding device (LLC Svarmed, Ukraine) for high-frequency electric welding of living tissues guided by endovenous probes. Changes in the treated venous trunks were analyzed by ultrasound, and quality of life before and after surgical treatment was evaluated using a chronic insufficiency venous international questionnaire (CIVIQ).

Results
Twelve months after high-frequency endovenous electric welding 33 patients (91.41%) had complete occlusion and fibrous transformation in areas of the thrombus segments of the GSV. Two patients (5.54%) had hemodynamically insignificant partial recanalization of separate vein segments, and one patient (2.77%) had complete recanalization of the GSV trunk.

Conclusions
Endoscopic welding is an effective, minimally traumatic alternative method for the surgical treatment of acute ascending thrombophlebitis III and VI type of the GSV.

keywords:

THE EFFICIENCY OF HIGH-FREQUENCY ENDOVENOUS WELDING FOR THE SURGICAL TREATMENT OF ACUTE ASCENDING THROMBOPHLEBITIS OF THE GREAT SAPHENOUS VEIN

Anastasiia Glagolieva 1 , Roman Gerashchenko 1 , Andrii Kurmanskyi 1 , Vladyslav Gorbovets 1 , Sergii Savolyuk 1 , Valentyn Khodos 1

venous insufficiency, thrombophlebitis, varicose veins, quality of life

Anastasiia Glagolieva

¹

,

Roman Gerashchenko

¹

,

Andrii Kurmanskyi

¹

,

Vladyslav Gorbovets

¹

,

Sergii Savolyuk

¹

,

Valentyn Khodos

¹