Quality of Life of Patients With Chronic Venous Insufficiency of the Lower Extremities Before and After Endovascular Laser Ablation: A Prospective Pilot Study Using the Chronic Venous Insufficiency Quality of Life Questionnaire 20 (CIVIQ-20).

CUREUS JOURNAL OF MEDICAL SCIENCE - Tập 15 Số 7 - Trang e41854 - 2023
Lam Thao Cuong1,2, Ho Tat Bang1,3, Tran Le An4, Le Thi Thien Nga1,2, Tran Thanh Vy1,2
1Department of Thoracic and Vascular Surgery, University Medical Center, Ho Chi Minh City, Ho Chi Minh, VNM.
2Department of Cardiovascular and Thoracic Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, VNM.
3Department of Health Organization and Management, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, VNM.
4Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh, VNM.

Tóm tắt

Background Chronic venous insufficiency of the lower extremities is a condition in which blood stagnates in the venous system, causing symptoms of pain, fatigue, leg edema, and cramps. Although this disease progresses slowly and is not fatal, its symptoms lead to a decline in quality of life, affecting the patient's work. One of the current surgical treatment methods for patients with indications for surgical removal of the saphenous vein is endovenous laser ablation (EVLA). After EVLA, besides evaluating the effectiveness of surgery, and the rate of complications, one of the aspects that need attention is improving quality of life. The objective of this study was to assess the quality of life of patients with chronic venous insufficiency of the lower extremities before and after endovascular laser intervention, analyzing changes in ChronIc Venous Insufficiency Quality of Life Questionnaire 20 (CIVIQ-20) scores in each domain of quality of life. Methodology A total of 41 patients with chronic venous insufficiency of the lower extremities were enrolled in this study, who were classified as C2 to C6 and were treated by endovenous laser ablation. QoL was measured by using the ChronIc Venous Insufficiency Quality of Life Questionnaire 20 (CIVIQ-20) questionnaire pre- and post-operatively. Pain scores and clinical severity were also evaluated using the visual analog scale (VAS) and the venous clinical severity score (VCSS) one month after EVLA. Results The mean age was 52.17 ± 11.23 years. The mean duration of symptoms was 7.29 ± 3.58 years, the median laser ablation time was 40 minutes, and the mean time to return to normal activities was 5.7 ± 1.8 days. The CIVIQ-20 score at baseline was 47.8 ± 7.4 and 31.1 ± 3.9 after one-month laser ablation. The quality of life has significantly improved after intervention using laser treatment (p < 0.001). The VAS and VCSS scores after laser treatment were lower than the baseline (p < 0.001). In our study, there was a statistically significant correlation between the change of CIVIQ-20 and the change of VCSS (r = 0.63, p < 0.001). Conclusion CIVIQ-20 is a reliable toolkit to assess the quality of life of patients with chronic venous insufficiency of the lower extremities. The patient's quality of life improved markedly after the intervention.

Từ khóa

#chronic venous insufficiency #civiq-20 #endovenous laser ablation #lower extremities #quality of life

Tài liệu tham khảo

Chronic venous insufficiency and varicose veins of the lower extremities. Youn YJ, Lee J. Korean J Intern Med. 2019;34:269–283.

Varicose vein treatment with endovenous laser therapy: the outcome after 2 years follow-up. Duc HK, Thanh DH, Hai PT, Thinh CV, Minh NC, Tan V. Vietnam J Cardiovasc Thorac Surg. 2014;8:12–20.

Experience with 1470 nm laser ablation treatment for 689 limbs with lower extremity superficial venous insufficiency. Phuc VM, Quan HV, Son NV, Hung TD. https://tapchiyhocvietnam.vn/index.php/vmj/article/view/1941 Vietnam Med J. 2022;510:241–244.

A quality of life tool kit in chronic venous disorders. Launois R. https://www.phlebolymphology.org/a-quality-of-life-tool-kit-in-chronic-venous-disorders/ Phlebolymphology. 2015;22:33–41.

Prospective comparative study of different endovenous thermal ablation systems for treatment of great saphenous vein reflux. Karathanos C, Spanos K, Batzalexis K, Nana P, Kouvelos G, Rousas N, Giannoukas AD. J Vasc Surg. 2021;9:660–668.

Treatment outcomes of chronic venous insufficiency for 9230 patients at University Medical Center, Ho Chi Minh city. Hang LTN, Dinh LQ, Luan TMB, et al. Vietnam J Cardiovasc Thorac Surg. 2018;21:38–42.

Phuong DD. Master of Surgery Thesis, University of Medicine and Pharmacy at Ho Chi Minh City. Ho Chi Minh City: University of Medicine and Pharmacy; 2018. Evaluation of clinical efficacy on a VDS scale in the treatment of venous insufficiency of the lower extremities with endovascular lasers. Master of Surgery Thesis; p. 83.

Early clinical improvement in chronic venous insufficiency symptoms after laser ablation of saphenous veins. Özkan U, Saritüürk Ç. Diagn Interv Radiol. 2012;18:594–598.

A prospective multicenter randomized clinical trial comparing endovenous laser ablation, using a 1470 nm diode laser in combination with a Tulip-Tip™ fiber versus radiofrequency (Closure FAST™ VNUS®), in the treatment of primary varicose veins. Kempeneers AC, Bechter-Hugl B, Thomis S, van den Bussche D, Vuylsteke ME, Vuylsteke MM. Int Angiol. 2022;41:322–331.

Women, pregnancy, and varicose veins. Stansby G. Lancet. 2000;355:1117–1118.

Quality of life and its associated factors among patients with chronic venous insufficiency. Thuan NTT, Nam NH. Vietnam J Cardiovasc Thorac Surg. 2020;28:10–15.

Study the imaging characteristics of Doppler ultrasound before and after the laser incineration of the great saphenous venous insufficiency at Bach Mai Hospital. Ngoc NV, Thong PM, Nguyet LM, Tuan TA. Vietnam J Radiol Nucl Med. 2020;41:79–85.

Risk factors for varicose disease before and during pregnancy. Dindelli M, Parazzini F, Basellini A, Rabaiotti E, Corsi G, Ferrari A. Angiology. 1993;44:361–367.

Anh NT. National Geriatric Hospital. Vol. 2017. Vietnam: National Geriatric Hospital; 2017. Study of the Clinical, and Subclinical, Outcomes of Treatment of Chronic Lower Extremity Venous Insufficiency by Sclerotherapy and Intravenous Laser Method ; p. 174.

Clinical characteristics and results of treatment of patients with superficial venous insufficiency of the lower extremities by endovascular laser method. Hung TD, Thu PVH, Hai NT, Phuc VM. Vietnam J Cardiovasc Thorac Surg. 2018;21:113–116.

Clinical characteristics and results of endovenous laser treatment for varicose veins. Trieu NB, Ha NT, Phuc VM, Hung TD. J Nurs Sci. 2018;1:105–109.

Combined endovenous laser therapy and ambulatory phlebectomy: refinement of a new technique. Mekako A, Hatfield J, Bryce J, Heng M, Lee D, McCollum P, Chetter I. Eur J Vasc Endovasc Surg. 2006;32:725–729.

Pain following 980-nm endovenous laser ablation and segmental radiofrequency ablation for varicose veins: a prospective observational study. Shepherd AC, Gohel MS, Lim CS, Hamish M, Davies AH. Vasc Endovasc Surg. 2010;44:212–216.

Endovenous laser ablation of great saphenous vein with ultrasound-guided perivenous tumescence: early and midterm results. Chen J, Xie H, Deng H, et al. https://mednexus.org/doi/abs/10.3760/cma.j.issn.0366-6999.20122290. Chin Med J. 2013;126:421–425.

Endovascular laser treatment of incompetent saphenous veins using the 1470 nm diode laser and radial fiber. Vourliotakis G, Sahsamanis G, Evagelidis P, Aivatidi C. Ann Med Surg. 2018;25:12–16.

Thông tin
Thông tin xuất bản

CUREUS JOURNAL OF MEDICAL SCIENCE

Tập 15 Số 7

e41854

Thông tin tác giả