Randomized controlled clinical trial aimed to compare the effectiveness and safety of radiofrequency, saphenous vein stripping and conservative hemodynamic treatment of venous insufficiency (CHIVA) in the treatment of saphenous varicose veins, in terms of absence of saphenous vein reflux, patient quality of life and post-surgical complications.
A randomized controlled trial will compare three surgical techniques (stripping, CHIVA and radiofrequency) for the treatment of varicose veins which are currently considered interchangeable standards of care. The trial will include symptomatic patients with chronic venous insufficiency and saphenous vein insufficiency confirmed by Doppler with diameter greater than 4 mm. Clinical assessments will be made on first and seventh day after surgery, and then at months 1, 6, 12 and 24. The primary endpoint of the study is the absence of venous reflux in the great saphenous vein segment above-knee. Secondary variables will include VAS for pain and quality of life as assessed by the SF 36 and CIVIQ questionnaires validated in Spanish language. Ultrasound scans will be done the first week and after 1, 6, 12 and 24 months. Intra- and postoperative complications will be recorded.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
225
Radiofrequency treatment applied to the vein with VNUS Closure Fast catheter
Saphenous vein stripping
conservative hemodynamic treatment venous insufficiency
Hospital de Sabadell
Sabadell, Barcelona, Spain
Absence of venous reflux
Absence of venous reflux by duplex ultrasound
Time frame: 2 years
CIVIQ
Venous quality of Life questionnaire - Spanish validated version
Time frame: 2 years
SF-36
Time frame: 2 years
VCSS
Venous Clinical Severity Score
Time frame: 2 years
Surgical complications
Hematoma, echymosis, infection, bleeding, induration, neuritic pain
Time frame: 1 month
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.