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Comparison of Clinical Outcomes of Patients With Chronic Vein Insufficiency Underwent Endovenous Laser Ablation With Puncture Above The Knee And Below The Knee Techniques Based on Venous Clinical Severity Score And Venous Disability Score Assessment

Heart Science Journal · Vol. 5 No. 3 (2024) · hlm. 50–54

DOI
10.21776/ub/hsj.2024.005.03.9
ISSN
2721-9984, 2721-9976
Terbit
2024-07-30
Penerbit
Universitas Brawijaya
Bahasa
en

Abstrak

Background: In chronic venous insufficiency (CVI), a puncture below the knee is done to access the great saphenous vein for endovenous laser ablation (EVLA). Getting a puncture below the knee is difficult in some conditions. Puncture above the knee to access the incompetent saphenous vein is another option. Objective: This study compared CVI patients' clinical results after EVLA with above- and below-the-knee punctures.Methods/Design: This retrospective, single-centre cohort study compared clinical outcomes after two EVLA technical punctures. Puncturing the GSV below the knee was one way. An above-knee GSV puncture was chosen as an alternative. At all follow-up visits, clinical outcomes, closure rate, and complications such as thrombosis, bruising, burn damage, and paresthesia were assessed.  Results: This study has recruited 248 patients, with 132 patients in the below-knee group and 116 patients in the above-knee group. Similar clinical outcomes after the procedure with the Venous Clinical Severity Score (VCSS) were seen in both groups (p = 0.875) and with the Venous Disability Score (VDS) were seen in both groups (p = 0.777) without significant difference. The closure rate in both groups was 100%. Complications, including thrombosis, did not show statistical significance between groups (p = 1.000). Bruising, burn injuries, and paresthesia were absent in both groups.Conclusion: The EVLA for incompetence GSV using an above-knee puncture was safe and effective and should be considered as an alternative method if the below-knee puncture fails.

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  • University of Brawijaya
  • RSUD Prof. Dr. Saiful Anwar Malang
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Rekan penulisOrganisasiArtikel bersama
Mohammad Saifur RohmanUniversity of Brawijaya23
Cholid Tri TjahjonoUniversity of Brawijaya20
Anna Fuji RahimahUniversity of Brawijaya18
Sasmojo WiditoUniversity of Brawijaya16
Ardian RizalUniversity of Brawijaya14
Budi SatrijoUniversity of Brawijaya14
Setyasih AnjarwaniUniversity of Brawijaya10
Heny MartiniUniversity of Brawijaya9
Indra PrasetyaUniversity of Brawijaya9
Sawitri SatwikajatiUniversity of Brawijaya4
Putri Annisa KamilaUniversity of Brawijaya4
Yoga WaranugrahaUniversity of Brawijaya3
Seprian WidasmaraUniversity of Brawijaya3
Adhika Prastya WikanandaUniversity of Brawijaya3
Muhammad Rizki FadlanUniversity of Brawijaya3
Dyah Ayu IkeningrumRSUD Prof. Dr. Saiful Anwar Malang3
Zainal FathurohimUniversity of Brawijaya3
Titin Andri WihastutiUniversity of Brawijaya3
Dadang HendrawanUniversity of Brawijaya2
Irma KameliaUniversity of Brawijaya2
Oktafin Srywati PamunaUniversity of Brawijaya2
Nikhen NoverikeUniversity of Brawijaya2
Ira Vori NugrohoUniversity of Brawijaya2
Teguh AryanugrahaUniversity of Brawijaya2
Dea Arie KurniawanUniversity of Brawijaya2
Malombassi Dharmawan Hadiwidjojo HutomoUniversity of Brawijaya2
Ryan RamadhanUniversity of Brawijaya2
Anna Fuji RahimahAfiliasi tidak diketahui2
Liemena Harold AdrianRSUD Prof. Dr. Saiful Anwar Malang2
Ayu Asri Devi AdityawatiUniversity of Brawijaya2
Wella KarolinaUniversity of Brawijaya2
Saskia Dyah HandariUniversity of Brawijaya2
Yoseph Budi UtomoUniversity of Brawijaya1
Ardian RizalUniversity of Brawijaya1
Veny KurniawatiUniversity of Brawijaya1
Renny SuwarniatyUniversity of Brawijaya1
Taufieq Ridlo MakhmudUniversity of Brawijaya1

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Sumber metadata: OAI-PMH (metadata jurnal) https://heartscience.ub.ac.id/index.php/heartscience/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en">Comparison of Clinical Outcomes of Patients With Chronic Vein Insufficiency Underwent Endovenous Laser Ablation With Puncture Above The Knee And Below The Knee Techniques Based on Venous Clinical Severity Score And Venous Disability Score Assessment</dc:title>
	<dc:creator xml:lang="en">Suprayoga, Imam Mi'raj</dc:creator>
	<dc:creator xml:lang="en">Kurnianingsih, Novi</dc:creator>
	<dc:creator xml:lang="en">Sargowo, Djanggan</dc:creator>
	<dc:subject xml:lang="en">Endovenous Laser Ablation</dc:subject>
	<dc:subject xml:lang="en">Great Saphenous Vein</dc:subject>
	<dc:subject xml:lang="en">Chronic Venous Insufficiency</dc:subject>
	<dc:description xml:lang="en">Background: In chronic venous insufficiency (CVI), a puncture below the knee is done to access the great saphenous vein for endovenous laser ablation (EVLA). Getting a puncture below the knee is difficult in some conditions. Puncture above the knee to access the incompetent saphenous vein is another option. Objective: This study compared CVI patients' clinical results after EVLA with above- and below-the-knee punctures.Methods/Design: This retrospective, single-centre cohort study compared clinical outcomes after two EVLA technical punctures. Puncturing the GSV below the knee was one way. An above-knee GSV puncture was chosen as an alternative. At all follow-up visits, clinical outcomes, closure rate, and complications such as thrombosis, bruising, burn damage, and paresthesia were assessed.  Results: This study has recruited 248 patients, with 132 patients in the below-knee group and 116 patients in the above-knee group. Similar clinical outcomes after the procedure with the Venous Clinical Severity Score (VCSS) were seen in both groups (p = 0.875) and with the Venous Disability Score (VDS) were seen in both groups (p = 0.777) without significant difference. The closure rate in both groups was 100%. Complications, including thrombosis, did not show statistical significance between groups (p = 1.000). Bruising, burn injuries, and paresthesia were absent in both groups.Conclusion: The EVLA for incompetence GSV using an above-knee puncture was safe and effective and should be considered as an alternative method if the below-knee puncture fails.</dc:description>
	<dc:publisher xml:lang="en">Universitas Brawijaya</dc:publisher>
	<dc:date>2024-07-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15833</dc:identifier>
	<dc:identifier>10.21776/ub/hsj.2024.005.03.9</dc:identifier>
	<dc:source xml:lang="en">Heart Science Journal; Vol. 5 No. 3 (2024): The Science and Art of Revascularization in Acute Coronary Syndrome; 50-54</dc:source>
	<dc:source>2721-9984</dc:source>
	<dc:source>2721-9976</dc:source>
	<dc:source>10.21776/ub.hsj.2024.005.03</dc:source>
	<dc:language>en</dc:language>
	<dc:relation>https://heartscience.ub.ac.id/index.php/heartscience/article/view/15833/420</dc:relation>
	<dc:rights xml:lang="en">Copyright (c) 2024 Imam Mi'raj Suprayoga, Novi Kurnianingsih, Djanggan Sargowo</dc:rights>
</oai_dc:dc>