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Kevser Tural1, Yalçın Günerhan2, Suna Aydın3
1Department of Cardiovascular Surgery, Kafkas University, School of Medicine, Kars, Turkey
2Department of Cardiovascular Surgery, Harakani State Hospital, Kars, Turkey
3Department of Cardiovascular Surgery, Health Science University, Fethi Sekin City Hospital, Elazığ, Turkey
Keywords: Femoral vein, internal compression therapy, venous insufficiency, venous valves, therapeutics
Objectives: The aim of this study was to evaluate the effectiveness of internal compression therapy (ICT) in patients with primary deep venous insufficiency (DVI).
Patients and methods: A total of 13 extremities of 11 patients (4 males, 7 females; mean age 54.3±13.7 years; range, 34 to 76 years) who were diagnosed with primary lower extremity deep venous reflux and underwent ICT for symptomatic DVI between January 2018 and December 2018 were included in this retrospective study. The Venous Clinical Severity Score (VCSS) was performed in all patients in the pre- and postoperative period to assess symptomatic improvements. Control examinations of the patients were performed on post-procedural Day 3 and at 1, 6, and 12 months.
Results: The mean diameter of deep veins was 13.0±1.8 (range, 10.2 to 16.1) mm and the mean distance between the valves was 3.9±1.2 (range, 2.1 to 6.1) mm in the pre-procedural period. The mean reflux time was 3.3±0.5 (range, 2.5 to 4) min. The mean diameter of deep veins was 8.9±1.2 (range, 7.5 to 11.0) mm at 12 months after the procedure. The success of the treatment was 100% after the treatment and on the post-procedural Day 3. The mean VCSS of the patients was 8.1±3.1 (range, 6.0 to 16.0) in the pre-procedural period and 1.1±1.4 (range, 0.0 to 4.0) at 12 months during follow-up (p=0.001).
Conclusion: The ICT appears to be a promising procedure, as it is a minimally invasive, rapid, and effective method for the treatment of
patients with DVI.
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