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Compression Therapy Following Truncal Vein Endothermal Ablation And Distal Sclerotherapy

Not Applicable
Completed
Conditions
Varicose Veins
Interventions
Device: Class II Compression Stockings
Registration Number
NCT02890563
Lead Sponsor
Oulu University Hospital
Brief Summary

Study purpose is to research whether compression therapy is beneficial after truncal vein RF-ablation and distal sclerotherapy done in the same session when needed. Patients will be randomised to either no compression group (Group I) or compression group (Group II)

Detailed Description

In this study two endpoints are anticipated, first endpoint is to assess safety and adverse effects between groups at 1 month endpoint. Also post-procedural pain and need for painkillers are monitored. Compliance and reasons for non-compliance is recorded in compression group.

Second endpoint is to assess mid-term (6 months) success of truncal vein occlusion as well as changes in Aberdeen score between groups compared to pre-operative stage.

Study design is non-inferiority trial where in 5% margin occlusion of truncal vein is expected to be equal in two groups at 6 six months. Power analysis showed need for 85 patients per group and taking into account possible dropouts anticipated n = 200.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Duplex ultrasound verified GSV and/or SSV incompetence (0.5 seconds or more)
  • Comprehensive Classification System for Chronic Venous Disorders (CEAP) rated from C2 to C4
  • Truncal vein insufficiency (GSV and/or SSV) treatable with Radiofrequency ablation
Exclusion Criteria
  • History of pulmonary embolism or deep venous thrombosis
  • Large (>12mm) truncal vein diameter
  • CEAP C5-C6
  • Patient unwilling to participate

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CompressionClass II Compression StockingsPatients in this group will use compression stockings for seven days after treatment (2 days continuously and 5 days during daytime).
Primary Outcome Measures
NameTimeMethod
Truncal vein occlusion rate6 months
Secondary Outcome Measures
NameTimeMethod
Time required returning to normal work and activity level14 days
Compliance with compression stockings7 days

To assess compliance and possible reasons for non-compliance at compression group

Painkillers usage after treatment10 days

Need for Paracetamol/NSAIDs after treatment

Post-operative pain assessed with visual analogue scale (VAS)10 days
Aberdeen Varicose Veins Questionnaire (AVVQ)6 months

Assessed preoperatively and at one and six months

Signs of deep venous thrombosis, pigmentation, blisters, skin irritation, thrombophlebitis, hematoma, wound infection or paraesthesia post operatively30days

Assessed in 1month control and earlier if necessary (Patient is instructed to contact outpatient clinic in case of problems).

Trial Locations

Locations (2)

Raahe's hospital

🇫🇮

Raahe, Pohjois-Pohjanmaa, Finland

Oulu University Hospital, Vascular Department

🇫🇮

Oulu, Finland

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