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CompletedNCT03856814Updated Sep 5, 2024

Market Penetration of Laser Therapy in Venous Surgery: Ziekenhuis Oost-Limburg - Ziekenhuis Maas En Kempen Center Experience

An observational study in Varicose Veins, sponsored by Duomed. Completed at 1 site in Belgium. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-09-05.

Sponsored by Duomed · Observational

Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
500
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this registry is to evaluate the indication for EndoVenous Laser Ablation (EVLA) therapy. Can this be enhanced? What are the reasons for not using the laser? Therefore, this study aims to define clear indications for EVLA by registering the incentives of the participating investigators to use the laser instead of conventional corrective surgery for the treatment of varicose veins, at baseline and post-operative. Additionally, the efficacy and safety of the different varicose vein treatments will be evaluated by registering procedural characteristics, anatomic outcome (duplex ultrasound), quality of life (AVVQ) and postoperative pain (VAS).

02

Conditions studied

  • Varicose Veins

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03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

500 patients with varicose veins, indicative for treatment with Endovenous laser ablation (EVLA) or Surgery (ligation/stripping) according to routine patient care.

Inclusion criteria

  1. Patient is at least 18 years old.
  2. Patient must sign and date the informed consent form prior to treatment.
  3. Presence of unilateral or bilateral primary or recurrent symptomatic varicose veins (CEAP grade ≥ C2).
  4. Patient has an insufficient Great Saphenous Vein (GSV), Anterior Accessory Saphenous Vein (AASV) and/or Small Saphenous Vein (SSV), with venous symptoms (valve incompetence).

Exclusion criteria

Exclusion Criteria:

  1. Current deep vein thrombosis.
  2. Acute superficial thrombosis.
  3. Pregnancy.
  4. Coagulopathy or bleeding disorders.
  5. Contraindications to the use of general or regional anesthesia.
04

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
500 participants (actual)
Target follow-up
6 Months
Patient registry
Yes

Groups and cohorts

  • Patients with varicose veins

    Patients with varicose veins, indicative for treatment with EndoVenous Laser Ablation (EVLA) using the ELVeS® Radial® 2ring slim fiber or Surgery (ligation/stripping) according to the standard of care of the participating investigators.

    Device: ELVeS® Radial® 2ring slim fiber used for EndoVenous Laser Ablation

Interventions

  • DeviceELVeS® Radial® 2ring slim fiber used for EndoVenous Laser Ablation

    Device for endovenous laser ablation manufactured by Biolitec AG company (ELVeS system) - diode laser with a wavelength of 1470 nm

05

What researchers measure

Primary outcomes

  1. To define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins.

    The participating investigators will register the incentives (based on clinical examination and/or anatomic outcome by duplex ultrasound, as well as secondary considerations) to use laser ablation or conventional treatment for varicose veins in the study database in order to define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins and to investigate whether the use of EVLA can be enlarged.

    Time frame: At baseline

  2. To define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins.

    The participating investigators will re-evaluate the chosen treatment option and document this re-evaluation in the study database in order to define clear indications for EndoVenous Laser Ablation (EVLA) treatment of varicose veins and to investigate whether the use of EVLA can be enlarged.

    Time frame: At 6 weeks follow-up

Secondary outcomes

  1. Procedural characteristics

    Type of anesthesia

    Time frame: At index-procedure

  2. Procedural characteristics

    Number, type and length of veins treated

    Time frame: At index-procedure

  3. Procedural characteristics

    Total energy per patient and fiber (when using the ELVeS® Radial® 2ring slim fiber)

    Time frame: At index-procedure

  4. Procedural characteristics

    Number of procedures showing technical success, defined as the ability to treat the varicose veins as planned

    Time frame: At index-procedure

  5. Procedural characteristics

    Peri-operative adverse events (bleeding, incomplete treatment, technical defects, difficult visualization, ...)

    Time frame: At index-procedure

  6. Procedural characteristics

    Duration of the index-procedure

    Time frame: At index-procedure

  7. Pain scoring using the Visual Analog Scale (VAS)

    The VAS scale contains a 0 - 100 grading with 0 equaling no pain and 100 equaling the worst conceivable pain. The patient is asked to select the number on the scale that corresponds to the worst level of pain he/she experiences. Pain is classified into mild (1 - 30 mm), moderate (31 - 60 mm) and severe (61 - 100 mm). Absence of pain is defined as VAS = 0.

    Time frame: At discharge, up to 1 week

  8. Pain scoring using the Visual Analog Scale (VAS)

    The VAS scale contains a 0 - 100 grading with 0 equaling no pain and 100 equaling the worst conceivable pain. The patient is asked to select the number on the scale that corresponds to the worst level of pain he/she experiences. Pain is classified into mild (1 - 30 mm), moderate (31 - 60 mm) and severe (61 - 100 mm). Absence of pain is defined as VAS = 0.

    Time frame: At 6 weeks follow-up

  9. Anatomic success of EndoVenous Laser Ablation (EVLA)

    Defined as occlusion of the treated veins and lack of reflux objectified with duplex ultrasonography.

    Time frame: At 6 weeks follow-up

  10. Quality of life by scoring Aberdeen Varicose Vein Questionnaire (AVVQ)

    Aberdeen Varicose Vein Questionnaire (AVVQ) is a validated tool for assessing the perceived health of patients with varicose veins. The AVVQ comprises 13 quality of life questions, including a set of manikin legs, on which participants are asked to draw their veins.

    Time frame: At baseline

  11. Quality of life by scoring Aberdeen Varicose Vein Questionnaire (AVVQ)

    Aberdeen Varicose Vein Questionnaire (AVVQ) is a validated tool for assessing the perceived health of patients with varicose veins. The AVVQ comprises 13 quality of life questions, including a set of manikin legs, on which participants are asked to draw their veins.

    Time frame: At 6 weeks follow-up

  12. Quality of life by scoring Aberdeen Varicose Vein Questionnaire (AVVQ)

    Aberdeen Varicose Vein Questionnaire (AVVQ) is a validated tool for assessing the perceived health of patients with varicose veins. The AVVQ comprises 13 quality of life questions, including a set of manikin legs, on which participants are asked to draw their veins.

    Time frame: At 6 months follow-up

  13. Post-operative adverse events

    Number of participants with numbness, persistent bruising, skin loss or ulceration, hematoma, infection, bleeding, deep venous thrombosis, etc.

    Time frame: At discharge, up to 1 week

  14. Post-operative adverse events

    Number of participants with numbness, persistent bruising, skin loss or ulceration, hematoma, infection, bleeding, deep venous thrombosis, etc.

    Time frame: At 6 weeks follow-up

  15. Post-operative adverse events

    Number of participants with numbness, persistent bruising, skin loss or ulceration, hematoma, infection, bleeding, deep venous thrombosis, etc.

    Time frame: At 6 months follow-up

  16. Re-interventions

    Number of participants with re-interventions

    Time frame: At discharge, up to 1 week

  17. Re-interventions

    Number of participants with re-interventions

    Time frame: At 6 weeks follow-up

  18. Re-interventions

    Number of participants with re-interventions

    Time frame: At 6 months follow-up

06

Study locations

1 site
  • Ziekenhuis Oost-Limburg (Sint-Jan,Genk; Sint-Barbara,Lanaken; ZMK,Maaseik)
    Genk, Limburg 3600, Belgium
07

Registry details

Key details

Study ID
NCT03856814
Lead sponsor
Duomed
Responsible party
Sponsor
First posted
Feb 27, 2019
Start date
Mar 15, 2019
Primary completion
Jan 13, 2023
Completion
Nov 8, 2023
Last update
Sep 5, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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