%0 Journal Article %T Compression therapy after endovenous laser ablation: Patient compliance and impact on clinical outcome. %A Dietrich CK %A Stucker M %A Hartmann K %A Hirsch T %A Mattausch T %A Wenzel HC %A Zollmann P %A Veltman J %A Weiler TK %A Lengfellner G %A Müller L %A Pannier F %A Cussigh C %A Uhlmann L %A Müller-Christmann C %J Phlebology %V 0 %N 0 %D 2024 May 7 %M 38712381 %F 1.701 %R 10.1177/02683555241249222 %X OBJECTIVE: This study aimed to investigate the impact of post-interventional compression therapy on clinical outcomes after endovenous laser ablation (EVLA) of incompetent saphenous veins.
METHODS: This prospective, controlled, multicenter study in Germany involved 493 varicose vein patients followed-up for 6 months.
RESULTS: Compression therapy significantly reduced symptoms compared to no compression (VCSS: 1.4 ± 1.6 vs 2.2 ± 2.2; p = .007). Post-interventional therapy duration of up to 14 days was found to be most effective for improving patient-reported disease severity (p < .001) and higher quality of life (p = .001). Patient compliance was high (82%), and non-compliance was linked to worse disease severity (VCSS 1.4 ± 1.5 vs 2.1 ± 2.3, p = .009).
CONCLUSIONS: In conclusion, post-interventional compression therapy is beneficial by reducing symptoms and improving quality of life. High patient compliance with the therapy is observed, and non-compliance is associated with worse disease severity.