Chronic Venous Insufficiency, CVI
Conditions
Brief summary
The objective of the study is to collect clinical data of patients in whom Flebogrif® will have been used for mechanochemical ablation of incompetent veins in the follow-up period, as related to the safety, clinical effectiveness, properties and advantages of Flebogrif®. The proposed study is a prospective, multi-centre clinical trial assessing the safety, efficacy and quality of Flebogrif® in a population of patients with the incompetent great saphenous vein, who require surgical treatment.
Interventions
DEVICEFLEBOGRIF
The catheter is a device dedicated to mechano-chemical ablation of insufficient veins of the superficial system.
Sponsors
KCRI
Balton Sp.zo.o.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
Study inclusion criteria: 1. Signing the Informed Consent Form by the patient found eligible for the treatment with the mechanochemical method 2. The patient declares willingness to participate in the study and in the monitoring visits envisaged in the study protocol 3. A patient with diagnosed varicose veins and diagnosed great saphenous vein (GSV) insufficiency confirmed by ultrasound (CEAP class C2-C6) 4. Favourable anatomy enabling the introduction of the Flebogrif® guidewire/catheter and positioning of its top part at the dedicated site (2-3 cm below SFJ) 5. Diameter of the treated vein of 4-10 mm 6. No data or no history indicating an allergy to the sclerosing chemicals used in the mechanochemical method (polidocanol), on the basis of the information obtained from the patient and the available medical records 7. No clinical symptoms indicating (chronic, critical) lower limb ischaemia precluding the use of compression, on the basis of a physical examination or, in unclear cases, of a Doppler ultrasound examination 8. No medical information or no history of coagulation system dysfunction of the type of thrombophilia or bleeding diatheses 9. No cutaneous lesions (purulent, bullous) within the limb found eligible for treatment with the mechanochemical method 10. No clinical data indicating recent thrombosis within the deep vein system 11. No clinical data on diabetes with vascular complications 12. No clinical data indicating an active neoplastic process Study
Exclusion criteria
1. Recent deep vein thrombosis or occlusion 2. Congenital disorders with associated occlusion of deep system veins 3. Pregnancy and breast-feeding 4. Lower limb ischaemia 5. Severe lymphatic oedema 6. Bleeding diatheses 7. Documented allergic reaction to sclerosing chemicals used in mechanochemical vein ablation 8. Purulent dermatoses affecting the limb found eligible for treatment with mechanochemical vein ablation 9. Previous procedures on insufficiency veins of the superficial system 10. Acute infection 11. History of great saphenous vein thrombosis 12. End-stage kidney disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary efficacy endpoint: Occlusion rate | 3 months | Primary efficacy endpoint: Occlusion rate of the great saphenous vein in the treated segment at 3 months |
| Primary safety endpoint: Rate of SAE | 30 days after the procedure | Primary safety endpoint: Rate of serious adverse events within 30 days after the procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in quality of life by Aberdeen Varicose Vein Questionnaire | 12 and 24 months | Change in quality of life measured with the use of the Aberdeen Varicose Vein Questionnaire at 12 and 24 months Scale score: 0-100; higher score = worse outcome. |
| Clinical success - changes in rVCSS | 12 and 24 months | Clinical success, defined as change in rVCSS classification (Revised Venous Clinical Severity Score) after 12 and 24 months Scale score 0-30; higher score = worse outcome. |
| Assessment of pain during the procedure | During procedure | Assessment of pain during the procedure (Visual Analogue Pain Scale, VAPS) ranging from 0 to 10. Pain assessed using the Visual Analogue Scale (range 0-10; 0 = no pain; 2 = mild pain, 4 = nagging, annoying pain; 6 = severe pain; 8 = very severe pain; 10 = unbearable pain). |
| Assessment of pain within 0-7 days after the procedure: Visual Analogue Scale | 0-7 days after procedure | Assessment of pain within 0-7 days after the procedure (VAPS 0-10, daily assessment). Pain assessed using the Visual Analogue Scale (range 0-10; 0 = no pain; 2 = mild pain, 4 = nagging, annoying pain; 6 = severe pain; 8 = very severe pain; 10 = unbearable pain). |
| Occlusion rate | 1, 6, 12, 18, 24 months | Occlusion rate of the great saphenous vein at 1, 6, 12, 18 and 24 months |
| Period needed to resume normal activities | up to 2 years after the treatment | Period needed to resume normal activities |
| Period needed to return to work (sick leave period) | up to 2 years after the treatment | Period needed to return to work (sick leave period) |
| Complications rate | up to 2 years after the treatment | Complications rate including deep vein thrombosis, nerve damage, infections, etc. |
| Assessment of the need for analgesic treatment | 0-7 days after procedure | Assessment of the need for analgesic treatment after the procedure (0-7 days) |
| Number of Participants with no reflux in treated segment of the vein | 1, 3, 6, 12, 18, 24 months | Number of Participants with no reflux in the treated segment of the great saphenous vein at 1, 3, 6, 12, 18 and 24 months |
Countries
Poland
Outcome results
None listed