Arrhythmias & electrophysiology

A Randomized Trial of Early Endovenous Ablation in Venous Ulceration

N Engl J MedPublished Randomised controlled trial

Authors' conclusion

Early endovenous ablation of superficial venous reflux resulted in faster healing of venous leg ulcers and more time free from ulcers than deferred endovenous ablation.

Study context

Population
Patients with venous leg ulcers
Participants
450 patients
Comparison
Early endovenous ablation plus compression vs compression with deferred ablation
Primary endpoint
Time to ulcer healing
Methodological detailsmulticentre (20 UK centres)
  • Multicentre (20 UK centres)

Primary result

As reported in the abstract

Hazard ratio

1.38

95% CI 1.13–1.68

P = 0.001

By group

Early interventionvs Deferred intervention
HR 1.38 (95% CI 1.13–1.68); P = 0.001

Secondary outcomes

Ulcer healing rate · 24 weeks

Ulcer-free time · first year after enrolment

P = 0.002

Original publication

A Randomized Trial of Early Endovenous Ablation in Venous Ulceration. N Engl J Med. Published 24 April 2018. doi:10.1056/nejmoa1801214

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