{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:18:49Z","timestamp":1777943929737,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Chronic venous insufficiency (CVI) is a prevalent condition with significant socioeconomic implications. Endovenous radiofrequency ablation (RFA) is a minimally invasive treatment option that has gained widespread acceptance due to its high efficacy and low complication rates. This study aimed to investigate the effectiveness of a novel venous access technique using a subcutaneous side branch of the greater saphenous vein (GSV) and compare it to the conventional direct GSV access technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 211 patients (288 legs) with CVI were randomly assigned to either the conventional access group (group 1, 145 legs) or the subcutaneous side branch group (group 2, 143 legs). Patients were assessed for demographic characteristics, venous access success rates, complications, and clinical outcomes. The primary outcomes were venous access success and procedural time, while secondary outcomes included complication rates such as vasospasm, ecchymosis, and thrombophlebitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean access time was significantly lower in group 2 (30.8 \u00b1 9.9 seconds) compared to group 1 (46.7 \u00b1 14.9\u00a0s) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Additionally, group 2 required fewer cannulation attempts (1.28 \u00b1 0.5) than group 1 (2.2 \u00b1 0.9) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Vasospasm occurred less frequently in group 2 (3.1%) than in group 1 (5.2%) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.005), and group 2 had significantly lower rates of ecchymosis (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.033), thrombophlebitis (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.026), and paresthesia (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.045). No significant differences were observed between the groups regarding thermal skin injury (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.142) or GSV occlusion rates at 3\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates that accessing the GSV via a subcutaneous side branch is a feasible and advantageous technique, leading to faster cannulation and reduced complication rates compared to the conventional approach. Further research is warranted to assess this novel technique\u2019s long-term outcomes and potential benefits in diverse clinical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17085381251339071","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T09:45:39Z","timestamp":1745833539000},"page":"357-365","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Novel subcutaneous side branch access technique compared to traditional access in radiofrequency ablation of the greater saphenous vein"],"prefix":"10.1177","volume":"34","author":[{"given":"Cesur","family":"Samanc\u0131","sequence":"first","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vefa","family":"Salt","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4288-7861","authenticated-orcid":false,"given":"Seyfullah Halit","family":"Karag\u00f6z","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0566-2180","authenticated-orcid":false,"given":"\u00d6mer Faruk","family":"Sar\u0131ahmeto\u011flu","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rauf","family":"Hamid","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serdar","family":"Arslan","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bora","family":"Korkmazer","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fatih","family":"G\u00fcl\u015fen","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Ba\u015f","sequence":"additional","affiliation":[{"name":"Istanbul University-Cerrahpasa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.01.027"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.4174\/astr.2018.94.4.219"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00228-3"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/026835559901400204"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355512473911"},{"issue":"2","key":"e_1_3_5_7_2","first-page":"213","article-title":"Systematic review and meta-analysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis","volume":"49","author":"Luebke T","year":"2008","unstructured":"Luebke T, Brunkwall J. Systematic review and meta-analysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis. J Cardiovasc Surg 2008; 49(2): 213\u2013233.","journal-title":"J Cardiovasc Surg"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2023.08.067"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2015.07.034"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2017.06.016"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7411.361"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1590\/1516-3180.20141321T2"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2005.07.020"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/0268355520947292"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2019.1684008"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.7134\/phlebol.13-5-325"},{"issue":"1","key":"e_1_3_5_17_2","first-page":"38","article-title":"Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux: a 2-year follow-up","volume":"28","author":"Weiss RA","year":"2002","unstructured":"Weiss RA, Weiss MA. Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux: a 2-year follow-up. Dermatol Surg 2002; 28(1): 38\u201342.","journal-title":"Dermatol Surg"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.124231"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.04.032"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.05.014"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.05.008"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003319710380680"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20043308"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2023.03.022"},{"key":"e_1_3_5_25_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.41854"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381251339071","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17085381251339071","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17085381251339071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:41:11Z","timestamp":1777707671000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17085381251339071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":24,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/17085381251339071"],"URL":"https:\/\/doi.org\/10.1177\/17085381251339071","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,28]]}}}