There were significant improvements for both groups in CEAP-C class ( HL + S 2.28 vs. 1.19 ; HL + EVLA 2.3 vs. 1.17 ) , VCSS ( HL + S 4.79 vs. 1.81 ; HL + EVLA 4.13 vs. 1.87 ) , and CIVIQ2 score ( HL + S 82 vs. 94 ; HL + EVLA 75 vs. 93 ) ( p < .001 ) .