Endothermal ablation for the treatment of clinically significant incompetent lower limb perforating veins: factors influencing the early outcomes

Perforating Veins ◽

Factors Influencing ◽

Early Closure ◽

Clinically Significant

Background To review the clinical experience and early outcomes of endothermal perforator ablation. Method Retrospective review of an endovenous practice from 2007-2019. Clinically significant incompetent perforators were treated by Endovenous Laser Ablation (EVLA), or segmental radiofrequency ablation (RFA). Result Complete data were available for 110 of the 116 symptomatic incompetent perforating veins treated. Radiofrequency ablation of 20 perforators produced a 55% perforator closure rate, while 90 EVLA perforator ablations resulted in a closure rate of 80%. Closure rates with EVLA varied by location and perforator length. Closure rates for truncal ablation were 95.5% for RFA and 97.2% for EVLA. Conclusion Early closure rates following endothermal ablation of incompetent lower limb perforating veins are lower than those obtained for truncal ablation. EVLA perforator closure appears to be more effective than segmental RFA in most situations but short treatment lengths and location at the ankle are associated with the poorest outcomes.

Endovenous Laser Ablation, Radiofrequency Ablation and Flebogrif versus Conventional Surgery in Treatment of Primary Varicose Vein of the Lower Limb: Prospective Randomized Controlled Study

The Egyptian Journal of Hospital Medicine ◽

10.21608/ejhm.2021.201978 ◽

2021 ◽

Vol 85 (2) ◽

pp. 3628-3634

Author(s):

Ahmed M. El Mahdi ◽

Sherif Omar El Kerdawi ◽

Ali Mahmoud Mohamed Galal

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Varicose Vein ◽

Lower Limb ◽

Randomized Controlled Study ◽

Controlled Study ◽

Conventional Surgery ◽

Randomized Controlled

Complications and Failure of Endovenous Laser Ablation and Radiofrequency Ablation Procedures in Patients With Lower Extremity Varicose Veins in a 5-Year Follow-Up

Vascular and Endovascular Surgery ◽

10.1177/1538574416671247 ◽

2016 ◽

Vol 50 (7) ◽

pp. 475-483 ◽

Cited By ~ 13

Author(s):

Witold Woźniak ◽

R. Krzysztof Mlosek ◽

Piotr Ciostek

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Lower Extremity ◽

Varicose Veins ◽

Long-Term Outcomes of Endovenous Laser Ablation, n-Butyl Cyanoacrylate and Radiofrequency Ablation in the Treatment of Chronic Venous Insufficiency

Journal of Vascular Surgery Venous and Lymphatic Disorders ◽

10.1016/j.jvsv.2021.10.009 ◽

2021 ◽

Author(s):

Helin El Kilic ◽

Nilüfer Bektas ◽

Macit Bitargil ◽

İbrahim Ahmet Balkaya ◽

Tolga Demir ◽

...

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Chronic Venous Insufficiency ◽

Venous Insufficiency ◽

Long Term Outcomes ◽

Radiofrequency Ablation Does Not Increase the Incidence of Endovenous Heat-Induced Thrombosis Compared with Endovenous Laser Ablation: The Incidence of Advanced EHIT Classes May Be Actually Higher in EVLA

Annals of Vascular Surgery ◽

10.1016/j.avsg.2020.02.008 ◽

2020 ◽

Vol 67 ◽

pp. e572

Author(s):

Miloš D. Pavlović

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Comparison of Short-Term Outcomes Between Endovenous 1,940-nm Laser Ablation and Radiofrequency Ablation for Incompetent Saphenous Veins

Frontiers in Surgery ◽

10.3389/fsurg.2020.620034 ◽

2020 ◽

Vol 7 ◽

Author(s):

Insoo Park ◽

Sun-Cheol Park

Keyword(s):

Radiofrequency Ablation ◽

Laser Ablation ◽

Varicose Veins ◽

Normal Activity ◽

Short Term ◽

Closure Rate ◽

Pain Scores ◽

Saphenous Veins ◽

Lower Pain

Background: Radiofrequency ablation (RFA) has shown faster recovery and lower pain scores compared to Endovenous laser ablation (EVLA) for treatment of varicose veins. However, a comparison of 1,940-nm EVLA and RFA has not been reported. This study compared short-term outcomes using 1,940-nm EVLA and RFA for varicose veins.Methods: Between April 2018 and June 2018, 43 patients (83 incompetent saphenous veins) were treated with 1,940-nm EVLA and 37 patients (64 incompetent saphenous veins) with RFA. Follow-up duplex was checked at 1 month and 3 months.Results: Baseline characteristics showed no significant differences between both groups except for age. Pain scores at 6 h, and at 1, 10, and 30 days after treatment showed no differences. Complications and time to return to normal activity showed no differences. The 100% closure rate was checked in both groups at 1 month and 3 months follow-up.Conclusion: Short-term outcomes showed no significant differences between 1,940-nm EVLA and RFA treatment.

Endovenous Laser Ablation of Incompetent Perforating Veins with 1470 nm, 400 μm Radial Fiber

Photomedicine and Laser Surgery ◽

10.1089/pho.2012.3351 ◽

2012 ◽

Vol 30 (11) ◽

pp. 672-677 ◽

Cited By ~ 13

Author(s):

Mert Dumantepe ◽

Arif Tarhan ◽

Ilhan Yurdakul ◽

Azmi Özler

Keyword(s):

Laser Ablation ◽

Perforating Veins ◽

Radial Fiber

Randomized Clinical Trial of Endovenous Laser Ablation Versus Direct and Indirect Radiofrequency Ablation for the Treatment of Great Saphenous Varicose Veins

Journal of Vascular Surgery Venous and Lymphatic Disorders ◽

10.1016/j.jvsv.2019.06.005 ◽

2019 ◽

Vol 7 (5) ◽

pp. 763-764

Author(s):

S.A.S. Hamann ◽

L. Timmer-de Mik ◽

W.M. Fritschy ◽

G.R.R. Kuiters ◽

T.E.C. Nijsten ◽

...

Keyword(s):

Clinical Trial ◽

Radiofrequency Ablation ◽

Laser Ablation ◽

Randomized Clinical Trial ◽

Varicose Veins ◽

Challenges in advancing the laser fiber through the great saphenous vein during endovenous ablation and strategies to overcome them

Phlebology The Journal of Venous Disease ◽

10.1177/0268355518822201 ◽

2019 ◽

Vol 34 (8) ◽

pp. 530-535

Author(s):

Vitor C Gornati ◽

Karen Utsunomia ◽

Nicos Labropoulos

Keyword(s):

Laser Ablation ◽

Prospective Study ◽

Lower Limb ◽

Great Saphenous Vein ◽

Ultrasound Guided ◽

Entry Site ◽

Endovenous Ablation ◽

A Prospective Study ◽

Endovenous Laser Treatment

Objectives To determine the incidence of possible obstacles and patients’ characteristics when performing endovenous laser treatment (EVLT) and suggestions to improve the ability to overcome them. Method A prospective study with 215 limbs treated with EVLT. A sequence of maneuvers was performed to move the fiber forward when difficulty was found and if unsuccessful another entry site was punctured. Results In 29 of 215 (13.48%) limbs, resistance was encountered while navigating the fiber; 16 (55.17%) solved with lower limb extension; 13 (44.82%) needed ultrasound guided maneuvers; five (17.24%) needed a saline flush and in three patients (10.34%) another entry site was necessary. In 214 of 215 cases (99.53%), ablation was accomplished and no complications were observed. Conclusions Both obstruction and higher patients' BMI are the main obstacles during endovenous laser ablation and usually needs additional maneuvers to accomplish the procedure in our study and the use of tricks to overcome these issues is feasible.