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

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.

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Five-year follow-up of a randomized clinical trial comparing open surgery, foam sclerotherapy and endovenous laser ablation for great saphenous varicose veins

British Journal of Surgery ◽

10.1002/bjs.10757 ◽

2018 ◽

Vol 105 (6) ◽

pp. 686-691 ◽

Cited By ~ 18

Author(s):

S. Vähäaho ◽

K. Halmesmäki ◽

A. Albäck ◽

E. Saarinen ◽

M. Venermo

Keyword(s):

Clinical Trial ◽

Laser Ablation ◽

Randomized Clinical Trial ◽

Open Surgery ◽

Varicose Veins ◽

Foam Sclerotherapy ◽

Endovenous Laser Ablation

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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 ◽

Endovenous Laser Ablation

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Recurrence patterns after endovenous laser treatment of saphenous vein reflux

Phlebology The Journal of Venous Disease ◽

10.1177/0268355515596288 ◽

2016 ◽

Vol 31 (7) ◽

pp. 496-500 ◽

Cited By ~ 11

Author(s):

Ronald S Winokur ◽

Neil M Khilnani ◽

Robert J Min

Keyword(s):

Laser Ablation ◽

Varicose Veins ◽

Endovenous Laser Ablation ◽

Recurrent Varicose Veins ◽

Saphenous Veins ◽

Recurrence Patterns ◽

Endovenous Laser Treatment ◽

Saphenofemoral Junction ◽

Patterns Of Recurrence

Introduction The patterns of recurrent varicose veins after endovascular ablation of the saphenous veins are not well described. Methods The current study describes the ultrasound defined recurrence patterns seen in 58 patients (79 limbs) who returned for evaluation of recurrent varicose veins from a cohort of 802 patients treated with endovenous laser ablation and subsequent sclerotherapy from March 2000 to March 2007 with clinical follow-up until May 2014. Findings The most common ultrasound defined recurrence patterns leading to the varicose veins were new reflux in the anterior accessory saphenous and small saphenous veins as well as recanalization of the treated saphenous segment. Neovascularization at the saphenofemoral junction and incompetent perforating veins as the source of the recurrent veins were not seen. Conclusions The patterns of recurrence following thermal ablation of saphenous veins are different to those seen after surgery. Specifically, new reflux in other saphenous veins is responsible for most recurrent varicose veins and neovascularity seems to be unusual following endovenous laser ablation.

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