A Comparison of 1,470-nm Endovenous Laser Ablation and Radiofrequency Ablation in the Treatment of Great Saphenous Veins 10 mm or More in Size

Meşe, Bülent; Bozoglan, Orhan; Eroğlu, Erdinç; Erdem, Kemalettin; Acipayam, Mehmet; Ekerbiçer, Hasan Çetin; Yasım, Alptekin

doi:10.1016/j.avsg.2015.03.063

Cited by 39 publications

(15 citation statements)

References 12 publications

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“…In the 2000s, when the ClosureFast system was introduced, studies found that RFA caused less postoperative pain and bruising with quicker recovery compared to treatment using lower wavelengths of 810 or 980 nm (6-10). However, since the introduction of laser of a higher wavelength, recent several studies, including a prospective 5 years study, reported that 1,470-nm EVLA using a radial fiber was associated with similar outcomes or even less postoperative pain and shorter recovery time compared to RFA (15)(16)(17)(18).…”

Section: Discussionmentioning

confidence: 99%

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

Park

2020

Front. Surg.

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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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Section: Discussionmentioning

confidence: 99%

“…Therefore, recent studies reported that using a 1,470-nm laser led to the same or even less postoperative pain and bruising compared to that associated with RFA (15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 99%

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

Park

2020

Front. Surg.

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“…In a previous similar study postoperative edema, ecchymosis, hyperemia and mean time to return to work were higher in RF group. Moreover recanalization developed in only RF group [7]. In the second study there was no significant difference among venous clinical severity score, measured adverse effects, and procedure failure rate [8].…”

Section: Introductionmentioning

confidence: 75%

Comparison of 1470 nm Radial Fiber Laser Ablation and Radiofrequency Ablation in Endovascular Treatment of Venous Insufficiency

Yümün¹,

Gür²,

Gürkan³

2016

WJCS

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Background: In this study, we aimed to compare the results of endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) in patients with lower extremity venous insufficiency due to great saphenous vein (GSV) reflux on efficiency, patient comfort and postoperative morbidity. Methods: Endovascular approach in treatment of GSV insufficiency was performed in 283 patients between 2011 and 2014 at our clinic. In group 1, EVLA was performed on 149 patients (42 male, 107 female; mean age 46.90 ± 11.43) and in group 2, RFA was performed on 134 patients (41 male, 93 female; mean age 47.02 ± 12.58). The results were compared in terms of local pain, ecchymosis, paresthesia, venous clinic severity score (VCSS), length of GSV that process performed, efficiency and Clinical Etiology Anatomy Pathophysiology (CEAP) classification data. Results: GSV diameter at saphenofemoral junction level was 10.65 ± 3.72 mm and 11.29 ± 3.78 mm in group 1 and 2, respectively. Length of GSV that process performed was 38.97 ± 6.88 cm in group 1 and 41.83 ± 4.82 cm in group 2. Postoperatively burn, pulmonary embolism (PE) and deep venous thrombosis (DVT) were not observed in both groups. Postoperative complications in group 1 were hematoma formation in 2 (1.3%) patients, ecchymosis in 13 (8.7%) patients, edema in 21 (14.1%) patients and paresthesia in 10 (6.7%) patients. Postoperative complications in group 2 were hematoma formation in 1 (0.7%) patient, ecchymosis in 8 (6%) patients, edema in 12 (9%) patients and paresthesia in 6 (4.5%) patients. The efficiency of the process was 96.6% in EVLA group and 98.5% in RFA group. Conclusion: We conclude that both RFA and 1470 nm radial fiber EVLA procedures are effective and reliable techniques in treatment of GSV insufficiency. No significant difference was found between two techniques in terms of efficiency and postoperative morbidity.

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“…21 Nevertheless, this technological advancement is not followed by a correspondent improvement in terms of recurrence rate whenever compared with traditional ablative surgery. [22][23][24] According to the most recent reviews on GSV recurrences, ablative surgery (stripping), RFA, and EVLA demonstrated overlapping results in the 3-year occlusion rate, ranging from 6.5% to 7%. 4 In 2015, a Cochrane investigation demonstrated a varicose vein recurrence reduction following a saphenous sparing surgical strategy rather than a traditional ablative one.…”

Section: Discussionmentioning

confidence: 99%

Mini-invasive high-tie by clip apposition versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options

et al. 2016

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Objective The aim of the present study is to compare a mini-invasive (smaller than 2-cm incision) sapheno-femoral high-tie by clip apposition (HT group) with a traditional high-ligation by ligature (HL group). Methods One hundred fifty chronic venous disease patients were included in group HT and compared with 150 cases constituting the group HL. The main outcome was the sonographic detection of saphenous trunk recurrences. Procedural pain, esthetic satisfaction, and disease specific quality of life were assessed. Results At 4.5 ± 2.4 years follow-up, 8 cases (5.3%) of Great Saphenous Vein reflux reappearance were reported in group HT vs. 19 cases (12.6%) (odds ratio: 2.6; 95% confidence interval: 1.1-6.1; P = 0.04) of group HL. Esthetic satisfaction was scored as high and very high in group HT and HL, respectively (P < .0001). Conclusions Proper high-ligation technique provides satisfying outcomes both in terms of recurrence rate and patient esthetic satisfaction. The different outcomes obtained by the two groups encourage further investigations regarding recurrence pathogenesis.

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A Comparison of 1,470-nm Endovenous Laser Ablation and Radiofrequency Ablation in the Treatment of Great Saphenous Veins 10 mm or More in Size

Cited by 39 publications

References 12 publications

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

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

Comparison of 1470 nm Radial Fiber Laser Ablation and Radiofrequency Ablation in Endovascular Treatment of Venous Insufficiency

Mini-invasive high-tie by clip apposition versus crossectomy by ligature: Long-term outcomes and review of the available therapeutic options

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