Comparison of Endovenous Laser and Radiofrequency Ablation in Treating Varicose Veins in the Same Patient

Abstract

The EVLA procedure may be superior to RFA in certain respects.

Kronik venöz yetmezlik olgularında Endovenöz Radyofrekans Ablasyonun Klinik Sonuçları: İki Yıllık Takip Sonuçları

“…In early period of our RFA practice, we recommended enoxaparin for a week in the postoperative period and aspirin for a month, therefore the rate of ecchymosis was high in our series. However, our rate of ecchymosis was no higher than previous published studies, and a cure was achieved within two weeks [3,9,11] and we no longer administer this medication. Although DVT prevalence after RFA is believed to be between 0.2% and 1% [15], we did not observe any acute thrombosis or DVT in present study.…”

“…Eroğlu et al did not reveal a difference in their randomized controlled study comparing cyanoacrylate, RFA and EVLA procedures in respect to 2-year occlusion rates (occlusion rates were 92.6%, 90.9%, 91.5% respectively) (3). Bozoğlan et al reported that the occlusion rates in their study that compare EVLA and RFA procedures, were respectively 100% and 94% after 6 months of follow-up [9]. In the study of 155 patients treated with RFA, Shepherd et al reported 94.1% occlusion rate after an average follow-up of 12.2 months [10].…”

Effects of Two Current Great Saphenous Vein Thermal Ablation Methods on Visual Analog Scale and Quality of Life

“…There is only one study in the literature comparing RFA with current laser catheters. Bozoglan et al used RFA and 1470 nm radial fiber laser catheter in two different extremities of the same patient and reported that EVLA was superior to RFA in terms of postoperative pain and rate of return to daily activity [ 9 ]. Our findings are not compatible with this study.…”

“…Because of this, new studies are needed with the use of new generation catheters with high wave length and new tip designs. Advances in laser catheters may alter the results and end the superiority of the RFA [ 7 – 9 ].…”

Minimally invasive treatments for perforator vein insufficiency

“…EVTA is technically more challenging than USGS; however, several studies have shown highly effective and durable closure rates, with closure rates ranging between 61% and 95% (37)(38)(39)(40). A recent comparison between minimally invasive techniques for perforator ablation showed EVTA had better early closure rates when compared to USGS; however, this rate narrowly missed significance (40).…”