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

Woźniak, W; Mlosek, Robert Krzysztof; Ciostek, Piotr

doi:10.1177/1538574416671247

Cited by 30 publications

(18 citation statements)

References 27 publications

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“…Complications of RFA include recurrence, failure of complete venous occlusion, deep venous thrombosis, hyperpigmentation, skin burn, and infection including superficial thrombophlebitis 3, 4, 5, 6. There has been one previous case of suppurative thrombophlebitis reported after endovenous laser therapy 7 .…”

Section: Discussionmentioning

confidence: 99%

Surgical resection for suppurative thrombophlebitis of the great saphenous vein after radiofrequency ablation

Grady

Aizpuru

Farley

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Radiofrequency ablation has become one of the most commonly used interventions in the treatment of chronic venous insufficiency. It is performed with minimal analgesic use, tolerable postprocedural pain, and prompt return to activities of daily living. Typical complications, though rare, include failure of total venous occlusion, deep venous thrombosis, skin hyperpigmentation, infection, and skin burn. Here, we report the case of a patient who developed suppurative thrombophlebitis with methicillin-resistant Staphylococcus aureus bacteremia, requiring surgical resection.

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Section: Discussionmentioning

confidence: 99%

Surgical resection for suppurative thrombophlebitis of the great saphenous vein after radiofrequency ablation

Grady

Aizpuru

Farley

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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“…There were 11 articles comprising a total sampling size of 1145 patients with lower limb varicosity meeting all inclusion and exclusion criteria, and then were included in this meta‐analysis. The sample sizes of these studies vary from 40 to 173.…”

Section: Resultsmentioning

confidence: 99%

Comparison of endovenous laser treatment and high ligation in treatment of limb varicosity: A meta‐analysis

Cao

Wang

et al. 2019

International Wound Journal

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To assess the efficacy and safety of endovenous laser treatment (EVLT) and high ligation (HL) for limb varicosity using meta‐analysis. Multiple databases including PubMed, Springer, Excerpta Medica Database, Ovid Technologies, and China Journal Full‐text database were searched for relevant studies in English or Chinese, and full‐text articles were used to compare EVLT and HL for limb varicosity. Review Manager 5.0 was used to estimate the effects of the results among eligible articles. Forest plots, sensitivity analysis, and bias analysis of the included articles were also conducted. Initial screening yielded 1031 studies, 11 randomised controlled trials involving 1145 limb varicosity patients met the inclusion criteria in this study. The results of the heterogeneity test suggested that intraoperative blood loss mean difference (MD) = −6.31[−9.03, −3.60], P < 0.00001), operative time (MD) = −39.76[−42.27, −37.24], P < 0.00001), rate of complications (odds ratio [OR] = 0.37[0.22, 0.61], P < 0.0001), and recurrence (OR = 0.28[0.16, 0.49], P < 0.0001) were significantly different. Although both EVLT and HL have their own merits and demerits, EVLT is a more effective and safe method to treat limb varicosity.

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“…Wozniak treated patients with EVLT 980 nm and RF ClosureFast™, LMWH prophylaxis and medical stockings. Numbness here was due to introduction of catheter near malleolus and they are reduced by tumescent anaesthesia, hyperpigmentation are due to phlebitis, skin burns to few tumescent anaesthesia (30).…”

Section: (Lmwh For One Week)mentioning

confidence: 99%

Prophylaxis of complications in venous surgery

Romano¹,

Leo²,

Mitri³

2017

Phlebologie

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SummaryAim: The purpose of this article is to underline complications in venous surgery during the past 30 years and new ones arising with the introduction of technologies. We also discuss the “natural reduction” of some of these and how to prevent complications.Methods: We have analysed different types of studies on different surgical procedures in the treatment of varicose veins and compared them with own outcomes.Results: Considering all techniques, we have wound infections in 2,3–4 % of cases, cellulitis in 2,6–16 %, lymphatic complications in 1,3–60 %, pain in 2–23 %, neurologic disease including nerve damages, bruising and numbness in 0–50 %, thrombophlebitis in 0,3–20 %, deep vein thrombosis with or without pulmonary embolism in 0–5,7 %, injury of major vessel in 0,17 %, haematoma in 1,3–31 %, oedema in <1–15 %, hyperpigmentation in 3–11 %, ecchymosis in 0,8–9 %, skin burns in 0,2–8 %, erythema in 2–33 % and endothermal heat-induced-thrombosis (HEIT) in 0–7,5 % of cases.Conclusion: Our outcomes confirmed literature results. We conclude that new technologies improve results and reduce complications, as do tumescent anaesthesia, medical stockings, early mobilization and low weight heparin prophylaxis (LMWH) in high risk patients.

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

Abstract: Endovenous laser ablation and RFA for the management of lower extremity varicose vein offer comparable efficacy and safety in a 5-year follow-up.

Cited by 30 publications

References 27 publications

Surgical resection for suppurative thrombophlebitis of the great saphenous vein after radiofrequency ablation

Surgical resection for suppurative thrombophlebitis of the great saphenous vein after radiofrequency ablation

Comparison of endovenous laser treatment and high ligation in treatment of limb varicosity: A meta‐analysis

Prophylaxis of complications in venous surgery

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