Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: Analysis of early efficacy and complications

Puggioni, Alessandra; Kalra, Manju; Carmo, Michele; Mózes, Géza; Gloviczki, Péter

doi:10.1016/j.jvs.2005.05.014

Cited by 287 publications

(181 citation statements)

References 23 publications

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“…All previous studies have reported that the greatest superiority of RF over EVLA is greater patient satisfaction. 12,[17][18][19] In our study, however, patient satisfaction was higher in the EVLA group, while better results for criteria such as intraoperative and postoperative pain, postoperative analgesic requirement, return to activity and return to work were obtained in the EVLA group. Of these, postoperative pain and time to return to activity were statistically significant (P < 0.035 and P < 0.001, respectively).…”

Section: Discussioncontrasting

confidence: 55%

“…Publications generally report that both methods have the same levels of successful ablation, but that pain levels and rates of complications following RFA are lower compared to EVLA. 12,[16][17][18][19][20] However, these studies have generally used low wavelength laser. Several recent studies suggest that better results are achieved with higher laser wavelengths.…”

Section: Discussionmentioning

confidence: 99%

“…16 Puggioni et al reported success rates at 1-month follow-up of 100% for EVLA and 96% for RF. 17 This is because in performing ablation with RF the catheter has to touch the vein wall, while thermal ablation is possible without laser energy making contact. All previous studies have reported that the greatest superiority of RF over EVLA is greater patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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Introduction: To compare endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) in different legs in the same individual in patients with venous insufficiency. Methods: Sixty patients with bilateral saphenous vein insufficiency were included. EVLA or RFA was applied to one of the patient's legs and RFA or EVLA to the other leg. Results: EVLA and RFA complications were hyperemia at 20.7% and 31.0%, ecchymosis at 31.0% and 51.7% and edema at 27.6% and 65.5%, respectively. The rate of recanalization was 6.8% in the RFA group. No recanalization was observed in EVLA group. The level of patients satisfied with EVLA was 51.7%, compared to 31.0% for RFA, while 17.2% of patients were satisfied with both procedures. Times to return to daily activity were 0.9 days in the EVLA group and 1.3 days in the RFA group. Conclusion: EVLA procedure may be superior to RFA in certain respects.

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Section: Discussioncontrasting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

et al. 2017

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“…Sclerotherapy arm subjects had self-limiting mild post-procedural pain and cordlike induration along the GSV with slightly higher incidence of thrombophlebitis as reported in previous studies [13]. Deep vein thrombosis, pulmonary embolism, and anaphylaxis have been reported as serious complications of these endoluminal treatment modalities [20][21][22], but none of the patients in our study groups had these complications.…”

Section: Discussionsupporting

confidence: 72%

Comparative Study of Outcome of Duplex Ultrasound-Guided, Catheter-Directed Foam Sclerotherapy and Radio-frequency Ablation in the Management of Great Saphenous Varicose Veins

et al. 2016

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Chronic venous insufficiency of lower limbs is a common problem in adults. We compared the two modalities, namely duplex ultrasound-guided, catheter-directed foam sclerotherapy (UGFS) and radio-frequency ablation (RFA), in the management of great saphenous varicose veins using clinical assessment (Venous Clinical Severity Score, Venous Disability Score) and duplex imaging. Patients presenting with great saphenous vein (GSV) varicosity due to incompetent saphenofemoral junction (SFJ) were selected and randomly assigned in each arm, i.e., duplex UGFS group and RFA group. Patients were assessed on days 7, 30, and 90 both clinically and sonologically. Clinical assessment was based on the Venous Clinical Severity Score (VCSS) and Venous Disability Score (VDS). Obliteration of the treated GSV segment was noted in all the limbs of the RFA group (31/31) on duplex sonography on days 7, 30, and 90, while in the UGFS group, out of 30 limbs, obliteration was successful in 28 (28/ 30) and 2 had treatment failure. However, outcome of both the groups were statistically comparable (P value > 0.05). After the procedure, improvement in the VCSS was noted in both the study arms in every follow-up and both the modalities were found to be equally effective. Improvement in the Venous Disability Score was there on every follow-up, but maximum improvement was seen on the second visit, i.e., post-treatment day 30. Improvement was statistically significant and equal in both arms after the initial 1 week. Foam sclerotherapy, especially catheter-directed, is as effective as radio-frequency ablation in achieving anatomical obliteration and yielding relief in clinical signs and symptoms in patients with GSV varicosity with SFJ incompetence.

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“…Studies comparing different catheterdirected techniques have been published; however many of them are retrospective studies [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

et al. 2011

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Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: Analysis of early efficacy and complications

Cited by 287 publications

References 23 publications

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

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

Comparative Study of Outcome of Duplex Ultrasound-Guided, Catheter-Directed Foam Sclerotherapy and Radio-frequency Ablation in the Management of Great Saphenous Varicose Veins

Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

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