676 results match your criteria: "Varicose Veins Treated with Radiofrequency Ablation Therapy"
Experience of endovenous high-frequency electric welding in the treatment of chronic diseases of the lower extremities veins.
Pol Merkur Lekarski
December 2024
Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine.
Objective: Aim: The purpose was to improve the results of treatment of chronic diseases of the lower extremities veins by using endovenous high-frequency electric welding in automatic mode, and to evaluate the obtained results..
Patients And Methods: Materials and methods: The results of treatment of 146 patients with chronic diseases of the lower extremities veins in the period from 2018 to 2023 were analyzed.
Article Synopsis
- * Patients were divided into three groups based on the types of procedures they received: EVLC with STFF and mini-phlebectomy, EVLC with STFF, and EVLC with mini-phlebectomy.
- * Results indicated that the combination of EVLC with STFF and mini-phlebectomy yielded the lowest postoperative complications, while using mini-phlebectomy and STFF together helped reduce complications further.
Comparison of a compression for seven days or overnight after endovenous radiofrequency ablation of superficial vein: A randomized controlled trial.
Vascular
December 2024
Department of Surgery, Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy, Bangkok, Thailand.
Objective: To compare the efficacy of compression stockings worn for 7 days or overnight after EVRFA.
Methods: A single-centre, prospective, non-inferiority randomised controlled trial. The study included patients with clinical class C2-C4 chronic venous disease who underwent endovenous radiofrequency ablation (EVRFA) at Chulabhorn Hospital between October 2021 and October 2023.
[Non-thermal, non-tumescent ablation (excluding sclerotherapy)].
Rev Prat
September 2024
Service de phlébologie interventionnelle clinique Pasteur, Toulouse, France.
[Safety and efficacy analysis of a varicose vein sealant kit in the treatment of great saphenous vein dysfunction].
Zhonghua Yi Xue Za Zhi
September 2024
Department of Vascular Surgery, the Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China.
Article Synopsis
- The study aimed to evaluate the safety and effectiveness of a varicose vein sealant kit for treating dysfunction in the great saphenous vein through a randomized controlled trial involving 180 patients across 9 hospitals.
- Participants were divided into an experimental group, which used the sealant kit, and a control group, which received radiofrequency ablation, with their outcomes compared after surgery.
- The main focus was on the complete closure rate of the great saphenous vein at 3 months post-surgery, along with other secondary measures, including pain levels and overall complication rates, to determine if the sealant kit was as effective as traditional methods.
The Efficacy of Radiofrequency Ablation for the Treatment of Symptomatic Varicose Veins of Lower Limbs.
Vasc Endovascular Surg
February 2025
Department of Vascular Surgery, Nottingham University Hospital, UK.
Background: Radiofrequency ablation (RFA) is a minimally invasive treatment for lower limb varicose veins. Studies indicate that RFA results in immediate occlusion of 90%-100% of treated long saphenous veins. Evidence suggests that post-operative scans rarely alter patient management or outcomes.
View Article and Find Full Text PDFClinical Efficiency and Safety of Radiofrequency Ablation for Treating Incompetent Great Saphenous Veins in Aged Patients.
Vasc Endovascular Surg
February 2025
Department of Thyroid and Breast Surgery, Shanghai Fourth People's Hospital, School of Medicine, Tongji University, Shanghai, China.
Article Synopsis
- This study investigated the safety and effectiveness of radiofrequency ablation (RFA) for treating incompetent great saphenous vein (GSV) in older patients, focusing on clinical outcomes.
- Researchers included 138 patients with a mean age of 63, analyzing both young and aged groups to compare pre- and post-treatment scores using CEAP, VCSS, and CIVIQ-14 classifications.
- Results showed significant improvements in both groups after RFA, indicating that the procedure is beneficial for older patients without significant differences in outcomes when compared to younger patients.
Longer term follow-up of a randomized controlled trial on the role of compression after radiofrequency ablation of varicose veins.
J Vasc Surg Venous Lymphat Disord
August 2024
Bolton Hospitals NHS Foundation Trust, Bolton, UK; Institute of Medicine, University of Bolton, Bolton, UK.
Article Synopsis
- A study checks if not using compression after varicose vein treatment (via ablation) has similar long-term results compared to using compression, following a previous trial's short-term results.
- After 27 months, 64.6% of patients with compression and 63% without it were checked, with both groups showing similar rates of vein closure (80.7% vs. 79.3%).
- Quality of life measures also showed no significant differences between the groups, indicating that for most patients, post-procedural compression might not be necessary for effective treatment outcomes.
Comparison of one-year outcomes and quality of life between radiofrequency ablation and microwave ablation in the treatment of lower extremity varicose veins: A retrospective cohort study.
Phlebology
August 2024
Department of Vascular Surgery, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, P.R. China.
Article Synopsis
- The study aimed to compare the effectiveness of radiofrequency ablation (RFA) and microwave ablation (EMA) for treating lower limb varicose veins in a retrospective review of patients who had undergone these procedures.
- The results showed that both RFA and EMA had similar rates of successful vein occlusion post-surgery, and patients in both groups experienced significant improvements in quality of life metrics, with no notable differences between the two methods.
- The conclusion of the study suggests that both RFA and EMA are effective for treating varicose veins, leading to improved patient outcomes with low rates of complications and recurrences.
American Insurance Coverage of Endovenous Ablation for Greater and Lesser Saphenous Varicose Veins.
Ann Vasc Surg
January 2025
Medical Center, University of Maryland, Baltimore, MD.
Background: Severe cases of varicose veins can cause psychological distress as well as physical symptoms including skin discoloration, wounds, and burning sensations. One intervention, endovenous laser/radiofrequency ablation, is variably covered by insurance. Insurance coverage for this procedure was assessed for all indications of endovenous laser/radiofrequency ablation as medically necessity criteria.
View Article and Find Full Text PDFClinical outcomes of nonthermal ablation, thermal ablation, and surgical stripping for varicose veins.
J Vasc Surg Venous Lymphat Disord
November 2024
Division of Vascular Surgery, Department of Surgery, Kyung Hee University Hospital at Gangdong, Seoul, Korea. Electronic address:
Objective: The purpose of this study was to compare the clinical outcomes of radiofrequency ablation (RFA), cyanoacrylate closure (CAC), mechanochemical ablation (MOCA), and surgical stripping (SS) for incompetent saphenous veins and to determine a suitable treatment modality for a specific clinical situation.
Methods: We retrospectively reviewed the data of patients with varicose veins who underwent RFA, CAC, MOCA, or SS from January 2012 to June 2023. The clinical outcomes, including postoperative complications and the Aberdeen Varicose Vein Questionnaire score, were assessed.
Comparative effectiveness of non-compounded polidocanol 1% endovenous microfoam (Varithena) ablation versus endovenous thermal ablation utilizing a systematic review and network meta-analysis.
J Vasc Surg Venous Lymphat Disord
November 2024
Samaritan Hospital, Troy, NY; St. Peter's Vascular Associates, St. Peter's Medical Associates, Albany, NY.
Objective: We compared the effectiveness and safety of polidocanol 1% endovenous microfoam ablation vs endovenous thermal ablation with radiofrequency or laser energy for treatment of venous insufficiency caused by lower extremity truncal vein incompetence via network meta-analysis of published comparative evidence.
Methods: We conducted a systematic literature review following best practices, including a prospective protocol. We screened studies published in English from 2000 to 2023 for randomized and nonrandomized studies reporting direct or indirect comparisons between polidocanol 1% endovenous microfoam and endovenous thermal ablation.
Safety and efficacy of endovenous ablation in patients with a history of deep vein thrombosis.
J Vasc Surg Venous Lymphat Disord
September 2024
Division of Vascular and Endovascular Surgery, Department of Surgery, New York University Langone Health, New York, NY. Electronic address:
Article Synopsis
- Endovenous thermal ablation is a common treatment for individuals with symptomatic superficial venous insufficiency, particularly those with a history of deep vein thrombosis (DVT), which raises concerns about potential complications like venous thromboembolism.
- A study analyzed data from the Vascular Quality Initiative registry to assess the safety and effectiveness of this treatment in patients with a prior DVT history compared to those without, focusing on risks of new DVT, bleeding, and effectiveness at preventing recanalization.
- Results showed that patients with prior DVT had a higher risk of new DVT and complications, indicating the need for careful evaluation and management strategies in these patients undergoing endovenous thermal ablation.
Endovenous Microwave Ablation Versus Laser Ablation for Small Saphenous Vein Varicosis.
Adv Ther
June 2024
General Surgery, Cancer Center, Department of Vascular Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Article Synopsis
- The study investigates the effectiveness and safety of endovenous microwave ablation (EMA) as a treatment for small saphenous vein (SSV) insufficiency, a condition causing poor blood flow in the legs.
- A total of 126 patients were analyzed, with 64 receiving EMA and 62 undergoing endovenous laser ablation (EVLA), focusing on various surgical metrics and patient outcomes before and after the procedures.
- Results indicated that while the thermal ablation time was significantly shorter for EMA compared to EVLA, no major differences were found in surgery duration, hospitalization, complications, or patient pain ratings between the two methods.
Superficial Venous Disease-An Updated Review.
Ann Vasc Surg
August 2024
Interventional and Endovascular Cardiologist, Stern Cardiovascular Foundation, UT Health Science Center, Memphis, TN.
Article Synopsis
- Superficial venous diseases (SVDs) primarily affect the lower extremities and can lead to serious issues like varicose veins, chronic venous insufficiency, and venous ulcers.
- The review discusses the anatomy, risk factors (like age, race, and lifestyle), and the clinical classification of SVDs, emphasizing the Clinical-Etiology-Anatomy-Pathophysiology system.
- Various imaging techniques (mainly duplex ultrasound), along with a range of treatment options from conservative methods like compression stockings to advanced interventional therapies, are presented for managing SVD effectively.
The anterior saphenous vein. Part 4. Clinical and technical considerations in treatment. Endorsed by the American Vein and Lymphatic Society, the American Venous Forum, and the International Union of Phlebology.
J Vasc Surg Venous Lymphat Disord
May 2024
Division of Vascular Surgery, Department of Surgery, University of Washington Medical Center, Seattle, WA, USA.
Background: The decision to treat a refluxing anterior saphenous vein (ASV) should be a clinical decision based on the assessment on the ASV's contribution to patient's signs and symptoms. Once the decision to treat has been made, there are anatomic, clinical, and technical considerations in treatment planning.
Methods: Clinical scenarios were discussed by a panel of experts and common anatomic, clinical, and technical considerations were identified.
Strategies to reduce rates of severe endothermal heat-induced thrombosis following radiofrequency ablation.
J Vasc Surg Venous Lymphat Disord
July 2024
Division of Vascular Surgery, University of Rochester Medical Center, Rochester, NY. Electronic address:
Article Synopsis
- The study aimed to assess the impact of new protocols to reduce endothermal heat-induced thrombosis (EHIT) complications after radiofrequency ablation (RFA) procedures, particularly focusing on specific vein size criteria for patient selection.
- Researchers analyzed data from the Vascular Quality Initiative database, comparing rates of thrombotic complications and bleeding before and after the institutional policy changes that included the use of prophylactic low-molecular-weight heparin.
- Results indicated a decrease in the EHIT rate from 2.6% to 1.5% after the change, particularly noting a significant drop in more severe EHIT cases, while factors like treating multiple veins and larger vein diameters increased EHIT risk.
Risk factors for recanalization of truncal veins following endoluminal ablation.
J Vasc Surg Venous Lymphat Disord
July 2024
Division of Vascular Surgery, The University of California Davis, Sacramento, CA.
Article Synopsis
- * A total of 10,604 procedures were reviewed, revealing that patients with recanalization had a higher average body mass index and were more likely to have a history of phlebitis, but no significant differences were found in other factors like compression therapy or deep venous reflux.
- * Laser ablation was associated with a higher rate of recanalization compared to radiofrequency ablation, highlighting the importance of treatment modality in vein recanalization outcomes.
Endovenous radiofrequency ablation vs laser ablation in patients with lower extremity varicose veins: A meta-analysis.
J Vasc Surg Venous Lymphat Disord
September 2024
Department of Vascular Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China. Electronic address:
Article Synopsis
- The study compares the effectiveness of endovenous radiofrequency ablation (RFA) and laser ablation (LA) for treating lower extremity varicose veins (LEVVs), analyzing both early and long-term outcomes.
- A total of 29 studies were reviewed, showing that RFA demonstrated slightly higher occlusion rates of the great saphenous vein after one year compared to LA, with RFA at 93.13% and LA at 94.18%.
- RFA also exhibited a lower risk of burns, postoperative pain, and recurrence of varicose veins than LA, indicating better safety and efficacy profiles for RFA in certain aspects since 2016.
Editor's Choice - Short Term Cost Effectiveness of Radiofrequency Ablation and High Ligation and Stripping for Great Saphenous Vein Incompetence.
Eur J Vasc Endovasc Surg
May 2024
Department of Clinical Physiology in Linköping, and Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Article Synopsis
- - The study evaluates the cost-effectiveness of treating superficial venous incompetence (SVI) using two methods: radiofrequency ablation (RFA) and high ligation and stripping (HL/S), compared to no or conservative treatment, over one year.
- - In a trial involving 143 patients, both RFA and HL/S significantly improved disease severity and quality of life (QoL), but RFA was found to be cheaper (€1,292) and more effective regarding quality-adjusted life years (QALY) gained (0.21 for RFA vs. 0.17 for HL/S).
- - The cost per QALY for RFA was €6,155, significantly lower than that
Saphenous vein ablation a word of caution.
J Vasc Surg Venous Lymphat Disord
July 2024
Facultad de Medicina, Universidad de los Andes, Bogotá, Colombia.
Factors associated with ablation-related thrombus extension following microfoam versus radiofrequency saphenous vein closure.
J Vasc Surg Venous Lymphat Disord
May 2024
Division of Vascular and Endovascular Surgery, Gonda Venous Center, David Geffen School of Medicine at UCLA, Los Angeles, CA. Electronic address:
Article Synopsis
- Polidocanol endovenous microfoam ablation (MFA) is FDA-approved for closing the great saphenous vein (GSV), but there's limited information on the risk of ablation-related thrombus extension (ARTE) compared to radiofrequency ablation (RFA).
- A study analyzed data from 800 limbs treated with MFA or RFA, focusing on patient characteristics, post-procedure ultrasound findings, and any complications to determine the occurrence of ARTE.
- Results indicated that ARTE was present in 2.4% of patients, with a higher incidence in the MFA group (5.2%) compared to the RFA group (0.7%), suggesting that vein diameter may influence the risk
Laser ablation on vascular diseases: mechanisms and influencing factors.
Lasers Med Sci
December 2023
Neurosurgery Department of Xuanwu Hospital, Capital Medical University, Beijing, China.
Article Synopsis
- * Traditional treatment methods, such as ligation and stripping for venous issues, and balloon angioplasty for coronary artery disease, can be limited in effectiveness, particularly with complex lesions.
- * Advances in laser photonics, particularly endovenous laser ablation and excimer laser coronary atherectomy, present promising alternatives with higher success rates, reduced complications, and quicker recovery times, driven by specific mechanisms and influencing factors.
Application of Femoral Nerve Block in Treating Great Saphenous Vein Insufficiency by Endovenous Radiofrequency Ablation Combined with Punctate Stripping.
Clin Appl Thromb Hemost
December 2023
Department of Vascular and Interventional Radiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Article Synopsis
- This study aimed to assess the effectiveness and safety of ultrasound-guided femoral nerve block (FNB) for patients undergoing endovenous radiofrequency ablation (EVRA) combined with punctate stripping for great saphenous vein (GSV) insufficiency.
- A total of 135 patients were split into two groups: one group received FNB and the other did not, with results showing significant reductions in intraoperative pain and the amount of tumescent anesthesia used in the FNB group.
- Additionally, while the FNB group experienced slightly decreased muscle strength post-operation, they had a lower incidence of skin bruising and no serious complications compared to the non-FNB group, with all muscle strength recovering within
The anterior saphenous vein. Part 4. Clinical and technical considerations in treatment. Endorsed by the American Vein and Lymphatic Society, the American Venous Forum, and the International Union of Phlebology.
Phlebology
June 2024
Division of Vascular Surgery, Department of Surgery, University of Washington Medical Center, Seattle, WA, USA.
Article Synopsis
- - The treatment decision for a refluxing anterior saphenous vein (ASV) should be based on its impact on the patient's symptoms and involves careful assessment of anatomical, clinical, and technical factors.
- - Expert discussions highlighted important considerations, like whether to treat the great saphenous vein (GSV) along with the ASV, or how to approach treating normal ASV during GSV treatment, and managing associated varicose tributaries.
- - A personalized treatment plan is essential, focusing on the patient’s unique situation, ensuring the best long-term outcomes when addressing ASV reflux.