Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up | ||
| Suez Canal University Medical Journal | ||
| Article 4, Volume 26, Issue 4, April 2023, Pages 0-0 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/scumj.2023.305310 | ||
| Authors | ||
| Aya A. Toubar* ; Sherif A. Reffat; Mohammed M. El-Yamany; Mohammed M. Kamel | ||
| Vascular Surgery Unit, General Surgery Department, Faculty of Medicine, Suez Canal University, Egypt | ||
| Abstract | ||
| Aim: The aim of this study was to assess the efficacy of Radiofrequency thermal ablation (RFA) in the treatment of varicose veins and the postoperative outcomes for improving the quality of life of varicose veins patients. Methods: This is a prospective, interventional, quasi-experimental study that includes 20 participants presenting with lower limb varicose veins in the outpatient clinic of the Suez Canal University Hospital. Results: Twenty patients were eligible for RFA of the varicose great saphenous vein (GSV), with a mean age of 33.1 ± 2.61 years old. The overall pre-operative venous clinical severity score (VCSS) mean of all patients was 4.4 ± 0.68. On 6 months follow-up, patency of the ablated vein was assessed by using duplex ultrasound, 16 patients (80%) had completely occluded GSV with no patent intermittent segments (Complete occlusion), only 4 patients (20%) had intermittent patent segments with an average length of <5 cm showing no residual refluxing (Near complete occlusion). No patients had patent segments of >5 cm in length (Failure group). The overall postoperative VCSS mean of all patients was 2.1 ± 0.3. There were 4 participants (20%) having post-operative ecchymosis at the anatomical distribution of the ablated vein, one patient (5%) had skin burn at the site of cannulation, 4 patients (20%) had areas of induration at the site of the ablated vein. Only 2 patients (10%) experienced post-ablation hyperpigmentation of the distal part of GSV. Conclusion: RFA is an effective feasible modality in the management of GSV incompetence and refluxing. The clinical parameters showed significant improvement after RFA including VCSS. Post-operative adverse effects after RFA are mild and self-limiting. | ||
| Keywords | ||
| Great saphenous vein; radiofrequency thermal ablation; venous clinical severity score | ||
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