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305310

Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up

Article

Last updated: 24 Dec 2024

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Tags

Clinical Research (Surgical)

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.
 

DOI

10.21608/scumj.2023.305310

Keywords

Great saphenous vein, Radiofrequency thermal ablation, Venous clinical severity score

Authors

First Name

Aya

Last Name

Toubar

MiddleName

A.

Affiliation

Vascular Surgery Unit, General Surgery Department, Faculty of Medicine, Suez Canal University, Egypt

Email

aya.toubar.213@gmail.com

City

-

Orcid

-

First Name

Sherif

Last Name

Reffat

MiddleName

A.

Affiliation

Vascular Surgery Unit, General Surgery Department, Faculty of Medicine, Suez Canal University, Egypt

Email

shrefat@hotmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

El-Yamany

MiddleName

M.

Affiliation

Vascular Surgery Unit, General Surgery Department, Faculty of Medicine, Suez Canal University, Egypt

Email

yamany1110@yahoo.com

City

-

Orcid

-

First Name

Mohammed

Last Name

Kamel

MiddleName

M.

Affiliation

Vascular Surgery Unit, General Surgery Department, Faculty of Medicine, Suez Canal University, Egypt

Email

mmk_surgeon@hotmail.com

City

-

Orcid

-

Volume

26

Article Issue

4

Related Issue

42075

Issue Date

2023-04-01

Receive Date

2023-06-25

Publish Date

2023-04-01

Print ISSN

1110-6999

Online ISSN

2090-2581

Link

https://scumj.journals.ekb.eg/article_305310.html

Detail API

https://scumj.journals.ekb.eg/service?article_code=305310

Order

4

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Radiofrequency Ablation of the Varicosed Long Saphenous Vein, Results After 6 Months Follow Up

Details

Type

Article

Created At

24 Dec 2024