Microwave ablation: initial experience in Brazil

Rovella, Marcello Silveira; Fiore, Lucas; Filho, Alfredo Enzo Allegro; Martins, Guilherme; Menezes, Marcos Roberto de

doi:10.1590/0100-3984.2019.0096

Cited by 1 publication

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“…In EMA technique The microwave ablation catheter is inserted percutaneously into the VVs and the antenna radiation released penetrating microwave energy that causes vibration of the polar molecules in the vascular tissues at high frequency under the effect of the microwave field to generate direct heat [11] . There are few studies that discussed the efficiency and safety of EMA with high tie for management of lower limb VVs; therefore we conducted this study to compare between EMA with high tie versus traditional surgery for primary lower limb VVs regarding return to activity, complications, recurrence rate, and affection the Quality of Life (QoL).…”

Section: Introductionmentioning

confidence: 99%

Assessment of Endovenous Microwave Ablation with High Tie versus Traditional Surgery for Primary Varicose Veins

Ghweeba

2022

Medicine Updates

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Background:The high ligation and stripping (HLS) of great saphenous vein (GSV) is the traditional method for surgical treatment of varicose vein (VVs) with high postoperative recurrence rate up to 60%, slow recovery, and obvious scar. Endovenous microwave ablation (EMA) with high tie is considered a new technique of thermal ablation. We aimed to compare between (EMA) with high tie versus traditional surgery for lower limb VVs regarding return to activity, complications, recurrence rate, and affection the Quality of Life (QoL).Methods: This prospective comparative study was conducted on 50 cases, presented with symptomatic VVs, classified into two equal groups, EMA with high tie group and traditional surgery group. The complications and possibility of recurrence were evaluated during 3, 6, and 12 m post intervention. The effect on QoL was assessed by the Aberdeen Varicose Vein Questionnaire. Results:Operative incision was significantly fewer in EMA with high tie group (P value <0.001). Return to activity was significantly faster in microwave ablation group (P value <0.001). Incidence of Ecchymosis and sensory impairment were significantly lower in MA with high tie group. EMA is more Recurrence at 12 m was significantly lower in MA with high tie group compared to traditional surgery group with hazard ratio (95% confidence interval) 0.2836 (0.08855 to 0.9085) (P =0.033). AVVQ was insignificant between both groups during assessment.Conclusions: MA with high tie is an effective ablation method for VVs patients, that provides shorter time with less incisions, faster recovery with lower thermalrelated complications, and recurrence rate.

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Section: Introductionmentioning

confidence: 99%

Assessment of Endovenous Microwave Ablation with High Tie versus Traditional Surgery for Primary Varicose Veins

Ghweeba

2022

Medicine Updates

View full text Add to dashboard Cite

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Microwave ablation: initial experience in Brazil

Cited by 1 publication

References 6 publications

Assessment of Endovenous Microwave Ablation with High Tie versus Traditional Surgery for Primary Varicose Veins

Assessment of Endovenous Microwave Ablation with High Tie versus Traditional Surgery for Primary Varicose Veins

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