A randomized, controlled trial of endovenous thermal ablation using the 810-nm wavelength laser and the ClosurePLUS radiofrequency ablation methods for superficial venous insufficiency of the great saphenous vein

Abstract

Both methods of endovenous ablation effectively reduce symptoms of superficial venous insufficiency. EVL is associated with greater bruising and discomfort in the perioperative period but may provide a more secure closure over the long-term than RFA.

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

“…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).…”

“…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.…”

Clinical effectiveness and cost-effectiveness of minimally invasive techniques to manage varicose veins: a systematic review and economic evaluation

“…A series of recently published reviews in peer-reviewed journals have evaluated either individual techniques or a combination of EVLA, RFA and FS. [46][47][48][49][50][51] All reviews have suggested that these treatments may offer viable alternatives to traditional techniques; there is a non-significant difference in favour of surgery in terms of recurrence, but a significant difference in favour of the minimally invasive techniques in terms of technical failure. Serious adverse events were found to be rare.…”

“…The authors state that the 'data suggested that the odds ratios for incomplete occlusion did not differ during follow-up'. However, the review (which does include non-randomised comparative studies) by van den Bos et al, 49 which included a meta-regression of treatment success with time, indicates that relative success rates do vary with time from treatment. A further questionable assumption, which is not tested in sensitivity analysis, is that patients with residual varicosities and incomplete occlusion have the same utility value as untreated patients.…”

Priporočila za odkrivanje in zdravljenje kronične venske bolezni

“…Kirurgija male safenske vene zaradi zelo spremenljivega vtočišča v globoko veno zahteva predoperativni pregled z ultrazvokom. Odstranjujemo le njen proksimalni in inkompetentni del (66).…”