Delineating the durability outcome differences after saphenous ablation with laser versus radiofrequency

Yoon, William; Dresher, Max; Crisostomo, Paul R.; Halandras, Pegge; Bechara, Carlos F.; Aulivola, Bernadette

doi:10.1016/j.jvsv.2018.11.013

Cited by 16 publications

(5 citation statements)

References 13 publications

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“…In this study, we observed significant symptom reductions one month after ablation in both the LA and RFA groups. Our results were in agreement with those reported by previous studies (6)(7)(8)(9).…”

Section: Discussionsupporting

confidence: 94%

Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

Tuấn¹,

Duc²,

Minh³

et al. 2020

Med Arch

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Introduction: Chronic venous insufficiency (CVI) is a chronic condition, triggered by reflux through the saphenous vein network. Aim: To determine the efficacy of endovenous laser ablation (LA) and radiofrequency ablation (RFA) for CVI treatment in the lower extremities, at the Bach Mai Radiology Center. Methods: This retrospective study was approved by the institutional review board of Bach Mai Hospital. The study recruited 49 people, from August 2016 to April 2018, with recurrent venous insufficiency in the lower extremities and measured 56 ablated veins. Results: In this study, 8 patients (10 veins, with a mean diameter of 5.83 ± 0.96 mm) were treated with RFA, and 41 patients (46 veins, with a mean diameter of 7.96 ± 3.47 mm) were treated with LA. The occlusion rates for LA-and RFA-treated veins were very effective, at 95.7% and 90%, respectively. No significant differences in occlusion rates or clinical improvements were observed between the two ablation methods. On the first day post-treatment, the visual analog score (VAS) value for the LA group was significantly higher than that for the RFA group. Furthermore, ecchymosis, 1 day after treatment, and hyperpigmentation, paresthesia, and numbness, 1 month after treatment, were only observed in the LA group. Conclusion:Both LA and RFA were minimally-invasive and safe therapies. No serious complications requiring further interventions were reported and the treatment effectively improved the clinical symptoms of patients. Based on our study, we recommend that RFA should be considered for moderate dilated saphenous vein cases, whereas LA should be indicated for large dilated saphenous vein cases, with or without aneurysm.

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Section: Discussionsupporting

confidence: 94%

Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

Tuấn¹,

Duc²,

Minh³

et al. 2020

Med Arch

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“…Gifford et al confirmed that VVs below the knee can be safely treated by ablation procedures [ 34 ]. Yoon et al suggested that the recurrence rate is lower after EVLA than RFA for calf VVs [ 35 ]. Our data also confirmed that the recurrence rate of the hybrid EVLA procedure was lower than that of the RFA procedure.…”

Section: Discussionmentioning

confidence: 99%

Hybrid endovenous laser ablation reduces the recurrence of varicose veins below the knee compared with radiofrequency ablation: A real-world study

et al. 2023

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IntroductionThis study aimed to investigate the outcome of hybrid endovenous laser ablation (EVLA, 1470 nm) and radiofrequency ablation (RFA) procedures for varicose veins (VVs).Material and methodsWe retrospectively analyzed the clinical data of patients from July 2019 to December 2020. Eighty-four patients (121 limbs) underwent hybrid EVLA procedure, and 108 patients (151 limbs) underwent RFA procedure. The outcomes, venous clinical severity score (VCSS), chronic venous disease quality-of-life questionnaire (CIVIQ-20) score and recurrence at 1, 6, and 12 months were collected.ResultsNo differences in complications or 24-h pain scores were noted between the two procedures, but a lower dosage of foam sclerosant was used in EVLA procedure than in RFA procedure (P<0.02). The postoperative VCSS and CIVIQ-20 scores in two groups were significantly decreased compared with the scores before the procedure, and no differences in scores were noted between the two procedures at 1 month. However, the VCSS and CIVIQ-20 scores for EVLA procedure were significantly better than those for RFA procedure at 6 and 12 months (P<0.05). Both procedures showed a similar great saphenous vein closure rate at 12 months. The EVLA procedure showed lower rates of overall recurrence (4.96% vs. 14.57%, OR: 3.27, 95% CI: 1.33-8.00, P=0.01) and recurrence below the knee (4.13% vs. 11.92%, OR: 3.14; 95% CI: 1.18-8.35, P=0.02). Moreover, the patient satisfaction score was greater for EVLA procedure than RFA procedure (P<0.02).ConclusionsThe hybrid EVLA (1470 nm) procedure reduces VV recurrence below the knee and results in better quality-of-life scores.

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“…2 Both RFA and LA use thermal energy to occlude the insufficient veins from the inside in order to redirect blood flow. 3 On short-term follow-up, patients present with satisfactory results. Therefore, these techniques have risen as the preferred method for the treatment of symptomatic varicose veins with increases of 450-fold in volume of procedures performed in the last decade.…”

Section: Introductionmentioning

confidence: 94%

A multi-institutional review of endovenous thermal ablation of the saphenous vein finds male sex and use of anticoagulation are predictors of long-term failure

Erben

Vasquez

et al. 2020

Phlebology

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Background To review long-term outcomes and saphenous vein (SV) occlusion rate after endovenous ablation (EVA) for symptomatic varicose veins. Methods A review of our EVA database (1998–2018) with at least 3-years of clinical and sonographic follow-up. The primary end point was SV closure rate. Results 542 limbs were evaluated. 358 limbs had radiofrequency and 323 limbs had laser ablations; 542 great saphenous veins (GSV), 106 small saphenous veins (SSV) and 33 anterior accessory saphenous veins (AASV) were treated. Follow-up was 5.6 ± 2.3 years; 508 (74.6%) veins were occluded, 53 (7.8%) partially occluded and 120 (17.6%) were patent. On multivariable Cox regression analysis, male sex (HR 1.6, 95% CI [0.46–018], p = 0.012) and use anticoagulation (HR 2.0, 95% CI [0.69–0.34], p = 0.044) were predictors of long-term failure. On Kaplan-Meier curve, we had an 86.3% occlusion rate. Conclusion Our experience revealed a 5-year closure rate of 86.3%. Ablations have satisfactory occlusion rate.

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Delineating the durability outcome differences after saphenous ablation with laser versus radiofrequency

Cited by 16 publications

References 13 publications

Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

Comparing the Efficacy of Radiofrequency Ablation Versus Laser Ablation for Chronic Venous Insufficiency in the Lower Extremities: a Vietnamese Report

Hybrid endovenous laser ablation reduces the recurrence of varicose veins below the knee compared with radiofrequency ablation: A real-world study

A multi-institutional review of endovenous thermal ablation of the saphenous vein finds male sex and use of anticoagulation are predictors of long-term failure

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