Radiofrequency ablation (VNUS closure®) does not cause neo-vascularisation at the groin at one year: Results of a case controlled study

Kianifard, B.; Holdstock, Judy M; Whiteley, Mark S

doi:10.1016/s1479-666x(06)80032-6

Cited by 58 publications

(37 citation statements)

References 21 publications

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“…Kianifard et al [20] did not observe neovascularization in those patients who had undergone RFA versus 11% in those who underwent stripping.…”

Section: Discussionmentioning

confidence: 89%

“…Four RCTs and three observational studies compared radiofrequency endoluminal ablation with surgery in patients with symptomatic varicose veins [20,21,22].…”

Section: Discussionmentioning

confidence: 99%

“…However, it seems that it could protect against neovascularization by preserving physiological drainage of the abdominal wall [20].…”

Section: Discussionmentioning

confidence: 99%

“…The CIVIQ comprises 20 questions in four quality-of-life domains: physical (items 5, 6, 7 and 9), psychological (items [12][13][14][15][16][17][18][19][20], social (items 8, 10 and 11), and pain (items 1-4) [7].…”

Section: Preoperative Preparationmentioning

confidence: 99%

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Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

Hammad¹,

Modaber²,

Aliyev³

2017

Vascul Dis Ther

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Conventional surgery has been used for a long time for treatment of varicose veins with variable degrees of minor to major complications. Endovenous RA of VV has been established as a practical and effective alternative to conventional surgery. Segmental radiofrequency ablation provides high ablation rates in conjunction with a very moderate side effect profile. The advantages of RFA are far greater than its associated risks. There are certain points, which need to be carefully addressed during the RFA technique which was taken into consideration during gaining more experience with more number of cases which allowed to clarify our message from the study to achieve better results and avoid complications. Of most importance is an adequate Duplex scan to identify accessory channels and double superficial systems. Reconfirming the catheter tip position after leg elevation is a must. Blind positioning of the catheter must be avoided, as is the advancement of the catheter into the femoral vein to prevent unnecessary intimal damage. Tumescent anesthesia should be instilled below the saphenous fascia and above the deep muscular fascia surrounding the vein using ultrasound guidance. The purpose of tumescence is threefold; analgesia, protecting skin by displacing the vein away from it and neighboring structures against heat (heat sink effect) to displace heat radiating up to 1.5 mm beyond the vein wall, favoring the contact made between the electrode and a dry "saphenous vein" with inflow tributaries eliminated by compression is also created. The GSV should be compressed to separate it from the inflow tributaries, to maintenance an adequate probe temperature in contact with the vein wall. The avoidance of propagation of steam bubbles (or thrombus) by compression is of extreme importance. Further follow up ad studies is needed to improve the efficiency and decrease the incidence of complications of this well-established technique.

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“…Kianifard et al [20] did not observe neovascularization in those patients who had undergone RFA versus 11% in those who underwent stripping.…”

Section: Discussionmentioning

confidence: 89%

“…Four RCTs and three observational studies compared radiofrequency endoluminal ablation with surgery in patients with symptomatic varicose veins [20,21,22].…”

Section: Discussionmentioning

confidence: 99%

“…However, it seems that it could protect against neovascularization by preserving physiological drainage of the abdominal wall [20].…”

Section: Discussionmentioning

confidence: 99%

Section: Preoperative Preparationmentioning

confidence: 99%

See 2 more Smart Citations

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

Hammad¹,

Modaber²,

Aliyev³

2017

Vascul Dis Ther

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“…The percentage of neovascularization after endovascular treatment is between 1% and 1.5%. One prospective study showed that no neovascularization was observed five years after treatment for great saphenous vein reflux with radiofrequency [21].…”

Section: Non-surgical Intravascular Methodsmentioning

confidence: 99%

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Chwała¹,

Szczeklik²,

Szczeklik³

et al. 2015

Adv Clin Exp Med

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Chronic venous insufficiency is one of the most common disorders of the vascular system, affecting approximately 50% of adults. If left untreated it can lead to a number of complications, including venous ulceration and venous thrombosis. This review paper outlines the epidemiology and ethiopathogenesis of the disease with regard to hemodynamics and microcirculation disturbances. It describes the medical treatment as well as the traditional surgical approach to varicose veins (with several modifications of this technique), and its limitations and contraindications. Furthermore, it discusses a number of new, minimally invasive treatment methods, namely thermal in form (radiofrequency ablation, endovenous laser ablation, steam ablation) and nonthermal (sclerotherapy, echosclerotherapy, Clarivein, Sapheon). For each method, there is a brief historical overview, a description of its mechanism of action, and its indications and limitations. The results of comparative studies on individual treatment methods as well as meta-analyses on this topic are briefly discussed. This paper highlights the progressive trend towards minimally invasive methods and attempts to predict the further development (Adv Clin Exp Med 2015, 24, 1, 5-14).

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Ablation of Major Incompetent Superfi cial Veins

Kalra

Gloviczki

2012

Haimovici's Vascular Surgery

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Radiofrequency ablation (VNUS closure®) does not cause neo-vascularisation at the groin at one year: Results of a case controlled study

Cited by 58 publications

References 21 publications

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

Conventional surgery versus endovenous radiofrequency ablation in management of patients with primary varicose veins

Varicose Veins of Lower Extremities, Hemodynamics and Treatment Methods.

Ablation of Major Incompetent Superfi cial Veins

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