Randomized clinical trial of radiofrequency ablation or conventional high ligation and stripping for great saphenous varicose veins

Subramonia, Sriram; Lees, Tim

doi:10.1002/bjs.6867

Cited by 111 publications

(71 citation statements)

References 27 publications

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“…This is consistent with the results of randomized, controlled studies comparing RFA or ELT to open surgery [11,12] and with the Cochrane database analysis [13]; it is also reflected in the latest recommendations of the American Venous Forum [14] and the European Society for Vascular Surgery [15].…”

Section: Discussionsupporting

confidence: 85%

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Perioperative quality assessment of varicose vein surgery

Noppeney

Storck

Nüllen³

et al. 2016

Langenbecks Arch Surg

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Section: Discussionsupporting

confidence: 85%

“…(2) No VVablation procedure should be performed without prior imaging. Color-coded duplex ultrasound (DU) should be used as the preferred method (12,13).…”

mentioning

confidence: 99%

Perioperative quality assessment of varicose vein surgery

Noppeney

Storck

Nüllen³

et al. 2016

Langenbecks Arch Surg

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“…Subramonia S et al; conducted a randomized clinical trial which compared early outcomes after radiofrequency ablation (RFA) and conventional surgery for varicose veins. 6 RFA resulted in successful obliteration of the GSV in all 47 patients.…”

Section: Discussionmentioning

confidence: 86%

Varicose vein surgery stripping method compared to radio frequency ablation

Potula

2018

Int Surg J

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Background: This randomised study was conducted to evaluate clinical, patient based outcomes after RFA and conventional surgery in a selected population. Methods: This study was conducted in the Meenakshi Medical College Hospital and Research Institute, Enathur, Kanchipuram, Tamil Nadu, India. Results: In present study, it was reported that 150 patients in total were assessed in the study, out of which, 110 were randomised, 100 underwent the intervention as a daily procedure. 50 patients underwent RFA and 50 patients had conventional surgery. In group R, males were 15, females were 35; in group C, males were 17 and females were 33. In CEAP classification, in C2 class, there were 40 in group R, 39 in group C; in C3 class, there were 8 in group R, 6 in group C; in C4-6 class, 2 were in group R and 5 were in group C. The highest total clinical severity score was 1 i.e. 30 in group R and 32 in group C. Highest venous disability score was in 1 i.e. 46 in group R, 42 in group C. Main outcomes after RFA and conventional surgery for great saphenous varicose veins. Theatre time was 80 mins in group R, 52 mins in group C, procedure time was 74 mins in group R, 46 mins in group C, pain in first week (VAS score) was 1.5 in group R, 3.5 in group C, duration of analgesia was 3 days in group R, 11 days in group C, in 4 days group R patients returned to normal activity, in 13 days group C patients returned to normal activity. Numbness/reduced sensation was followed up after 1 week and 6 week, in group R, 8 patients and in group C, 16 patients have shown numbness/reduced sensation after 1 week; 6 patients in group R and 14 patients in group C have shown numbness/reduced sensation after 6 weeks. Conclusions: This study concluded that compared to conventional surgery, RFA took longer time to perform but it gave better and significantly early outcome in patients with varicose veins.

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“…1,2 Although rates of complications appear to be lower than those for conventional surgery, 3,4 ablative techniques can result in complications not previously seen with open procedures, such as skin burns, and rarely, endothermal heat inducted thrombosis (EHIT) and arteriovenous fistula (AVF). From our center's experience of over 2500 procedures, we describe three patients (Ͻ0.15%) who developed AVF following endovenous ablation.…”

mentioning

confidence: 99%

Arteriovenous fistula after endovenous ablation for varicose veins

Rudarakanchana

Berland

Chasin

et al. 2012

Journal of Vascular Surgery

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Endovenous ablation, using radiofrequency or laser, is becoming the mainstay of treatment for symptomatic varicose veins in the setting of saphenous vein incompetency. Both procedures have been shown to produce high rates of truncal vein occlusion with few complications. This article presents three patients who developed arteriovenous fistula (AVF) following great saphenous vein treatment: two following radiofrequency ablation (RFA) and one following laser ablation. This is the first published report of AVF following RFA for which operative details are known. We review the literature and discuss possible causes and management of this rare complication.

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Randomized clinical trial of radiofrequency ablation or conventional high ligation and stripping for great saphenous varicose veins

Cited by 111 publications

References 27 publications

Perioperative quality assessment of varicose vein surgery

Perioperative quality assessment of varicose vein surgery

Varicose vein surgery stripping method compared to radio frequency ablation

Arteriovenous fistula after endovenous ablation for varicose veins

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