Ultrasound findings after radiofrequency ablation of the great saphenous vein: Descriptive analysis

Abstract

Small vessel networks were detected adjacent to or in connection with most of the radiofrequency ablation-treated GSVs. SFJ ligation was associated with fewer small vessel networks and proximal GSV recanalization. Most below-knee untreated GSV segments remained patent, and most exhibited reflux.

Arteriovenous fistula after endovenous ablation for varicose veins

“…[11][12][13] In one study, the incidence of these intrathrombus channels was 2.2% following RFA and 7.1% following EVLA. 11 It not known whether some of the larger AVFs examined in this review occurred as a result of the same process.…”

An Alternative Treatment for Varicose Veins: Ligation Plus Foam Sclerotherapy

“…In addition, the reported follow-up periods for endovenous procedures were relatively short. 17 Our past experience and results of previous studies comparing the results of three different surgical techniques (complete stripping with HL, partial above-knee stripping with HL, and HL alone) have shown that the best recurrence rate, best improvement in CEAP class, and best event-free survival rates are achieved using complete stripping with HL. 18,19 The rate of residual reflux and recurrence after partial stripping can reach up to 20%, and this complication is found more often with patent belowknee saphenous veins than with IPVs undetected preoperatively.…”

“…In a systematic review comparing recurrence rates, overall complication rates, and symptom relief, it was found that surgery was not inferior to endovenous procedures. In addition, the reported follow‐up periods for endovenous procedures were relatively short 17 . Our past experience and results of previous studies comparing the results of three different surgical techniques (complete stripping with HL, partial above‐knee stripping with HL, and HL alone) have shown that the best recurrence rate, best improvement in CEAP class, and best event‐free survival rates are achieved using complete stripping with HL 18,19 .…”

“…4,11 In support of the importance of complete SFJ ligation, small vessel networks and GSV recanalization at the SFJ have more commonly been found in patients undergoing RF ablation without ligation (46%) than RF ablation with ligation (14%). 17 In a systematic review comparing recurrence rates, overall complication rates, and symptom relief, it was found that surgery was not inferior to endovenous procedures. In addition, the reported follow-up periods for endovenous procedures were relatively short.…”

Classification of proximal endovenous closure levels and treatment algorithm

“…If there was an abnormal duplex ultrasound result (level 3-6), treatment was initiated and repeat duplex ultrasound was performed weekly until the thrombus retracted and stabilized at a level 2 to 3. 4 No further imaging was performed after this finding and discontinuation of anticoagulation.…”