MULTICENTER COMPARATIVE STUDY BETWEEN ENDOVENOUS RADIOFREQUENCY ABLATION AND ENDOVENOUS LASER THERAPY IN MANAGEMENT OF PATIENTS WITH PRIMARY VARICOSE VEINS

El Shimy, Wael; Eweda, Ashraf; Effat, Mohamed; Gameel, Abdelrahman M.; Tawfik, Ahmad; Elboushi, Amro; Ellabody, Medhat; Hossein, Hany Abd Momen Mohamed; Sagher, Mohamed; Abdoh, Ehab

doi:10.21608/ejsur.2014.366642

	MULTICENTER COMPARATIVE STUDY BETWEEN ENDOVENOUS RADIOFREQUENCY ABLATION AND ENDOVENOUS LASER THERAPY IN MANAGEMENT OF PATIENTS WITH PRIMARY VARICOSE VEINS
The Egyptian Journal of Surgery
Volume 33, Issue 1, January 2014, Page 39-46 PDF (1003.8 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2014.366642
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Authors
Wael El Shimy^* ¹; Ashraf Eweda²; Mohamed Effat¹; Abdelrahman M. Gameel¹; Ahmad Tawfik¹; Amro Elboushi¹; Medhat Ellabody¹; Hany Abd Momen Mohamed Hossein²; Mohamed Sagher²; Ehab Abdoh²
¹Vascular and Endovascular Surgery Unit, Faculty of Medicine, Zagazig University, Egypt
²Vascular and Endovascular Surgery Unit, Faculty of Medicine, Alazhar University, Egypt
Abstract
Background: The treatment of varicose (GSV) reduces the symptoms and the complications of venous insufficiency and increases the quality of life (2). Endovenous laser therapy (EVLT) and radiofrequency ablation (RFA) of the great saphenous vein (GSV) have been introduced as alternative and minimally invasive techniques for the treatment of truncal vein incompetence Purpose: This prospective comparative study was conducted to evaluate the effectiveness of endovenous treatment of symptomatic varicose veins using the endovenous Laser therapy (EVLT) or radiofrequency ablation (RFA) and to describe the complications and short term outcome of patients follow up. Methods: This is a multicenter, non-randomized, non-blinded prospective comparative study, was conducted in both the Zagazig university hospital as well as Elhoussein university hospitals between June 2010 and June 2012. The patients were divided into two groups; 60 patients in each group. The 1st group underwent endovenous Laser therapy while the 2nd group underwent endovenous radiofrequency ablation. Both procedures were performed under duplex scan guidance with foam sclerotherapy of incompetent perforators and superficial varicosities. The outcome of both groups was compared as regard pain and bruising and other complications, returning to normal activity, health related quality of life, and recurrence. Follow up will continue for at least 6 months. Results: The number of treated patients was 120 patients 60 in each group with mean age 29.2 ± 5.8 in the 1st group (EVLT) and mean age 31.1 ± 8.5 in the 2nd group (RFA). There were 64 % females and 36 % males in the 1st group and there were 69% females and 31% males in the 2nd group. In the 1st group there were 68 limbs (11 bilateral and 57 unilateral, 65 GSV disease and 3 limbs with both GSV and SSV), while in the 2nd group there were 65 limbs (12 bilateral and 53 unilateral, with GSV disease in 61 and 4 limb showing both GSV and SSV disease). The overall number of complications encountered in the 1st group (EVLT) was 41%, while the overall number of complications encountered in the 2nd group (RFA) was 24%. 6 months postoperative DUS follow-up the totally occluded (TO) till the SFJ was 65 limbs (95.5%) in 1st Group and 61 limbs (93.8%) in 2nd Group. 40 Egyptian Journal of Surgery Conclusion: Endovenous ablation in occluding incompetent GSV is a new effective and safe option in the treatment of varicose GSV.
Keywords
Endovenous; Radiofrequency; laser therapy


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