Home Bratislava Medical Journal 2021 Bratislava Medical Journal Vol.122, No.12, p.876–879, 2021

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

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Bratislava Medical Journal Vol.122, No.12, p.876–879, 2021

Title: A comparative study of 1,470-nm endovenous laser ablation and segmental radiofrequency ablation in the treatment of saphenous veins insufficiency
Author: N. Torma, M. Frankovicova

Abstract: BACKGROUND: Endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) are safe and minimally invasive techniques used in the treatment of saphenous veins insufficiency. We compare a 1,470-nm EVLA and RFA in the treatment of patients with insufficiency of the great or small saphenous vein.
MATERIAL AND METHODS: Six hundred and twenty‑six consecutive patients presenting to our department with insufficiency of the great or small saphenous vein and treated between January 2017 and January 2020 were included in the study. The randomly selected 301 patients (group 1) received 1,470‑nm EVLA and the other 325 patients (group 2) received RAF. Patients were assessed on the second day after the procedure, two and six months after procedure and then semiannually (not included in the study). Major and minor complications were recorded as well as VCSS.
RESULTS: There was no difference between groups as to inclusion criteria as age, diameter of GSV and SSV, predominance of extremity and diameter of the treated vein. Also, clinical stages of CVI in both groups were similar and without statistical significance.  VCSS was similar, however at 6 months after the procedure the inter-group difference in VCSS became clinically significant. In terms of the comparison of procedural pain and pain relief on the first postoperative day, the statistical level of difference was less than 0.05. The operative time was shorter in patients from group 1 with statistical significance, but the quantity of tumescent solution and length of GSV was also statistically lower than in group 2. Minor complications in EVLA and RFA were ecchymosis which occurred in 23.6 % of patients in group 1 and 33.8 % of patients from the RFA group, and local puncture inguinal hematoma with spontaneous resolution in 2 weeks, which occurred in 1% of patients in both groups. The frequency of all minor complications was similar in both groups. One months after the procedure, one patient from EVLA group was admitted to the hospital with signs of pulmonary embolism and thrombosis of VFC. The return to normal daily activity was similar in both groups, it took place on the next day after the procedure.  The return to work took place earlier in RFA patients (Tab. 5, Fig. 2, Ref. 19).

Keywords: radiofrequency ablation, endovenous laser ablation, tumescence, great saphenous vein, short saphenous vein, endovenous heat‑induced thrombosis
Published online: 14-Dec-2021
Year: 2021, Volume: 122, Issue: 6 Page From: 876, Page To: 879
doi:10.4149/BLL_2021_142


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