Keywords
Laser ablation
Superficial varicose veins
Closure rate
Complications
Submitted : 2025-01-15
Accepted : 2025-01-30
Published : 2025-02-14
Abstract
Objective: To evaluate the efficacy of endovenous radiofrequency ablation (RFA) and laser ablation (EVLA) in the treatment of superficial varicose veins of the lower extremities. Methods: Seventy-eight patients with superficial varicose veins treated at a hospital between April 2022 and May 2023 were selected and divided into a radiofrequency ablation group (RFA group; 39 cases) and a laser ablation group (EVLA group; 39 cases) based on the treatment method. Operation time, postoperative recovery duration, venous clinical severity score (VCSS) changes, complication rates, closure rates, and recurrence rates were compared between the groups at 1 month, 3 months, and 12 months postoperatively. The postoperative therapeutic outcomes were comprehensively evaluated. Results: No significant differences in age, gender, disease grade, or disease course were observed between the groups (P > 0.05). The superficial varicose vein closure rate was 100% in both groups at 1 and 3 months postoperatively. At 12 months, the closure rate was 94.87% in the RFA group and 97.43% in the EVLA group, with no statistically significant difference (P > 0.05). No significant differences were observed in VCSS changes or complication incidence between the groups (P > 0.05). Conclusion: Radiofrequency ablation and laser ablation demonstrate comparable efficacy and safety in the treatment of superficial varicose veins of the lower extremities.
References
Raetz J, Wilson M, Collins K, 2019, Varicose Veins: Diagnosis and Treatment. Am Fam Physician, 99(11): 682–688.
Baccellieri D, Ardita V, Carta N, et al., 2020, Anterior Accessory Saphenous Vein Confluence Anatomy at the Sapheno-Femoral Junction as Risk Factor for Varicose Veins Recurrence After Great Saphenous Vein Radiofrequency Thermal Ablation. Int Angiol, 39(2): 105–111. https://doi.org/10.23736/S0392-9590.20.04271-6
Westin GG, Cayne NS, Lee V, et al., 2020, Radiofrequency and Laser Vein Ablation for Patients Receiving Warfarin Anticoagulation is Safe, Effective, and Durable. J Vasc Surg Venous Lymphat Disord, 8(4): 610–616. https://doi.org/10.1016/j.jvsv.2019.11.013
Lurie F, Passman M, Meisner M, et al., 2020, The 2020 Update of the CEAP Classification System and Reporting Standards. J Vasc Surg Venous Lymphat Disord, 8(3): 342–352. https://doi.org/10.1016/j.jvsv.2019.12.075. Erratum in J Vasc Surg Venous Lymphat Disord, 9(1): 288. https://doi.org/10.1016/j.jvsv.2020.11.002
Kumar P, Khan IA, Das A, et al., 2022, Chronic Venous Disease. Part 1: Pathophysiology and Clinical Features. Clin Exp Dermatol, 47(7): 1228–1239. https://doi.org/10.1111/ced.15143
Chen T, Liu P, Zhang C, et al., 2024, Pathophysiology and Genetic Associations of Varicose Veins: A Narrative Review. Angiology, 2024: 33197241227598. https://doi.org/10.1177/00033197241227598
Zan S, Contessa L, Varetto G, et al., 2007, Radiofrequency Minimally Invasive Endovascular Treatment of Lower Limbs Varicose Veins: Clinical Experience and Literature Review. Minerva Cardioangiol, 55(4): 443–458.
Narula S, Sivakumar M, Nerantzakis G, et al., 2023, Comparative Analysis of Long-Term Efficacy, Safety, and Complications of Radiofrequency Ablation Versus Endovenous Laser Treatment of Varicose Veins. Journal of Vascular Surgery, 77(4): 44S. https://doi.org/10.1016/j.jvs.2023.01.125
Mohammadi Tofigh A, Tahmasebi H, Zebarjadi J, 2020, Comparing the Success Rate and Side Effects of Endovenous Laser Ablation and Radiofrequency Ablation to Treat Varicose Veins in the Lower Limbs: A Randomized Clinical Trial. J Lasers Med Sci, 11(Suppl 1): S43–S48. https://doi.org/10.34172/jlms.2020.S7
Paravastu SC, Horne M, Dodd PD, 2016, Endovenous Ablation Therapy (Laser or Radiofrequency) or Foam Sclerotherapy Versus Conventional Surgical Repair for Short Saphenous Varicose Veins. Cochrane Database Syst Rev, 11(11): CD010878. https://doi.org/10.1002/14651858.CD010878.pub2
Van den Bos R, Arends L, Kockaert M, et al., 2009, Endovenous Therapies of Lower Extremity Varicosities: A Meta-Analysis. J Vasc Surg, 49(1): 230–239. https://doi.org/10.1016/j.jvs.2008.06.030
Go SJ, Cho BS, Mun YS, et al., 2016, Study on the Long-Term Results of Endovenous Laser Ablation for Treating Varicose Veins. Int J Angiol, 25(2): 117–120. https://doi.org/10.1055/s-0035-1555749