Comparison between Endovenous Laser and Endovenous Radiofrequency Thermal Ablation in Patients with Great Saphenous Vein Incompetence

Document Type : Original Article

Authors

1 Department of General and Vascular Surgery, Suez Canal Authority Hospital, Ministry of Health

2 Department of General and Vascular Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

10.21608/ejsur.2024.344719.1314

Abstract

Background: It is said that ultrasound-guided treatments, such as endovenous thermal ablation using two techniques—
endovenous laser ablation (EVLA) and radiofrequency ablation (RFA)—have improved patient satisfaction and produced
positive clinical outcomes. Comparing EVLA with RFA in patients with great saphenous vein (GSV) incompetence was
the goal of this study.
Patients and Methods: A total of 38 patients of both sexes, ages 18–70, with incompetent sapheno-femoral junctions and GSV greater than 1s were included in this comparative investigation. Every patient had RFA and EVLA.
Results: The mean GSV diameter for laser ablation was 6.52±1.271 in group I, while the mean GSV diameter for RFA
was 7.12±1.271 in group ΆΆ. Following surgery, the GSV diameter dramatically reduced, reaching a mean of 0.52±0.252
in group I after 6 months of follow-up, and a mean value of 0.82±0.252 in group II. We discovered a nonsignificant
difference between the two treatments when we compared the GSV diameters of the two study groups after the surgery.
Other for recurrence, which is higher in group II than in group I, there was no discernible difference in the main problems.
Conclusion: The effectiveness of EVLT and RF ablation in treating lower leg varicose veins and demonstrate that there
are no appreciable differences between the two techniques in terms of procedure duration, clinical improvement, and
postoperative GSV occlusion.

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