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5-year clinical results of 1073 patients with varicose veins treated using radiofrequency ablation, endovenous laser ablation and cyanoacrylate embolization
  • Cem Atik
Cem Atik

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Abstract

Rationale and Aim: We should know the results of varicose vein treatment methods before we can inform patients about them This study retrospectively examined the clinical results of radiofrequency ablation (RFA), endovenous laser ablation (EVLA), and cyanoacrylate embolization (CAE) methods. Methods: This retrospective study presented the outcomes of the procedures performed in the cardiovascular surgery clinic of a private hospital in Osmaniye in the south of Turkey. No sampling was performed. The study population consisted of 1256 patients who were diagnosed with chronic venous insufficiency (CVI) and underwent endovenous varicose veins treatment between February 2011 and April 2016. The sample consisted of 1073 patients who underwent CAE (n=431), RFA (n=230), and EVLA (n=412). No patients underwent bilateral EVLA, RFA, or CAE at the same session. Results: The majority of the participants were women (79.59%). Most participants belonged to CEAP 2 and CEAP 3 classes (84.72%). The EVLA, RFA, and CAE groups had a mean 1-year occlusion rate of 97.57%, 98.26%, and 95.59%, respectively. There was no significant difference in pre- and post-procedure VCSS scores between the groups. All groups had the most complications in the first month. There was a significant reduction in complications over time in all groups. None of the patients developed complications in the fifth year. Pain, paresthesia, ecchymosis, pigmentation, induration, burn, DVT, and phlebitis were significantly more common in the EVLA group. The complications were least common in the CAE group. Conclusions: CAE, RFA, and EVLA have similar long-term results. Therefore, CAE is recommended to patients with CVI who want to get rid of varicose veins and improve their quality of life.