149 results match your criteria Varicose Veins Treated with Radiofrequency Ablation Therapy


Recurrence types 3 years after endovenous thermal ablation in insufficient saphenofemoral junctions.

J Vasc Surg Venous Lymphat Disord 2020 Apr 30. Epub 2020 Apr 30.

Department for Dermatology, Ruhr-University Bochum, Germany.

Objective: Although many studies have demonstrated that endovenous therapies have comparable efficacy to crossectomy and stripping, few studies have been published regarding the classification and recurrence patterns of varicose veins after endovenous therapy. This study attempted to provide an objective scheme for the definition and classification of recurrence. Moreover, it describes the types and rates of recurrence after endovenous thermal ablation as well as factors associated with recurrence. Read More

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http://dx.doi.org/10.1016/j.jvsv.2020.04.021DOI Listing

Post-procedural Compression vs. No Compression After Radiofrequency Ablation and Concomitant Foam Sclerotherapy of Varicose Veins: A Randomised Controlled Non-inferiority Trial.

Eur J Vasc Endovasc Surg 2020 01 18;59(1):73-80. Epub 2019 Nov 18.

Department of Vascular Surgery, Oulu University Hospital, Finland.

Objective: To compare post-operative compression with no compression, after radiofrequency endothermal ablation (RFA) of a truncal varicose vein and concomitant foam sclerotherapy of the tributaries.

Methods: This prospective randomised controlled, non-inferiority trial recruited patients from two centres in Northern Ostrobothnia, Finland. Patients with clinical class C2-C4 chronic venous disease were randomised to receive no compression after the operation, or to receive compression stockings continuously for two days, and then, during the daytime for five days. Read More

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http://dx.doi.org/10.1016/j.ejvs.2019.08.020DOI Listing
January 2020

Comparison of ultrasound results following endovenous laser ablation and radiofrequency ablation in the treatment of varicose veins.

Ann Ital Chir 2019 ;90:457-462

Purpose: Superficial venous insufficiency is a common problem associated with varicose veins. In addition to classical symptoms, it may result in skin changes, venous ulcers and has a great impact on patients' health-related quality of life. In the last decade, minimally invasive techniques such as endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) have been developed as alternatives to surgery in an attempt to reduce morbidity and improve efficiency. Read More

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May 2020
3 Reads

Safety and Efficacy of Radiofrequency Ablation for Varicose Veins: An Initial Experience from Pakistan.

J Coll Physicians Surg Pak 2019 Aug;29(8):746-748

Department of Surgery, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan.

Objective: To evaluate the safety and efficacy of radiofrequency ablation (RFA) for varicose veins.

Study Design: Observational case series.

Place And Duration Of Study: Section of Vascular Surgery, Aga Khan University Hospital, Karachi, from September 2016 to August 2018. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.08.746DOI Listing
August 2019
1 Read
0.318 Impact Factor

A Randomised Controlled Trial Comparing Three Different Radiofrequency Technologies: Short-Term Results of the 3-RF Trial.

Eur J Vasc Endovasc Surg 2019 09 24;58(3):401-408. Epub 2019 Jul 24.

Department of Vascular Surgery, Worcestershire Royal Hospital, Worcester, UK.

Objective: To date there has been no comparison of outcomes of endovenous radiofrequency (RF) devices. The 3-RF trial is the first randomised controlled trial of three commercially available RF ablation technologies.

Methods: Patients were recruited [182/302 patients with great saphenous vein (GSV) incompetence] into a prospective double blind randomised trial of Venefit, radiofrequency induced thermal therapy (RFITT), and endovenous radiofrequency (EVRF). Read More

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http://dx.doi.org/10.1016/j.ejvs.2019.01.033DOI Listing
September 2019
6 Reads

Office Based Endovenous Radiofrequency Ablation of Truncal Veins: A Case for Moving Varicose Vein Treatment out of Operating Theatres.

Eur J Vasc Endovasc Surg 2019 Sep 24;58(3):410-414. Epub 2019 Jul 24.

Department of Vascular Surgery, King's College Hospital, London, UK. Electronic address:

Objectives: This study aims to assess the efficacy and outcomes at one year after office based endovenous radiofrequency ablation (OBEVRFA) as a standalone procedure for varicose veins under local anaesthesia.

Methods: A retrospective study of prospectively collected data of all OBEVRFAs done in the vascular unit from April 2014 to June 2016 was performed. The demographics, clinical findings, initial venous duplex ultrasound (DUS) findings, the vein ablated, and immediate complications were recorded. Read More

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http://dx.doi.org/10.1016/j.ejvs.2019.05.020DOI Listing
September 2019
2 Reads

Catheter laser ablation of superficial veins of the lower extremities in the symptomatic treatment of venous reflux comparison of the immediate results of two types of laser.

Rozhl Chir 2019 ;98(6):248-251

Introduction: Catheter-Based Endovenous Laser Ablation (EVLA) is a commonly used alternative to surgical treatment of varicose veins. Recently, catheterization methods have proved to be methods of choice due to the preference of patients who value minimal invasiveness. Research of EVLA currently focuses on optimization of the procedure, which includes study of the benefits of the individual types of laser generators and the wavelengths used. Read More

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October 2019
28 Reads

Benefits of venoactive drug therapy in surgical or endovenous treatment for varicose veins: a systematic review.

Int Angiol 2019 Aug 5;38(4):291-298. Epub 2019 Jul 5.

Department of Surgery and Physiology, Faculty of Medicine of the University of Porto, Porto, Portugal.

Introduction: Lower limb varicose veins can be treated effectively with endovenous ablation procedures or with minimally invasive open techniques. However, these procedures may cause pain and discomfort, and surgical stripping can be associated with long recovery times. We investigated whether venoactive drugs (VAD) used to treat chronic venous disease (CVD), provide benefits to patients recovering from a surgical or endovenous varicose vein procedure. Read More

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http://dx.doi.org/10.23736/S0392-9590.19.04216-0DOI Listing
August 2019
7 Reads

[Endovenous Treatment of Varicose Veins and Chronic Venous Insufficiency].

Authors:
Thomas Schwarz

Dtsch Med Wochenschr 2019 06 4;144(11):705-708. Epub 2019 Jun 4.

Praxis für Gefäßmedizin, Freiburg.

Endovenous Laser Ablation: Treatment with longer wavelengths and radial fibers should be used.

Radiofrequency Ablation: Results after 5 years show a very good efficacy and safety.

Further Endovenous Treatments: Data is limited. Read More

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http://dx.doi.org/10.1055/a-0648-0021DOI Listing
June 2019
19 Reads

Two-year results of a multicenter randomized controlled trial comparing Mechanochemical endovenous Ablation to RADiOfrequeNcy Ablation in the treatment of primary great saphenous vein incompetence (MARADONA trial).

J Vasc Surg Venous Lymphat Disord 2019 05;7(3):364-374

Department of Surgery, Rijnstate, Arnhem, The Netherlands. Electronic address:

Objective: Endothermal techniques have proved to be effective for treatment of incompetent truncal veins. The tumescentless mechanochemical ablation (MOCA) technique has become an alternative treatment modality, but its outcome with regard to endothermal techniques is still unclear.

Methods: A multicenter prospective randomized controlled trial was designed comparing MOCA with radiofrequency ablation (RFA) to treat great saphenous vein incompetence with the hypothesis that MOCA is associated with less postprocedural pain and a comparable anatomic and clinical success rate at 1-year follow-up. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2213333X193013
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http://dx.doi.org/10.1016/j.jvsv.2018.12.014DOI Listing
May 2019
5 Reads

Randomized clinical trial of mechanochemical and endovenous thermal ablation of great saphenous varicose veins.

Br J Surg 2019 04;106(5):548-554

Department of Vascular Surgery, Helsinki University Hospital, Helsinki University, Helsinki, Finland.

Background: A variety of minimally invasive techniques are available for the treatment of varicose great saphenous vein (GSVs). Non-tumescent, non-thermal ablation methods have been developed. This study compared mechanochemical ablation (MOCA), a non-tumescent, non-thermal ablation technique, with two endovenous thermal ablation methods requiring tumescence in an RCT. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/bjs.11158
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http://dx.doi.org/10.1002/bjs.11158DOI Listing
April 2019
7 Reads

Steam ablation versus stripping of great saphenous varicose veins.

Tidsskr Nor Laegeforen 2019 Mar 6;139(5). Epub 2019 Mar 6.

Background: Use of new technology can lead to changes in the treatment course for patients and in treatment costs for the health service. The aim of this study was to compare sickness absence and time to resumption of daily activities, as well as treatment costs, for two surgical treatments for varicose veins: endovenous steam ablation and vein stripping.

Material And Method: This prospective observational study included 46 patients treated with steam ablation and 37 treated with vein stripping in the period 2015-2016. Read More

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http://dx.doi.org/10.4045/tidsskr.18.0525DOI Listing
March 2019
1 Read

Twelve-month efficacy and complications of cyanoacrylate embolization compared with radiofrequency ablation for incompetent great saphenous veins.

J Vasc Surg Venous Lymphat Disord 2019 Mar 14;7(2):210-216. Epub 2019 Jan 14.

Department of Cardiovascular Surgery, Medical School of Eskişehir Osmangazi University, Eskişehir, Turkey.

Objective: In this study, the clinical results of radiofrequency ablation (RFA) and n-butyl-cyanoacrylate embolization (CAE) methods were compared in the treatment of incompetent great saphenous veins (GSVs).

Methods: We analyzed retrospectively 244 patients (128 patients in the RFA group, 116 patients in the CAE group) with incompetent GSVs who were treated with RFA and CAE according to the patients' choice between June 2013 and June 2016. All patients were thoroughly examined preoperatively and at 1, 3, 6, and 12 months after the operation, and the clinical results and the quality of life were evaluated. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.10.019DOI Listing
March 2019
35 Reads

Comparative analysis of five-year outcomes of lower extremity varicose vein therapy using monopolar and segmental radiofrequency ablation.

Int Angiol 2018 Dec 5;37(6):457-464. Epub 2018 Oct 5.

Department of General and Vascular Surgery, Second Faculty of Medicine with the English Division and the Physiotherapy Division, Medical University of Warsaw, Warsaw, Poland.

Background: To compare efficacy and safety of segmental and monopolar radiofrequency ablation in the management of lower extremity varicose veins.

Methods: A total of 193 patients were treated with segmental RF ablation (Venefit; N.=97) or monopolar RF ablation (EVRF; N. Read More

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https://www.minervamedica.it/index2.php?show=R34Y9999N00A181
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http://dx.doi.org/10.23736/S0392-9590.18.03954-8DOI Listing
December 2018
68 Reads

A practical approach to tumescent local anaesthesia in ambulatory endovenous thermal ablation.

Authors:
Isaac K Nyamekye

Phlebology 2019 May 18;34(4):238-245. Epub 2018 Sep 18.

The Vascular Unit, Worcestershire Royal Hospital, Worcester, UK.

Background: Thermal ablation, usually performed with tumescent local anaesthesia (TLA), is the preferred method for varicose veins treatment. Tumescent local anaesthesia is always cited; however, little detail of the procedure is presented in publications. This retrospective audit of clinical tumescent local anaesthesia practice aims to provide detailed information on an important aspect of endovenous practice. Read More

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http://journals.sagepub.com/doi/10.1177/0268355518800191
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http://dx.doi.org/10.1177/0268355518800191DOI Listing
May 2019
39 Reads

ClosureFast endovenous radiofrequency ablation for great saphenous vein and small saphenous vein incompetence: Efficacy and anatomical failure patterns.

Phlebology 2019 May 12;34(4):266-271. Epub 2018 Sep 12.

1 Sydney Centre for Venous Disease, Sydney, Australia.

Background: Recurrence rates and patterns after endovenous radiofrequency ablation (ERFA) are poorly documented.

Objective: To assess the incidence and anatomical recurrence patterns of saphenous vein reflux after ERFA.

Method: Two hundred patients previously treated with ERFA were recalled for clinical assessment and venous-duplex ultrasound at three years post-treatment. Read More

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http://dx.doi.org/10.1177/0268355518799609DOI Listing
May 2019
6 Reads

Comparison of cyanoacrylate embolization and radiofrequency ablation for the treatment of varicose veins.

Phlebology 2019 May 16;34(4):278-283. Epub 2018 Aug 16.

Division of Vascular Surgery, University of British Columbia, Vancouver, Canada.

Objective: To review clinical outcomes of varicose vein patients treated with cyanoacrylate embolization and radiofrequency ablation at our institution.

Methods: A retrospective review of patients who underwent cyanoacrylate embolization and radiofrequency ablation during a three-year period. Patient records were reviewed to assess demographics, location and severity of disease, treatment details and outcome at short- and mid-term follow-ups. Read More

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http://dx.doi.org/10.1177/0268355518794105DOI Listing
May 2019
1 Read

Men present with higher clinical class of chronic venous disease before endovenous catheter ablation.

J Vasc Surg Venous Lymphat Disord 2018 11 29;6(6):702-706. Epub 2018 Jul 29.

Division of Vascular Surgery, Henry Ford Health System, Detroit, Mich. Electronic address:

Background: Risk factors for chronic venous disease (CVD) have been widely reported in population health management. However, predisposing factors associated with patients treated for advanced stages of CVD have yet to be established. We examined the demographics and risk factors associated with advanced clinical presentation of CVD for patients referred for vein ablation. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.05.024DOI Listing
November 2018
24 Reads

[Comparative 3-year results of phlebectomy and thermal ablation for lower limb varicose veins].

Angiol Sosud Khir 2018;24(2):82-91

Municipal Clinical Hospital #40, Yekaterinburg, Russia.

Objective: The study was aimed at comparing clinical and ultrasonographic results during 3 years of postoperative follow up of patients presenting with lower limb varicose veins (LLVV) and subjected to either surgical or thermal-ablation procedures for removal of pathological reflux along the great saphenous vein (GSV) within the femur The study included a total of 185 patients with clinical class C2-3 LLVV in the system of the GSV. The patients were divided into three groups: Group One consisted of 63 patients subjected to short stripping of the GSV trunk + treatment of the perforant veins (66.7%); Group Two comprised 61 patients undergoing endovenous laser coagulation (EVLC) of the GSV trunk + EVLC of the perforant veins (73. Read More

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August 2018
19 Reads

The effect of increasing catheter distance from the deep junction on the outcomes of radiofrequency vein ablation.

J Vasc Surg Venous Lymphat Disord 2018 09 18;6(5):614-620. Epub 2018 May 18.

Section of Vascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, Conn. Electronic address:

Objective: Thermal vein ablation (VA) is the recommended treatment modality for superficial venous reflux, with a recommended positioning of the catheter at 2 to 3 cm from the junction of the deep venous system. In contrast, novel sealing technology for saphenous VA involves treatment starting at 3 to 5 cm distal to the deep junction. This study examines the effect of increasing catheter distance from the junction on the outcomes of VA using radiofrequency. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.04.006DOI Listing
September 2018
2 Reads

[Radiofrequency ablation in comprehensive surgical treatment of patients with varicose veins of lower limbs].

Angiol Sosud Khir 2018;24(1):92-96

Department of Surgical Pathology and Clinical Angiology, Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, Moscow, Russia.

Analysed herein are the results of using radiofrequency ablation (RFA) in comprehensive surgical treatment of patients presenting with varicose veins of the lower extremities. The study included a series of ninety-eight 28-to-60-year-old patients (with a total of 105 operations performed) suffering from varicose veins of the lower limbs. Of these, there were 10 men (10. Read More

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June 2018
16 Reads

Success rate and factors predictive of redo radiofrequency ablation of perforator veins.

J Vasc Surg Venous Lymphat Disord 2018 09 18;6(5):621-625. Epub 2018 Apr 18.

Department of Vascular Surgery, Vascular Institute of New York, Brooklyn, NY.

Objective: Radiofrequency ablation (RFA) is increasingly being employed for treatment of perforator vein insufficiency and venous ulcer healing. Previous studies have shown a closure rate of 60% to 80% in incompetent perforator veins (IPVs) with RFA. The purpose of the study was to determine the utility of a redo RFA for symptomatic recanalized perforators and to predict factors associated with recanalization. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2213333X183012
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http://dx.doi.org/10.1016/j.jvsv.2018.01.014DOI Listing
September 2018
17 Reads

Mid-Term Report on the Safety and Effectiveness of Endovenous Radiofrequency Ablation for Varicose Veins.

Ann Vasc Dis 2017 Dec;10(4):398-401

Department of Cardiovascular Surgery, Soka Municipal Hospital, Soka, Saitama, Japan.

: Endovenous radiofrequency ablation (RFA), a relatively new technique for treating great saphenous varicose veins, is less invasive compared with stripping surgery. This study examined the mid-term safety and effectiveness of RFA for varicose veins. : We enrolled 104 patients (147 limbs) who underwent RFA for varicose veins of the lower extremities (females, 67; 64. Read More

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http://dx.doi.org/10.3400/avd.oa.17-00053DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5835433PMC
December 2017
19 Reads

Three-year follow-up and quality of life of endovenous radiofrequency ablation of the great saphenous vein with the ClosureFast™ procedure: Influence of BMI and CEAP class.

Vascular 2018 Oct 28;26(5):498-508. Epub 2018 Feb 28.

4 Department of Cardiology, IRCCS Istituto Auxologico Italiano, Milan, Italy.

Purpose Endovascular ablation of the great saphenous vein has been proposed as a less invasive alternative to conventional ligation and stripping of varicose veins. Outcomes of patients treated with the radiofrequency ablation ClosureFast™ system over an eight-year period from a single-center were evaluated. Methods Three-year follow-up data included duplex ultrasound scan, complication rate, and questionnaires to assess patients' QOL, level of pain, and days off work. Read More

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http://dx.doi.org/10.1177/1708538118762066DOI Listing
October 2018
24 Reads

Prospective comparative cohort study evaluating incompetent great saphenous vein closure using radiofrequency-powered segmental ablation or 1470-nm endovenous laser ablation with radial-tip fibers (Varico 2 study).

J Vasc Surg Venous Lymphat Disord 2018 01 24;6(1):31-40. Epub 2017 Aug 24.

Centrum Oosterwal, Alkmaar, The Netherlands.

Background: Endovenous laser ablation (EVLA) and radiofrequency-powered segmental ablation (RPSA) of the incompetent great saphenous vein (GSV) are both known for their excellent technical and clinical outcomes for the treatment of varicose veins. RPSA has reduced postprocedural pain and morbidity with shorter recovery time for the patient compared with EVLA using bare-tip fibers. However, new-generation EVLA devices with less traumatic radial-tip fibers (RTFs) operating at longer wavelengths up to 1470 nm also reduce postprocedural pain. Read More

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http://dx.doi.org/10.1016/j.jvsv.2017.06.016DOI Listing
January 2018
29 Reads

Prospective, double-blind, randomized controlled trial comparing electrocoagulation and radiofrequency in the treatment of patients with great saphenous vein insufficiency and lower limb varicose veins.

J Vasc Surg Venous Lymphat Disord 2018 03 9;6(2):212-219. Epub 2017 Dec 9.

Department of Radiology, Arizona Heart Hospital, Phoenix, Ariz.

Objective: Thermoablation has been replacing conventional surgery in the surgical treatment of great saphenous vein (GSV) reflux in patients with lower limb varicose veins; however, thermoablation is expensive. Intravenous electrocoagulation (EC) may, selectively and safely, cause necrosis of the GSV wall, but the clinical results have never been studied. The objective of this study was to compare EC and radiofrequency ablation (RFA) in the treatment of GSV insufficiency, considering efficacy, complications, and effect on quality of life. Read More

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http://dx.doi.org/10.1016/j.jvsv.2017.09.010DOI Listing
March 2018
19 Reads

Percutaneous treatment with radiofrequency ablation of varicose veins recurring after vein stripping surgery A preliminary study.

Ann Ital Chir 2017 ;6:438-442

Aim: The aim of our study was to evaluate the efficacy of a new treatment of recurrent varicose vein after stripping of the great saphenous vein with rigid radiofrequency needles.

Material Of Study: 37 patients enrolled (11 males and 26 females). 10 patients had recurrent varicose veins for the presence of residual reflux in the Saphenous-Femoral Junction (SFJ) stump, whilst 21 patients for the presence of a single or multiple re-chanalized and refluxing perforator veins, and 6 had mixed rechanalization due to perforator veins and refluxing saphenous stump. Read More

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August 2018
32 Reads

Editor's Choice - Five Year Results of Great Saphenous Vein Treatment: A Meta-analysis.

Eur J Vasc Endovasc Surg 2017 Dec 14;54(6):760-770. Epub 2017 Oct 14.

Department of Dermatology, Erasmus Medical Centre, Erasmus University Rotterdam, Rotterdam, The Netherlands. Electronic address:

Objectives: The most frequently used treatment options for great saphenous vein incompetence are high ligation with stripping (HL+S), endovenous thermal ablation (EVTA), mainly consisting of endovenous laser ablation (EVLA) or radiofrequency ablation, and ultrasound guided foam sclerotherapy (UGFS). The objective of this systematic review and meta-analysis was to compare the long-term efficacy of these different treatment modalities.

Methods: A systematic literature search was performed. Read More

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http://dx.doi.org/10.1016/j.ejvs.2017.08.034DOI Listing
December 2017
56 Reads

One-year results of the use of endovenous radiofrequency ablation utilising an optimised radiofrequency-induced thermotherapy protocol for the treatment of truncal superficial venous reflux.

Phlebology 2018 Jun 20;33(5):298-302. Epub 2017 Mar 20.

1 The Whiteley Clinic, Guildford, UK.

Background In previous in vitro and ex vivo studies, we have shown increased thermal spread can be achieved with radiofrequency-induced thermotherapy when using a low power and slower, discontinuous pullback. We aimed to determine the clinical success rate of radiofrequency-induced thermotherapy using this optimised protocol for the treatment of superficial venous reflux in truncal veins. Methods Sixty-three patients were treated with radiofrequency-induced thermotherapy using the optimised protocol and were followed up after one year (mean 16. Read More

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http://journals.sagepub.com/doi/10.1177/0268355517696611
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http://dx.doi.org/10.1177/0268355517696611DOI Listing
June 2018
11 Reads
1.920 Impact Factor

Fifteen Year Results of Radiofrequency Ablation, Using VNUS Closure, for the Abolition of Truncal Venous Reflux in Patients with Varicose Veins.

Eur J Vasc Endovasc Surg 2017 Sep 8;54(3):357-362. Epub 2017 Jul 8.

The Whiteley Clinic, Stirling House, Stirling Road, Guildford, UK.

Objectives: Endovenous thermal ablation (EVTA) of varicose veins was introduced in the late 1990s with radiofrequency ablation (RFA) using the VNUS Closure device. The results of the original VNUS Closure device for the abolition of truncal venous reflux at 15 years are reported.

Methods: A prospective audit of a group of patients treated with VNUS Closure 15 years previously was carried out, using clinical assessment and duplex ultrasound. Read More

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http://dx.doi.org/10.1016/j.ejvs.2017.06.001DOI Listing
September 2017
23 Reads

Factors influencing the choice of treatment modality for individual patients with varicose veins.

Ann R Coll Surg Engl 2017 Nov 6;99(8):624-630. Epub 2017 Jul 6.

South Devon and Exeter Vascular Service, Royal Devon and Exeter Hospital, UK.

INTRODUCTION There is evidence of effectiveness for a range of different treatment modalities for varicose veins but limited information about factors that influence treatment choice for individual patients. METHODS A postal survey was sent to 438 UK members of the Vascular Society of Great Britain and Ireland. RESULTS Overall, 251 responses were received (response rate 57%). Read More

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http://dx.doi.org/10.1308/rcsann.2017.0122DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696925PMC
November 2017
73 Reads

Double prepuncture as a valuable adjunctive technique for complex endovenous ablation.

J Vasc Surg Venous Lymphat Disord 2017 07;5(4):507-513

Department of Surgery, Baltimore Veterans Affairs Medical Center, Baltimore, Md. Electronic address:

Objective: The objective of this study was to characterize the technique and to report the results of double prepuncture used during complex radiofrequency ablation (RFA) in cases of treating multiple incompetent veins or encountering focal obstruction to catheter advancement.

Methods: A double prepuncture technique was applied in patients requiring endovascular ablation of multiple veins and patients with great saphenous vein cannulation failure. We treated 13 limbs in 12 patients during a 24-month period with RFA in which the double prepuncture technique was used. Read More

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http://dx.doi.org/10.1016/j.jvsv.2017.03.014DOI Listing
July 2017
49 Reads

Outcomes of a single-center experience with classification and treatment of endothermal heat-induced thrombosis after endovenous ablation.

J Vasc Surg Venous Lymphat Disord 2017 05;5(3):332-338

Division of Vascular Surgery, Spectrum Health Hospital, Grand Rapids, Mich.

Objective: Endothermal heat-induced thrombosis (EHIT) is a known complication of endothermal venous ablation procedures. EHIT can lead to deep vein thrombosis/pulmonary embolism, which cause significant disability and, rarely, death. Other studies have evaluated risk factors for EHIT. Read More

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http://dx.doi.org/10.1016/j.jvsv.2016.12.010DOI Listing
May 2017
34 Reads

First 10-month results of the Vascular Quality Initiative Varicose Vein Registry.

J Vasc Surg Venous Lymphat Disord 2017 05;5(3):312-320.e2

Section of Vascular Surgery, University of Michigan Medical School, Ann Arbor, Mich. Electronic address:

Objective: The Vascular Quality Initiative Varicose Vein Registry (VQI VVR) represents a new Patient Safety Organization database launched in January 2015 as a collaborative effort between the American Venous Forum and the Society for Vascular Surgery. This study was undertaken to identify real-world trends among treatment choices and outcomes of varicose vein patients.

Methods: Registry data prospectively captured anatomic, procedural, and outcome data for patients with C2 or more severe disease undergoing intervention for venous varicosities from January to November 2015. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2213333X173005
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http://dx.doi.org/10.1016/j.jvsv.2016.12.007DOI Listing
May 2017
19 Reads

Radiofrequency-induced thermotherapy (RFiTT) in a porcine liver model and ex vivo great saphenous vein.

Minim Invasive Ther Allied Technol 2017 Aug 2;26(4):200-206. Epub 2017 Feb 2.

a The Whiteley Clinic , Guildford , Surrey , UK.

Aims: To investigate the thermal spread achieved in porcine liver when using an optimised radiofrequency ablation protocol and correlate findings with the effects seen in ex vivo great saphenous vein (GSV), in order to justify clinical use with the new treatment protocol.

Material And Methods: Porcine liver and GSV sections were treated with radiofrequency-induced thermotherapy (RFiTT) using the following settings: 20 W at 1 s/cm (linear endovenous energy density; LEED 20 J/cm), 18 W at 1 s/cm (LEED 18 J/cm), 18 W at 3 s/cm (LEED 54 J/cm), 6 W interrupted pull-back 6 s stationary every 0.5 cm (LEED 72 J/cm). Read More

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https://www.tandfonline.com/doi/full/10.1080/13645706.2017.1
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http://dx.doi.org/10.1080/13645706.2017.1282520DOI Listing
August 2017
69 Reads
1.180 Impact Factor

Evidence summary of combined saphenous ablation and treatment of varicosities versus staged phlebectomy.

J Vasc Surg Venous Lymphat Disord 2017 01 26;5(1):134-137. Epub 2016 Sep 26.

Duke University Medical Center, Durham, NC.

Objective: The objective of this review was to create an evidence summary of the available literature comparing saphenous vein ablation and concomitant phlebectomy vs ablation with staged phlebectomy.

Methods: A review of the literature for ambulatory patients treated for venous insufficiency with saphenous ablation and phlebectomy was conducted. A literature search was performed using MEDLINE, Cochrane Library, Google Scholar, and PubMed with the keywords phlebectomy, endovenous ablation, staged procedures, vein stripping, superficial venous disease, and powered phlebectomy. Read More

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http://dx.doi.org/10.1016/j.jvsv.2016.07.009DOI Listing
January 2017
36 Reads
1 Citation

American College of Phlebology Guidelines - Treatment of refluxing accessory saphenous veins.

Phlebology 2017 Aug 13;32(7):448-452. Epub 2016 Oct 13.

4 Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA, USA.

The American College of Phlebology Guidelines Committee performed a systematic review of the literature regarding the clinical impact and treatment of incompetent accessory saphenous veins. Using an accepted process for guideline developments, we developed a consensus opinion that patients with symptomatic incompetence of the accessory great saphenous veins (anterior and posterior accessory saphenous veins) be treated with endovenous thermal ablation (laser or radiofrequency) or ultrasound-guided foam sclerotherapy to eliminate symptomatology (Recommendation Grade 1C). Read More

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http://dx.doi.org/10.1177/0268355516671624DOI Listing
August 2017
6 Reads

Complications and Failure of Endovenous Laser Ablation and Radiofrequency Ablation Procedures in Patients With Lower Extremity Varicose Veins in a 5-Year Follow-Up.

Vasc Endovascular Surg 2016 Oct 28;50(7):475-483. Epub 2016 Sep 28.

First Department of General and Vascular Surgery, Second Faculty of Medicine with the English Division and the Physiotherapy Division, Medical University of Warsaw, Warsaw, Poland.

Introduction: Thermal ablation techniques have gradually replaced Babcock procedure in varicose vein treatment.

Aim: A comparative quantitative-qualitative analysis of complications and failure of endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) in a 5-year follow-up.

Materials And Methods: One hundred ten adult participants with varicose veins clinical grade C to C, treated for isolated great saphenous vein (GSV) or small saphenous vein (SSV) insufficiency in a single lower extremity in 2009 to 2010, were enrolled and subdivided into EVLA (n = 56) and RFA (n = 54) groups. Read More

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http://dx.doi.org/10.1177/1538574416671247DOI Listing
October 2016
148 Reads

Roll-in phase analysis of clinical study of cyanoacrylate closure for incompetent great saphenous veins.

J Vasc Surg Venous Lymphat Disord 2016 10 8;4(4):407-15. Epub 2016 Aug 8.

The Morrison Vein Institute, Scottsdale, Ariz.

Objective: Cyanoacrylate closure (CAC) was shown in the recently published VenaSeal Sapheon Closure System vs Radiofrequency Ablation for Incompetent Great Saphenous Veins (VeClose) randomized clinical study to be an effective and noninferior option (in terms of both safety and effectiveness) to radiofrequency ablation (RFA) in the treatment of incompetent great saphenous veins. The objectives of this analysis were to report the efficacy and safety outcomes of the VeClose roll-in (training) group treated with CAC by physicians who had received device use training but had no prior treatment experience with the technique and to compare the outcomes with those from the randomized RFA and CAC groups.

Methods: The first two subjects at each participating site (n = 20) were roll-in cases (ie, not randomized but instead treated with CAC) to ensure the physician's familiarity with the procedure. Read More

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http://dx.doi.org/10.1016/j.jvsv.2016.06.017DOI Listing
October 2016
36 Reads

Risk factors associated with recanalization of incompetent saphenous veins treated with radiofrequency ablation catheter.

Diagn Interv Imaging 2017 Jan 30;98(1):29-36. Epub 2016 Jun 30.

Koc University Hospital, Department of Interventional Radiology, Istanbul, Turkey.

Purpose: The purpose of this study was to determine the occlusion rate of incompetent great saphenous veins (GSVs) and small saphenous veins (SSVs) treated with radiofrequency ablation (RFA) and individualize variables associated with recanalization.

Materials And Methods: A retrospective review of 311 veins (256 GSVs and 55 SSVs) in 211 patients [177 women, 34 men; mean age, 45 years±12 (SD) (range: 18-75 years)] with incompetent GSVs and/or SSVs who were treated using new-generation RFA catheters was performed. The clinical results, occlusion rates, and variables associated with recanalization for the incompetent GSVs and SSVs were analyzed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22115684163013
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http://dx.doi.org/10.1016/j.diii.2016.06.003DOI Listing
January 2017
17 Reads

A multi-centre randomised controlled trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins - Final results of the Venefit versus Clarivein for varicose veins trial.

Phlebology 2017 Mar 9;32(2):89-98. Epub 2016 Jul 9.

1 Section of Vascular Surgery, Department of Surgery and Cancer, Imperial College London, London, UK.

Background Endovenous thermal ablation has revolutionised varicose vein treatment. New non-thermal techniques such as mechanical occlusion chemically assisted endovenous ablation (MOCA) allow treatment of entire trunks with single anaesthetic injections. Previous non-randomised work has shown reduced pain post-operatively with MOCA. Read More

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http://dx.doi.org/10.1177/0268355516651026DOI Listing
March 2017
28 Reads

Short Term Fate of Great Saphenous Vein after Radiofrequency Ablation for Varicose Veins.

Kathmandu Univ Med J (KUMJ) 2015 Jul-Sep;13(51):234-7

Department of Surgery, Dhulikhel Hospital, Kathmandu University Hospital Dhulikhel, Kavre, Nepal.

Background Radiofrequency ablation of varicose vein have gained popularity compared to conventional surgery due to comparable long term results in addition to definite immediate superiorities. This modality has been started in Nepal since August 2003 and the study on short term fate of ablated vein segment confirms the anatomical benefit in addition to the clinical benefit. Objective To analyze short term fate of segment of great saphenous vein that has been treated by Radiofrequency ablation in terms of occlusion of saphenofemoral junction and absence of recanalisation on Doppler ultrasonography finding done at 3-6 months postoperative period. Read More

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http://dx.doi.org/10.3126/kumj.v13i3.16814DOI Listing
November 2017
8 Reads

Varicose veins: new trends in treatment in a Vascular Surgery Unit.

Ann Ital Chir 2016 ;87:166-71

Aim: Less invasive techniques such as foam sclerotherapy, endovenous laser or radiofrequency ablation have recently been introduced as a valid alternative to surgery for the treatment of varicose veins (VVs). We retrospectively reviewed our experience in the treatment of VVs with particular attention to how our therapeutic approach has changed over the last years.

Material Of Study: Data of all patients consecutively treated from September 1st 2013 to July 31st 2015 for both primitive and recurrent VVs were retrospectively collected and analyzed. Read More

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http://www.annaliitalianidichirurgia.it/PDF/2016/09_1222_249
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October 2017
63 Reads

Predictors of Recanalization of the Great Saphenous Vein in Randomized Controlled Trials 1 Year After Endovenous Thermal Ablation.

Eur J Vasc Endovasc Surg 2016 Aug 16;52(2):234-41. Epub 2016 Mar 16.

Department of Dermatology, Erasmus MC, Rotterdam, The Netherlands.

Objective/background: The objective was to identify predictors to develop and validate a prognostic model of recanalization of the great saphenous vein (GSV) in patients treated with endovenous thermal ablation (EVTA).

Methods: The search strategy of Siribumrungwong was updated between August 2011 and August 2014 using MEDLINE, Embase, and the Cochrane register to identify randomized controlled trials (RCTs), in which patients presenting with GSV reflux were treated with radiofrequency or endovenous laser ablation. Leg level data (n = 1226) of 15/23 selected RCTs were pooled. Read More

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http://dx.doi.org/10.1016/j.ejvs.2016.01.021DOI Listing
August 2016
26 Reads

Morphologic changes in the vein after different numbers of radiofrequency ablation cycles.

J Vasc Surg Venous Lymphat Disord 2015 Oct 29;3(4):358-363. Epub 2014 Oct 29.

Institute for Experimental Medicine, Russian Academy of Medical Sciences, St. Petersburg, Russia.

Objective: It has not yet been clarified whether it is possible to decrease the percentage of recurrences after radiofrequency (RF) ablation by way of increasing the number of RF ablation cycles. The aim of this study was to assess the morphologic changes in excised vein fragments after different durations of RF ablation exposure.

Methods: In the first part of the study, we performed a morphologic analysis of eight cases of great saphenous vein (GSV) recanalization 6 months after RF ablation. Read More

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http://dx.doi.org/10.1016/j.jvsv.2014.09.006DOI Listing
October 2015
23 Reads

A longitudinal single-center cohort study on the prevalence and risk of accessory saphenous vein reflux after radiofrequency segmental thermal ablation of great saphenous veins.

J Vasc Surg Venous Lymphat Disord 2015 Jul 6;3(3):265-9. Epub 2014 Dec 6.

Department of Dermatology, University Medical Center Mainz, Mainz, Germany; Private Clinic Proebstle, Phlebology Division, Mannheim, Germany.

Objective: Endothermal ablation has become a commonly used technology for occlusion of refluxing great saphenous veins (GSVs). However, the risk for primarily untreated accessory saphenous veins (ASVs) to develop reflux during follow-up has not yet been defined. Here, the prevalence and risk of ASV reflux is explored. Read More

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http://dx.doi.org/10.1016/j.jvsv.2014.10.001DOI Listing
July 2015
11 Reads

Recurrence of varicose veins after endovenous ablation of the great saphenous vein in randomized trials.

J Vasc Surg Venous Lymphat Disord 2016 Jan 11;4(1):97-105. Epub 2015 Apr 11.

CardioVascular Center, Tufts Medical Center, Boston, Mass.

Background: Recurrence of varicose veins after surgery (REVAS) for saphenous incompetence has been well described after ligation and stripping (L&S) but not after the now most frequently performed method of saphenous ablation, endovenous ablation (EVA). The purpose of this study was to define the overall incidence of REVAS as well as both the sites of reflux and the causes of REVAS through a systematic review and meta-analysis of randomized controlled trials (RCTs) for EVA. These studies have the advantage of prospectively collected data and a uniform duplex follow-up. Read More

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http://dx.doi.org/10.1016/j.jvsv.2014.11.004DOI Listing
January 2016
31 Reads

Factors that influence perforator vein closure rates using radiofrequency ablation, laser ablation, or foam sclerotherapy.

J Vasc Surg Venous Lymphat Disord 2016 Jan;4(1):51-6

Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa.

Objective: Perforator vein closure for the treatment of advanced chronic venous insufficiency has been shown to be effective using radiofrequency ablation (RFA), endovenous laser ablation (EVLA), or ultrasound-guided foam sclerotherapy (UGFS). The objective of the study was to compare these three modalities and attempt to identify factors that might predict treatment failure.

Methods: A retrospective review of a prospectively managed database of perforator vein treatments performed at a three centers within a single institution from February 2013 to July 2014. Read More

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http://dx.doi.org/10.1016/j.jvsv.2015.08.004DOI Listing
January 2016
18 Reads

The effect of wavelength on endothermal heat-induced thrombosis incidence after endovenous laser ablation.

J Vasc Surg Venous Lymphat Disord 2016 Jan 11;4(1):36-43. Epub 2015 Nov 11.

Texas Vascular Associates, Dallas, Tex.

Objective: We hypothesized that the incidence of endothermal heat-induced thrombosis (EHIT) depends on the laser wavelength used in endovenous laser ablation (EVLA) of the saphenous veins.

Methods: We identified patients undergoing EVLA in our office from 2005 to 2014 with an 810-nm (hemoglobin-specific) or 1470-nm (water-specific) laser. We reviewed the records for age, sex, body mass index, Clinical, Etiologic, Anatomic, and Pathophysiologic (CEAP) class, vein diameter, vein(s) treated, adjunctive phlebectomy, energy delivered, laser pullback times, and EHIT (closure level ≥3) development. Read More

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http://dx.doi.org/10.1016/j.jvsv.2015.08.003DOI Listing
January 2016
39 Reads

Relationships between duplex findings and quality of life in long-term follow-up of patients treated for chronic venous disease.

Phlebology 2016 Mar;31(1 Suppl):88-98

Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA

Objective: Relationships between duplex findings and data on health-related quality of life (QoL) to assess long-term results of treatment of varicose veins and chronic venous insufficiency (CVI) are not well known. The goal of this review was to correlate duplex findings and QoL assessments in clinical studies with long-term follow-up.

Methods: A review of the English language literature on PUBMED revealed 17 clinical studies, including 9 randomized controlled trials (RCTs), 6 prospective, and 2 retrospective studies that included patients with at least 5-year follow-up after endovenous laser ablation (EVLA), radiofrequency ablation (RFA), ultrasound-guided foam sclerotherapy (UGFS), and traditional superficial venous surgery. Read More

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http://dx.doi.org/10.1177/0268355516630868DOI Listing
March 2016
18 Reads