Assessment of Endovenous Microwave Catheter Ablation in the Treatment of Primary Lower Limb Varicose Veins

Abstract

Background: Many Adults often have varicose veins, and the CEAP classification is a widely used method of staging the condition. Surgery is the standard course of therapy, which comprises sapheno-femoral and/or sapheno-opopliteal junction disconnection, along with or without superficial axial vein stripping. The endovenous ablation treatment is now the most popular and has a 95% occlusion rate. Endovenous Microwave Ablation (EMA), an endovenous ablation method, operates by producing radio-frequency radiation. The MICROTAZE OT-110 M device produces radiofrequency radiation. Aim of the study: The aim of this study is using endovenous microwave ablation as a new technique in treating of lower limb varicose veins according to the results, advantages, disadvantages and complications. Subjects and Methods: Thirty patients with lower limb varicose veins participated in this study. It was conducted at the vascular surgery department of Al-Azhar university hospitals (Al-Hussein and sayed-Galal). Patients were exposed to a clinical assessment and a duplex ultrasound after providing written permission. Results: over weighted and patients with 30-50 years were the most. A statistically significant improvement was observed in AVVQ at different follow-up intervals. Conclusion: This prospective, single-center study found endovenous microwave ablation of the great saphenous vein to be safe and effective. There were few complications, no DVT or paresthesia, a little amount of postoperative discomfort, and positive midterm radiological and clinical data.