Comparative study between using of radio frequency ablation and endovenous laser ablation in the treatment of primary lower limb varicose veins

Abstract

Background: Varicose veins are a frequent vascular issue. Radiofrequency ablation (RFA) and Endo-venous laser ablation (EVLA) are endo-venous treatments for varicose veins. Endo-venous therapy demonstrated superior outcomes than standard high ligation and stripping in terms of pain, quality of life, healing, and recurrence. The RFA and ELA surpass vein stripping in morbidity, outcome, and neovascularization (recurrence), which is attributed for greater recurrence rates. Aim: We aim to compare between using of radio frequency ablation and endo-venous laser ablation in the treatment of primary lower limb varicose veins as regard to complications, treatment failure,recurrence. Methods: This prospective randomized controlled study was conducted in the vascular surgery department at Al-Azhar university hospitals (Al-Hussein and Sayed Galal), in the period from September 2020 to June 2022 (20 months). The study included 50 patients, males were 22(44%) while females were 28(56%), Presented by primary varicose veins. Results: In EVLA group Recanalization of short-segment occlusion was done in 4 patients, Recanalization of long-segment occlusion was done in 2 patients and recurrent varicose veins happened in 5 patients.