Abstract
Background: Radiofrequency ablation (RFA) has shown faster recovery and lower pain scores compared to Endovenous laser ablation (EVLA) for treatment of varicose veins. However, a comparison of 1,940-nm EVLA and RFA has not been reported. This study compared short-term outcomes using 1,940-nm EVLA and RFA for varicose veins.Methods: Between April 2018 and June 2018, 43 patients (83 incompetent saphenous veins) were treated with 1,940-nm EVLA and 37 patients (64 incompetent saphenous veins) with RFA. Follow-up duplex was checked at 1 month and 3 months.Results: Baseline characteristics showed no significant differences between both groups except for age. Pain scores at 6 h, and at 1, 10, and 30 days after treatment showed no differences. Complications and time to return to normal activity showed no differences. The 100% closure rate was checked in both groups at 1 month and 3 months follow-up.Conclusion: Short-term outcomes showed no significant differences between 1,940-nm EVLA and RFA treatment.
Highlights
In the past several decades, treatment of varicose veins has undergone substantial changes, including a transition from surgical stripping to endothermal ablation [1,2,3]
Endothermal ablation is recommended as first-line treatment due to rapid recovery and fewer side effects compared to surgical stripping [4, 5]
Comparison Between 1940 nm and radiofrequency ablation (RFA). Both modalities produce good outcomes, but comparative studies reported that RFA showed less postoperative pain and quicker recovery time than ELVA [6,7,8,9,10]
Summary
In the past several decades, treatment of varicose veins has undergone substantial changes, including a transition from surgical stripping to endothermal ablation [1,2,3]. Both modalities produce good outcomes, but comparative studies reported that RFA showed less postoperative pain and quicker recovery time than ELVA [6,7,8,9,10]. All of these studies compared RFA with 810-nm or 980-nm EVLA, which were lower wavelengths. Radiofrequency ablation (RFA) has shown faster recovery and lower pain scores compared to Endovenous laser ablation (EVLA) for treatment of varicose veins. This study compared short-term outcomes using 1,940-nm EVLA and RFA for varicose veins
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