Estado actual de las técnicas endoablativas en el tratamiento de la insuficiencia venosa superficial

Abstract

Endovascular procedures have gained importance in the treatment of varicose veins secondary to saphenous vein reflux over the last 25 years. There are two types of endovascular techniques: 1. Endothermal ablation (which includes endolaser), radiofrequency, and steam ablation. All of them use heat to achieve the occlusion of the vein. 2. Chemical or mixed ablation, of late appearance except sclerotherapy, characterised due to the fact that they do not need a traditional operating room to be performed. This group includes ultrasound-guided sclerotherapy with foam, mechanical-chemical ablation, and cyanoacrylate glue. The aim of this work is to present our personal experience and the most current bibliographic review, in order to compare these techniques.