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Corresponding Author

Ahmed Ibrahim El-Saied Ibrahima

Document Type

Original Article

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 regarding 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 of the study: 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, and recurrence. Patients and Methods: This prospective randomized controlled study was carried out at the vascular surgery department of Al-Azhar university hospitals (Al-Hussein and Sayed Galal) between June 2021 and June 2022 (12 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. In RFA group Recanalization of short-segment occlusion was done in 3 patients, Recanalization of long-segment occlusion was done in 3 patients and recurrent varicose veins happened in 6 patients. Conclusion: 94% of inadequate GSVs were successfully blocked by endovenous ablation procedures after one month. Although postoperative problems were more common with EVLT than after RFA in our experience, EVLT was linked with somewhat greater occlusion rates.

Keywords

Radio Frequency Ablation; Endovenous Laser Ablation; Primary; Varicose Veins

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