Radiofrequency endogenous ablation and concomitant sclerotherapy
Background Varicose veins are a widespread disease with various treatment modalities ranging from classic saphenofemoral crossectomy and ligation and stripping to various minimally invasive interventional procedures. The era of endovenous interventions has now stabilized head to head in results with...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
General Organization of Teaching Hospitals and Institutes
2020-01-01
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| Series: | Journal of Medicine in Scientific Research |
| Subjects: | |
| Online Access: | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2020;volume=3;issue=4;spage=289;epage=292;aulast=A. |
| _version_ | 1827298792477556736 |
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| author | Ihab N A. Hanna Khaled ElKafas |
| author_facet | Ihab N A. Hanna Khaled ElKafas |
| author_sort | Ihab N A. Hanna |
| collection | DOAJ |
| description | Background
Varicose veins are a widespread disease with various treatment modalities ranging from classic saphenofemoral crossectomy and ligation and stripping to various minimally invasive interventional procedures. The era of endovenous interventions has now stabilized head to head in results with surgical procedures, hence the shift to minimally invasive procedures. All minimal invasive endovenous procedures have excellent results, particularly when correctly selected according to the varicose vein case and the treated vein. Thermal ablation techniques are now established and have reliable and satisfactory outcomes, yet nonthermal techniques have offered further options. This article provides a novel approach combining the usage of radiofrequency endovenous ablation (RFA) simultaneously with transcatheter and transsheath ultrasound-guided foam sclerotherapy.
Patients and methods
We enrolled 50 patients with Duplex-confirmed primary varicose vein who had RFA and concomitant sclerotherapy. All patients were followed up by Duplex 1 week later and at 1- and 6-month intervals.
Results
In our study, we enrolled 50 patients, comprising 33 males and 17 females. Mean age was 45.36 years. The most frequent symptoms were pain (42%), swelling (28%), and fatigue (30%). Vein diameters ranged from 6 to 12 mm. Superficial thrombophlebitis in three patients was managed successfully by Clexane. One case developed endovenous heat-induced thrombosis (EHIT) and was treated by new oral anti coagulant (NOAC) Duplex assessment. All cases remained closed by Duplex at month, with vein ablation seen by the Duplex. The case with EHIT resolved ultimately on NOAC at 3 months, and the case of superficial thrombophlebitis at 1 month revealed adequate recanalization and relief of symptoms. Only one patient mentioned nonconvenient results, not meeting her expectations.
Conclusion
Combining foam sclerotherapy and RFA seems a safe and effective modality and should be explored in further studies. |
| first_indexed | 2024-04-24T15:22:18Z |
| format | Article |
| id | doaj.art-576859a6fa5e40638bf08b52080fc213 |
| institution | Directory Open Access Journal |
| issn | 2537-091X 2537-0928 |
| language | English |
| last_indexed | 2024-04-24T15:22:18Z |
| publishDate | 2020-01-01 |
| publisher | General Organization of Teaching Hospitals and Institutes |
| record_format | Article |
| series | Journal of Medicine in Scientific Research |
| spelling | doaj.art-576859a6fa5e40638bf08b52080fc2132024-04-02T07:33:19ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282020-01-013428929210.4103/JMISR.JMISR_88_20Radiofrequency endogenous ablation and concomitant sclerotherapyIhab N A. HannaKhaled ElKafasBackground Varicose veins are a widespread disease with various treatment modalities ranging from classic saphenofemoral crossectomy and ligation and stripping to various minimally invasive interventional procedures. The era of endovenous interventions has now stabilized head to head in results with surgical procedures, hence the shift to minimally invasive procedures. All minimal invasive endovenous procedures have excellent results, particularly when correctly selected according to the varicose vein case and the treated vein. Thermal ablation techniques are now established and have reliable and satisfactory outcomes, yet nonthermal techniques have offered further options. This article provides a novel approach combining the usage of radiofrequency endovenous ablation (RFA) simultaneously with transcatheter and transsheath ultrasound-guided foam sclerotherapy. Patients and methods We enrolled 50 patients with Duplex-confirmed primary varicose vein who had RFA and concomitant sclerotherapy. All patients were followed up by Duplex 1 week later and at 1- and 6-month intervals. Results In our study, we enrolled 50 patients, comprising 33 males and 17 females. Mean age was 45.36 years. The most frequent symptoms were pain (42%), swelling (28%), and fatigue (30%). Vein diameters ranged from 6 to 12 mm. Superficial thrombophlebitis in three patients was managed successfully by Clexane. One case developed endovenous heat-induced thrombosis (EHIT) and was treated by new oral anti coagulant (NOAC) Duplex assessment. All cases remained closed by Duplex at month, with vein ablation seen by the Duplex. The case with EHIT resolved ultimately on NOAC at 3 months, and the case of superficial thrombophlebitis at 1 month revealed adequate recanalization and relief of symptoms. Only one patient mentioned nonconvenient results, not meeting her expectations. Conclusion Combining foam sclerotherapy and RFA seems a safe and effective modality and should be explored in further studies.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2020;volume=3;issue=4;spage=289;epage=292;aulast=A.radiofrequencytranssheath foam sclerotherapytranscatheter foam sclerotherapyultrasound guided |
| spellingShingle | Ihab N A. Hanna Khaled ElKafas Radiofrequency endogenous ablation and concomitant sclerotherapy Journal of Medicine in Scientific Research radiofrequency transsheath foam sclerotherapy transcatheter foam sclerotherapy ultrasound guided |
| title | Radiofrequency endogenous ablation and concomitant sclerotherapy |
| title_full | Radiofrequency endogenous ablation and concomitant sclerotherapy |
| title_fullStr | Radiofrequency endogenous ablation and concomitant sclerotherapy |
| title_full_unstemmed | Radiofrequency endogenous ablation and concomitant sclerotherapy |
| title_short | Radiofrequency endogenous ablation and concomitant sclerotherapy |
| title_sort | radiofrequency endogenous ablation and concomitant sclerotherapy |
| topic | radiofrequency transsheath foam sclerotherapy transcatheter foam sclerotherapy ultrasound guided |
| url | http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2020;volume=3;issue=4;spage=289;epage=292;aulast=A. |
| work_keys_str_mv | AT ihabnahanna radiofrequencyendogenousablationandconcomitantsclerotherapy AT khaledelkafas radiofrequencyendogenousablationandconcomitantsclerotherapy |