Endovenous radiofrequency ablation for the treatment of varicose veins
Systematic review
DOI:
https://doi.org/10.35954/SM2020.39.2.4Keywords:
Radiofrequency ablation; Venous Insufficiency; Endovascular Procedures; Laser Therapy; Varicose VeinsAbstract
Venous insufficiency of the lower limbs has been the subject of study and controversy due to its high prevalence. In recent years there has been significant progress in the diagnosis and treatment of this pathology with the emergence of multiple minimally invasive procedures. Thus, in addition to classic surgical treatment, foam injection, radiofrequency and endolaser have been described. These last techniques have the advantage of fewer complications, less postoperative pain and better esthetic results. All of them require a refined surgical technique which implies an exponential learning curve, as well as the systematic use of echo-Doppler. A systematic review of the subject was made analyzing the bibliography published in the last 20 years in our country and the world. Comparing the different mini-invasive techniques, radiofrequency has shown advantages, with better recovery rates, faster return to work, less complications, as well as good aesthetic results, being a safe and highly effective technique. For all these reasons it can be considered today as one of the first lines of treatment in patients affected by varicose veins.
Downloads
Metrics
References
(1) Kaplan RM, Criqui MH, Denenberg JO, Bergan J, Fronek A. Quality of life in patients with chronic venous disease: San Diego population study. J Vasc Surg 2003; 37(5):1047-53. doi: 10.1067/mva.2003.168
(2) Takase S, Pascarella L, Bergan JJ, Schmid-Schönbein GW. Hypertension induced venous valve remodeling. J Vas Surg 2004; 39(6):1329-34. doi: 10.1016/j.jvs.2004.02.044
(3) Winterborn RJ, Foy C, Earnshaw JJ. Causes of varicose vein recurrence: late results of a randomized controlled trial of stripping the long saphenous vein. J Vasc Surg 2004; 40(4):634-9. doi: 10.1016/j.jvs.2004.07.003
(4) Murad MH, Coto-Yglesias F, Zumaeta-García M, Elamin MB, Duggirala MK, Erwin PJ, et al. A systematic review and meta-analysis of the treatments of varicose veins. J Vasc Surg 2011; 53(5 Suppl):49S-65S. doi: 10.1016/j.jvs.2011.02.031
(5) Siribumrungwong B, Noorit P, Wilasrusmee C, Attia J, Thakkinstian A. A systematic review and meta-analysis of randomized controlled trials comparing endovenous ablation and surgical intervention in patients with varicose vein. Eur J Vasc Endovasc Surg 2012; 44(2):214-23. doi: 10.1016/j.ejvs.2012.05.017
(6) Proebstle TM, Vago B, Alm J, Göckeritz O, Lebard C, Pichot O, et al. Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered seg- mental thermal ablation: first clinical experience. J Vasc Surg 2008; 47(1):151-156. doi: 10.1016/j.jvs.2007.08.056
(7) Chiesa R, Marone EM, Limoni C, Volontè M, Petrini O. Chronic venous disorders: correlation between visible signs, symptoms, and presence of functional disease. J Vasc Surg 2007; 46(2):322-30. doi:10.1016/j.jvs.2007.04.030
(8) Takase S, Pascarella L, Bergan JJ, Schmid-Schönbein GW. Hypertension induced venous valve remodeling. J Vas Surg 2004; 39(6): 1329-1334. doi: 10.1016/j.jvs.2004.02.044
(9) Porter JM, Moneta GL. Reporting standards in venous disease: an update. International Consensus Committee on Chronic Venous Disease. J Vasc Surg 1995; 21(4):635-45. doi: 10.1016/s0741-5214(95)70195-8
(10) Bradbury A, Evans C, Allan P, Lee A, Ruckley V, Fowkes FGR. What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey. BMJ 1999; 318(7180):353-6 doi: 10.1136/bmj.318.7180.353
(11) Beebe HG, Bergan JJ, Bergqvist D, Eklöf, B, Eriksson, I, Goldman MP, et al. Classification and grading of chronic venous disease in the lower limbs: a consensus statement. Eur J Vasc Endovasc Surg 1996; 12(4):487-91; discussion 491-2. doi:10.1016/s1078-5884(96)80019-0
(12) Lurie F, Passman M, Meisner M, Dalsing M, Masuda E, Welch H, et al. CEAP classification system and reporting standard, revision 2020. J Vasc Surg Venous Lymphat Disord 2020; 8(3):342-352. doi: 10.1016/j.jvsv.2019.12.075
(13) Gloviczki P, Comerota AJ, Dalsing MC, Eklof BG, Gillespie DL, et al. The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg 2011; 53(5 Suppl):2S-48S. doi: 10.1016/j.jvs.2011.01.079
(14) Coleridge-Smith P, Labropoulos N, Partsch H, Myers K, Nicolaides A, Cavezzi A. Duplex Ultrasound Investigation of the Veins in Chronic Venous Disease of the Lower Limbs--UIP Consensus Document. Part I. Basic Principles. Eur J Vasc Endovasc Surg 2006; 31(1):83-92. doi: 10.1016/j.ejvs.2005.07.019
(15) Roth SM. Endovenous Radiofrequency Ablation of Superficial and Perforator Veins. Surg Clin North Am 2007; 87(5):1267-84, xii. doi: 10.1016/j.suc.2007.07.009
(16) De Maeseneer M, Pichot O, Cavezzi A, Earnshaw J, van Rij A, Lurie F, et al. Duplex ultrasound investigation of the veins of the lower limbs after treatment for varicose veins - UIP consensus document. Eur J Vasc Endovasc Surg 2011; 42(1):89-102. doi: 10.1016/j.ejvs.2011.03.013
(17) García Madrid C, Pastor Manrique JO, Arcediano Sanchez V, Sala-Planell E. Endovenous radiofrequency ablation (VenefitTM procedure): Impact of different energy rates on great saphenous vein shrinkage. Ann Vasc Surg 2013; 27(3):314-21. doi: 10.1016/j.avsg.2012.06.015
(18) Zuniga JMR, Hingorani A, Ascher E, Shiferson A, Jung D, Jimenez R, et al. Short-term outcome analysis of radiofrequency ablation using ClosurePlus vs ClosureFast catheter in the treatment of incompetent great saphenous vein. J Vasc Surg 2012; 55(4):1048-51. doi: 10.1016/j.jvs.2011.11.050
(19) Schmedt CG, Sroka R, Steckmeier S, Meissner OA, Babaryka G, Hunger K, et al. Investigation on Radiofrequency and Laser (980 nm) Effectsafter Endoluminal Treatment of Saphenous Vein Insufficiencyin an Ex-vivo Model. Eur J Vasc Endovasc Surg 2006; 32(3):318-25. doi: 10.1016/j.ejvs.2006.04.013
(20) Dwerryhouse S, Davies B, Harradine K, Earnshaw JJ. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of a randomized trial. J Vasc Surg 1999; 29(4):589-92. doi: 10.1016/s0741-5214(99)70302-2
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Martin Alvez, José Cabillon. The authors retain their copyright and grant the journal the right of first publication of their work, which will be simultaneously subject to the Creative Commons Attribution 4.0 International License that allows sharing the work as long as the initial publication in this journal is indicated.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Until 2024 we use the Creative Commons Attribution/NonCommercial Attribution 4.0 International License https://creativecommons.org/licenses/by-nc/4.0/deed.es. Which states that: you are free to share, copy and redistribute the material in any medium or format, as well as to adapt, remix, transform and build upon the material. Under the following terms:
Attribution: you must give proper credit , provide a link to the license, and indicate if changes have been made . You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
NonCommercial: you may not use the material for commercial purposes.
As of 2025 authors retain their copyright and assign to the journal the right of first publication of their work, which shall simultaneously be subject to the license https://creativecommons.org/licenses/by-nc-sa/4.0/deed.es that permits sharing, copying and redistribution of the material in any medium or format provided that initial publication in this journal is indicated. Adapt, remix, transform and build upon the material. If you remix, transform, or build from the material, you must distribute your contribution under the same license as the original and may not make use of the material for commercial purposes.
Under the following terms:
1. Attribution: you must give proper credit, provide a link to the license, and indicate whether changes have been made. You may do so in any reasonable manner, but not in such a way as to suggest that you or your use is endorsed by the licensor.
2. NonCommercial: you may not use the material for commercial purposes.
3. ShareAlike: if you remix, transform or build upon the material, you must distribute your contribution under the same license as the original.
PlumX Metrics
/
