Title: RFA vs EVLT: A Comparison of Treatment Options for Varicose Veins
Authors: Dr Shah Swenil, Dr Jain Rahul, Dr Rathod Jawahar, Dr Patel Uday
DOI: https://dx.doi.org/10.18535/jmscr/v5i10.81
Abstract
Introduction: Varicose veins represent a common health problem, the effects of which in terms of disability and health care costs are considerable. Conventional surgical stripping may cause many complications, longer recovery time and higher recurrence rate. The development of new minimally invasive techniques which include Endovenous laser therapy (EVLT) and radiofrequency ablation (RFA) are less invasive, may have fewer adverse effects and better cosmetic outcome, causing less impairment of patient’s physical or professional activities, with improved quality of life.
Aims and Objectives: To compare the technical success, safety and efficacy of RFA and EVLT on follow up of 1 year in symptomatic varicose veins patients
Material and Methods: This combined prospective & retrospective study of 200 patients of varicose veins treated with Biolitec laser machine and Celon Lab Power Radiofrequency generator unit with bipolar applicator with the help of Philips IU 22, Doppler and ultrasound machine with linear array 7.5-10 MHz transducer, was carried out at between November 2011 to November 2013.
Results and Conclusions: Technical success is more with EVLT in comparison to RFA. EVLT is more efficient mode of treatment due to higher elimination of junctional reflux, higher occlusion & ulcer healing rates. Thus EVLT is an acceptable and efficacious endovenous treatment option over RFA in management of symptomatic varicose veins patients.
Keywords: RFA: Radiofrequency Ablation, EVLT: Endovenous Laser Ablation.
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