THE RESULTS OF RADIOFREQUENCY ABLATION IN THE TREATMENT OF CHRONIC VENOUS INSUFFICIENCY
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Abstract
Radiofrequency ablation of the greater saphenous vein (GSV) has been proposed as an
alternative to conventional ligation and stripping in the treatment of varicose veins. We have reviewed our experiences with this technique in 45 patients (CEAP 2-6 ) between May 2012 and Feb 2013. Preoperative doppler confirmed venous valvular incompetence of GSV in all patients. Result: Occlusion of the GSV was seen on 100% of the patients within 1 week of the procedure. No patient had thermal skin injury. One had DVT. Doppler scans were repeated at 6 months. Persistent occlusion of GSV was documented in all cases. Postoperative patient questionnaires showed that high rate of respondents were very satisfied with the procedure. Conclusion: Radiofrequency ablation of the GSV appears to be a safe alternative to conventional stripping and ligation. Longer followup is required to establish the durability of the procedure.