Skip to main content

11.11.2022 | Review Article

Efficacy of Radiofrequency Ablation (RFA) in the Treatment of Varicose Veins: a Systematic Review and Meta-analysis

verfasst von: Mohammad Karimian, Zeinab Tardeh, Younes Mohammadi, Samira Tardeh

Erschienen in: Indian Journal of Surgery

Einloggen, um Zugang zu erhalten

Abstract

Varicose veins are a common disorder for which different treatments with varied efficacy have been introduced so far. In this study, we review the results of previous studies to evaluate the efficacy of ClosureFast endovenous radiofrequency ablation (RFA) in treating varicose veins. The present study was performed based on the Meta-analysis Of Observational Studies in Epidemiology (MOOSE) protocols, and the results were reported based on the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guideline. Searches were conducted in all authentic online databases, and the retrieved papers were conducted until March 2021 using Mesh keywords. Study data with the necessary quality to enter the meta-analysis were extracted. Data were analyzed using comprehensive meta-analysis (CMA) software version 2. The cutoff level for significance was determined at 0.05. In total, 36 studies with sample size 7404 procedures were included. Radiofrequency ablation success, recurrence, and recanalization rates in the treatment of varicose veins were estimated to be 95%, 7%, and 3% respectively. The most common complications were bruising 13%, induration 11.6%, edema 8%, ecchymosis 7.4%, and numbness 6.3%. This study showed that the radiofrequency ablation method is a high-performance method with few and often transient complications, and the risk of significant complications in using this method to treat varicose veins is low. More studies are needed to evaluate the effectiveness of this method compared to other treatments.
Literatur
1.
Zurück zum Zitat Rabe E et al (2003) Bonn Vein Study by the German Society of Phlebology: epidemiological study to investigate the prevalence and severity of chronic venous disorders in the urban and rural residential populations. Phlebologie 32:1–14 Rabe E et al (2003) Bonn Vein Study by the German Society of Phlebology: epidemiological study to investigate the prevalence and severity of chronic venous disorders in the urban and rural residential populations. Phlebologie 32:1–14
3.
Zurück zum Zitat Nael R, Rathbun S (2009) Treatment of varicose veins. Curr Treat Options Cardiovasc Med 11(2):91–103 PubMedCrossRef Nael R, Rathbun S (2009) Treatment of varicose veins. Curr Treat Options Cardiovasc Med 11(2):91–103 PubMedCrossRef
4.
Zurück zum Zitat Rathbun SW, Kirkpatrick AC (2007) Treatment of chronic venous insufficiency. Curr Treat Options Cardiovasc Med 9(2):115–126 PubMedCrossRef Rathbun SW, Kirkpatrick AC (2007) Treatment of chronic venous insufficiency. Curr Treat Options Cardiovasc Med 9(2):115–126 PubMedCrossRef
5.
Zurück zum Zitat Rasmussen LH et al (2007) Randomized trial comparing endovenous laser ablation of the great saphenous vein with high ligation and stripping in patients with varicose veins: short-term results. J Vasc Surg 46(2):308–315 PubMedCrossRef Rasmussen LH et al (2007) Randomized trial comparing endovenous laser ablation of the great saphenous vein with high ligation and stripping in patients with varicose veins: short-term results. J Vasc Surg 46(2):308–315 PubMedCrossRef
7.
Zurück zum Zitat Rabe E et al (2008) Efficacy and safety of great saphenous vein sclerotherapy using standardised polidocanol foam (ESAF): a randomised controlled multicentre clinical trial. Eur J Vasc Endovasc Surg 35(2):238–245 PubMedCrossRef Rabe E et al (2008) Efficacy and safety of great saphenous vein sclerotherapy using standardised polidocanol foam (ESAF): a randomised controlled multicentre clinical trial. Eur J Vasc Endovasc Surg 35(2):238–245 PubMedCrossRef
8.
Zurück zum Zitat Nandhra S et al (2015) A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins. J Vasc Surg 61(3):741–746 PubMedCrossRef Nandhra S et al (2015) A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins. J Vasc Surg 61(3):741–746 PubMedCrossRef
10.
Zurück zum Zitat Almeida JI, Raines JK (2006) Radiofrequency ablation and laser ablation in the treatment of varicose veins. Ann Vasc Surg 20(4):547–552 PubMedCrossRef Almeida JI, Raines JK (2006) Radiofrequency ablation and laser ablation in the treatment of varicose veins. Ann Vasc Surg 20(4):547–552 PubMedCrossRef
11.
Zurück zum Zitat Merchant RF, DePalma RG, Kabnick LS (2002) Endovascular obliteration of saphenous reflux: a multicenter study. J Vasc Surg 35(6):1190–1196 PubMedCrossRef Merchant RF, DePalma RG, Kabnick LS (2002) Endovascular obliteration of saphenous reflux: a multicenter study. J Vasc Surg 35(6):1190–1196 PubMedCrossRef
12.
Zurück zum Zitat Tolva VS et al (2013) Radiofrequency ablation of the great saphenous vein with the ClosureFAST™ procedure: mid-term experience on 400 patients from a single centre. Surg Today 43(7):741–744 PubMedCrossRef Tolva VS et al (2013) Radiofrequency ablation of the great saphenous vein with the ClosureFAST™ procedure: mid-term experience on 400 patients from a single centre. Surg Today 43(7):741–744 PubMedCrossRef
13.
Zurück zum Zitat Stroup DF et al (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. Jama 283(15):2008–12 PubMedCrossRef Stroup DF et al (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. Jama 283(15):2008–12 PubMedCrossRef
14.
Zurück zum Zitat Shamseer L et al (2015) Preferred Reporting Items for Systematic Review and Meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ 350:g7647 PubMedCrossRef Shamseer L et al (2015) Preferred Reporting Items for Systematic Review and Meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ 350:g7647 PubMedCrossRef
15.
Zurück zum Zitat Peterson J et al (2011) The Newcastle-Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Hospital Res Ins 2(1):1–12 Peterson J et al (2011) The Newcastle-Ottawa scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Ottawa: Ottawa Hospital Res Ins 2(1):1–12
17.
Zurück zum Zitat Ades AE, Lu G, Higgins JP (2005) The interpretation of random-effects meta-analysis in decision models. Med Decis Making 25(6):646–654 PubMedCrossRef Ades AE, Lu G, Higgins JP (2005) The interpretation of random-effects meta-analysis in decision models. Med Decis Making 25(6):646–654 PubMedCrossRef
18.
Zurück zum Zitat Haridas K, Prasad V (2015) Radiofrequency ablation of varicose veins large series from a single centre. J Evid Based Med Healthcare 2(9):1148–1154 CrossRef Haridas K, Prasad V (2015) Radiofrequency ablation of varicose veins large series from a single centre. J Evid Based Med Healthcare 2(9):1148–1154 CrossRef
19.
Zurück zum Zitat Mishra MK et al (2016) Comparative study of outcome of duplex ultrasound-guided, catheter-directed foam sclerotherapy and radio-frequency ablation in the management of great saphenous varicose veins. Indian J Surg 78(5):375–381 PubMedPubMedCentralCrossRef Mishra MK et al (2016) Comparative study of outcome of duplex ultrasound-guided, catheter-directed foam sclerotherapy and radio-frequency ablation in the management of great saphenous varicose veins. Indian J Surg 78(5):375–381 PubMedPubMedCentralCrossRef
20.
Zurück zum Zitat Lane T et al (2017) A multi-centre randomised controlled trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins - final results of the Venefit versus ClariVein for varicose veins trial. Phlebol 32(2):89–98 CrossRef Lane T et al (2017) A multi-centre randomised controlled trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins - final results of the Venefit versus ClariVein for varicose veins trial. Phlebol 32(2):89–98 CrossRef
21.
Zurück zum Zitat Sydnor M et al (2017) A randomized prospective long-term (>1 year) clinical trial comparing the efficacy and safety of radiofrequency ablation to 980 nm laser ablation of the great saphenous vein. Phlebol 32(6):415–424 CrossRef Sydnor M et al (2017) A randomized prospective long-term (>1 year) clinical trial comparing the efficacy and safety of radiofrequency ablation to 980 nm laser ablation of the great saphenous vein. Phlebol 32(6):415–424 CrossRef
22.
Zurück zum Zitat Bozoglan O et al (2017) Comparison of endovenous laser and radiofrequency ablation in treating varices in the same patient. J Lasers Med Sci 8(1):13–16 PubMedPubMedCentralCrossRef Bozoglan O et al (2017) Comparison of endovenous laser and radiofrequency ablation in treating varices in the same patient. J Lasers Med Sci 8(1):13–16 PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Woźniak W, Mlosek RK, Ciostek P (2016) Complications and failure of endovenous laser ablation and radiofrequency ablation procedures in patients with lower extremity varicose veins in a 5-year follow-up. Vasc Endovascular Surg 50(7):475–483 PubMedCrossRef Woźniak W, Mlosek RK, Ciostek P (2016) Complications and failure of endovenous laser ablation and radiofrequency ablation procedures in patients with lower extremity varicose veins in a 5-year follow-up. Vasc Endovascular Surg 50(7):475–483 PubMedCrossRef
24.
Zurück zum Zitat Rasmussen LH et al (2011) Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Surg 98(8):1079–1087 PubMedCrossRef Rasmussen LH et al (2011) Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Surg 98(8):1079–1087 PubMedCrossRef
25.
Zurück zum Zitat Rasmussen L et al (2013) Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy, and surgical stripping for great saphenous varicose veins with 3-year follow-up. J Vasc Surg Venous Lymphat Disord 1(4):349–356 PubMedCrossRef Rasmussen L et al (2013) Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy, and surgical stripping for great saphenous varicose veins with 3-year follow-up. J Vasc Surg Venous Lymphat Disord 1(4):349–356 PubMedCrossRef
26.
Zurück zum Zitat Shaidakov EV et al (2016) Radiofrequency ablation or stripping of large-diameter incompetent great saphenous varicose veins with C2 or C3 disease. J Vasc Surg Venous Lymphat Disord 4(1):45–50 PubMedCrossRef Shaidakov EV et al (2016) Radiofrequency ablation or stripping of large-diameter incompetent great saphenous varicose veins with C2 or C3 disease. J Vasc Surg Venous Lymphat Disord 4(1):45–50 PubMedCrossRef
27.
Zurück zum Zitat Proebstle TM et al (2008) Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered segmental thermal ablation: first clinical experience. J Vasc Surg 47(1):151–156 PubMedCrossRef Proebstle TM et al (2008) Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered segmental thermal ablation: first clinical experience. J Vasc Surg 47(1):151–156 PubMedCrossRef
28.
Zurück zum Zitat Creton D et al (2010) Radiofrequency-powered segmental thermal obliteration carried out with the ClosureFast procedure: results at 1 year. Ann Vasc Surg 24(3):360–366 PubMedCrossRef Creton D et al (2010) Radiofrequency-powered segmental thermal obliteration carried out with the ClosureFast procedure: results at 1 year. Ann Vasc Surg 24(3):360–366 PubMedCrossRef
29.
Zurück zum Zitat Mese B et al (2015) A comparison of 1,470-nm endovenous laser ablation and radiofrequency ablation in the treatment of great saphenous veins 10 mm or more in size. Ann Vasc Surg 29(7):1368–1372 PubMedCrossRef Mese B et al (2015) A comparison of 1,470-nm endovenous laser ablation and radiofrequency ablation in the treatment of great saphenous veins 10 mm or more in size. Ann Vasc Surg 29(7):1368–1372 PubMedCrossRef
30.
Zurück zum Zitat Avery J et al (2014) Radiofrequency ablation as first-line treatment of varicose veins. Am Surg 80:231–235 PubMedCrossRef Avery J et al (2014) Radiofrequency ablation as first-line treatment of varicose veins. Am Surg 80:231–235 PubMedCrossRef
31.
Zurück zum Zitat Gibson K et al (2018) Twenty-four month results from a randomized trial of cyanoacrylate closure versus radiofrequency ablation for the treatment of incompetent great saphenous veins. J Vasc Surg Venous Lymphat Disord 6(5):606–613 PubMedCrossRef Gibson K et al (2018) Twenty-four month results from a randomized trial of cyanoacrylate closure versus radiofrequency ablation for the treatment of incompetent great saphenous veins. J Vasc Surg Venous Lymphat Disord 6(5):606–613 PubMedCrossRef
32.
Zurück zum Zitat Jin HY et al (2017) Radiofrequency ablation of varicose veins improves venous clinical severity score despite failure of complete closure of the saphenous vein after 1 year. Asian J Surg 40(1):48–54 PubMedCrossRef Jin HY et al (2017) Radiofrequency ablation of varicose veins improves venous clinical severity score despite failure of complete closure of the saphenous vein after 1 year. Asian J Surg 40(1):48–54 PubMedCrossRef
33.
Zurück zum Zitat Yang GK et al (2019) Comparison of cyanoacrylate embolization and radiofrequency ablation for the treatment of varicose veins. Phlebol 34(4):278–283 CrossRef Yang GK et al (2019) Comparison of cyanoacrylate embolization and radiofrequency ablation for the treatment of varicose veins. Phlebol 34(4):278–283 CrossRef
34.
Zurück zum Zitat Morrison N et al (2020) Five-year extension study of patients from a randomized clinical trial (VeClose) comparing cyanoacrylate closure versus radiofrequency ablation for the treatment of incompetent great saphenous veins. J Vasc Surg Venous Lymphat Disord 8(6):978–989 PubMedCrossRef Morrison N et al (2020) Five-year extension study of patients from a randomized clinical trial (VeClose) comparing cyanoacrylate closure versus radiofrequency ablation for the treatment of incompetent great saphenous veins. J Vasc Surg Venous Lymphat Disord 8(6):978–989 PubMedCrossRef
35.
Zurück zum Zitat Mendes CA et al (2016) Randomized trial of radiofrequency ablation versus conventional surgery for superficial venous insufficiency: if you don’t tell, they won’t know. Clinics (Sao Paulo) 71(11):650–656 CrossRef Mendes CA et al (2016) Randomized trial of radiofrequency ablation versus conventional surgery for superficial venous insufficiency: if you don’t tell, they won’t know. Clinics (Sao Paulo) 71(11):650–656 CrossRef
36.
Zurück zum Zitat Rai A et al (2019) Comparison of foam sclerotherapy versus radiofrequency ablation in the treatment of primary varicose veins due to incompetent great saphenous vein: randomized clinical trial. J Vasc Nurs 37(4):226–231 PubMedCrossRef Rai A et al (2019) Comparison of foam sclerotherapy versus radiofrequency ablation in the treatment of primary varicose veins due to incompetent great saphenous vein: randomized clinical trial. J Vasc Nurs 37(4):226–231 PubMedCrossRef
37.
Zurück zum Zitat Nordon IM et al (2011) A prospective double-blind randomized controlled trial of radiofrequency versus laser treatment of the great saphenous vein in patients with varicose veins. Ann Surg 254(6):876–881 PubMedCrossRef Nordon IM et al (2011) A prospective double-blind randomized controlled trial of radiofrequency versus laser treatment of the great saphenous vein in patients with varicose veins. Ann Surg 254(6):876–881 PubMedCrossRef
38.
Zurück zum Zitat Morrison N et al (2019) Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of incompetent great saphenous veins: 36-month outcomes of the VeClose randomized controlled trial. Phlebol 34(6):380–390 CrossRef Morrison N et al (2019) Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of incompetent great saphenous veins: 36-month outcomes of the VeClose randomized controlled trial. Phlebol 34(6):380–390 CrossRef
39.
Zurück zum Zitat Sanri US et al (2020) The clinical outcomes of endovenous radiofrequency ablation of varicose veins: two year follow up results. Acta Medica Alanya 4:254–259 Sanri US et al (2020) The clinical outcomes of endovenous radiofrequency ablation of varicose veins: two year follow up results. Acta Medica Alanya 4:254–259
40.
Zurück zum Zitat Tamura K, Maruyama T, Sakurai S (2019) Effectiveness of endovenous radiofrequency ablation for elderly patients with varicose veins of lower extremities. Ann Vasc Dis 12(2):200–204 PubMedPubMedCentralCrossRef Tamura K, Maruyama T, Sakurai S (2019) Effectiveness of endovenous radiofrequency ablation for elderly patients with varicose veins of lower extremities. Ann Vasc Dis 12(2):200–204 PubMedPubMedCentralCrossRef
41.
Zurück zum Zitat Sincos IR et al (2019) Prospective randomized trial comparing radiofrequency ablation and complete saphenous vein stripping in patients with mild to moderate chronic venous disease with a 3-year follow-up. Einstein (Sao Paulo) 17(2):eAO4526 CrossRef Sincos IR et al (2019) Prospective randomized trial comparing radiofrequency ablation and complete saphenous vein stripping in patients with mild to moderate chronic venous disease with a 3-year follow-up. Einstein (Sao Paulo) 17(2):eAO4526 CrossRef
42.
Zurück zum Zitat Tamura K, Maruyama T (2017) Mid-term report on the safety and effectiveness of endovenous radiofrequency ablation for varicose veins. Ann Vasc Dis 10(4):398–401 PubMedPubMedCentralCrossRef Tamura K, Maruyama T (2017) Mid-term report on the safety and effectiveness of endovenous radiofrequency ablation for varicose veins. Ann Vasc Dis 10(4):398–401 PubMedPubMedCentralCrossRef
43.
Zurück zum Zitat Woo HY et al (2019) Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein. Ann Surg Treat Res 96(6):313–318 PubMedPubMedCentralCrossRef Woo HY et al (2019) Outcome of ClosureFAST radiofrequency ablation for large-diameter incompetent great saphenous vein. Ann Surg Treat Res 96(6):313–318 PubMedPubMedCentralCrossRef
44.
Zurück zum Zitat Casana R et al (2018) Three-year follow-up and quality of life of endovenous radiofrequency ablation of the great saphenous vein with the ClosureFast™ procedure: influence of BMI and CEAP class. Vascular 26(5):498–508 PubMedCrossRef Casana R et al (2018) Three-year follow-up and quality of life of endovenous radiofrequency ablation of the great saphenous vein with the ClosureFast™ procedure: influence of BMI and CEAP class. Vascular 26(5):498–508 PubMedCrossRef
45.
Zurück zum Zitat Hamann SAS et al (2019) Randomized clinical trial of endovenous laser ablation versus direct and indirect radiofrequency ablation for the treatment of great saphenous varicose veins. Br J Surg 106(8):998–1004 PubMedPubMedCentralCrossRef Hamann SAS et al (2019) Randomized clinical trial of endovenous laser ablation versus direct and indirect radiofrequency ablation for the treatment of great saphenous varicose veins. Br J Surg 106(8):998–1004 PubMedPubMedCentralCrossRef
46.
Zurück zum Zitat Taha AG, Elbadawy AH, Hasaballah AE (2018) Endovenous radiofrequency ablation of lower extremity varicose veins: short-term outcomes of the initial experience. Egypt J Surg 37(2):185–190 CrossRef Taha AG, Elbadawy AH, Hasaballah AE (2018) Endovenous radiofrequency ablation of lower extremity varicose veins: short-term outcomes of the initial experience. Egypt J Surg 37(2):185–190 CrossRef
47.
Zurück zum Zitat Holewijn S et al (2019) Two-year results of a multicenter randomized controlled trial comparing Mechanochemical endovenous Ablation to RADiOfrequeNcy Ablation in the treatment of primary great saphenous vein incompetence (MARADONA trial). J Vasc Surg Venous Lymphat Disord 7(3):364–374 PubMedCrossRef Holewijn S et al (2019) Two-year results of a multicenter randomized controlled trial comparing Mechanochemical endovenous Ablation to RADiOfrequeNcy Ablation in the treatment of primary great saphenous vein incompetence (MARADONA trial). J Vasc Surg Venous Lymphat Disord 7(3):364–374 PubMedCrossRef
48.
Zurück zum Zitat Park I, Park SC (2020) Comparison of short-term outcomes between endovenous 1,940-nm laser ablation and radiofrequency ablation for incompetent saphenous veins. Front Surg 7:620034 PubMedPubMedCentralCrossRef Park I, Park SC (2020) Comparison of short-term outcomes between endovenous 1,940-nm laser ablation and radiofrequency ablation for incompetent saphenous veins. Front Surg 7:620034 PubMedPubMedCentralCrossRef
49.
Zurück zum Zitat ELSHEMY WM et al (2020) Comparative study between ultrasound-guided foam sclerotherapy, radiofrequency ablation & endo-venous laser ablation in treatment of great saphenous vein reflux . The Medical Journal of Cairo University. 88(September): 1943–1957 ELSHEMY WM et al (2020) Comparative study between ultrasound-guided foam sclerotherapy, radiofrequency ablation & endo-venous laser ablation in treatment of great saphenous vein reflux . The Medical Journal of Cairo University. 88(September): 1943–1957
50.
Zurück zum Zitat Calcagno D, Rossi JA, Ha C (2009) Effect of saphenous vein diameter on closure rate with ClosureFAST radiofrequency catheter. Vasc Endovascular Surg 43(6):567–570 PubMedCrossRef Calcagno D, Rossi JA, Ha C (2009) Effect of saphenous vein diameter on closure rate with ClosureFAST radiofrequency catheter. Vasc Endovascular Surg 43(6):567–570 PubMedCrossRef
51.
Zurück zum Zitat Bisang U et al (2012) Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting. Phlebol 27(3):118–123 CrossRef Bisang U et al (2012) Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting. Phlebol 27(3):118–123 CrossRef
52.
Zurück zum Zitat Lugli M et al (2009) Effects of eccentric compression by a crossed-tape technique after endovenous laser ablation of the great saphenous vein: a randomized study. Phlebol 24(4):151–156 CrossRef Lugli M et al (2009) Effects of eccentric compression by a crossed-tape technique after endovenous laser ablation of the great saphenous vein: a randomized study. Phlebol 24(4):151–156 CrossRef
53.
Zurück zum Zitat El-Sheikha J et al (2014) Clinical outcomes and quality of life 5 years after a randomized trial of concomitant or sequential phlebectomy following endovenous laser ablation for varicose veins. Br J Surg 101(9):1093–1097 PubMedCrossRef El-Sheikha J et al (2014) Clinical outcomes and quality of life 5 years after a randomized trial of concomitant or sequential phlebectomy following endovenous laser ablation for varicose veins. Br J Surg 101(9):1093–1097 PubMedCrossRef
54.
Zurück zum Zitat Sadick NS, Wasser S (2007) Combined endovascular laser plus ambulatory phlebectomy for the treatment of superficial venous incompetence: a 4-year perspective. J Cosmet Laser Ther 9(1):9–13 PubMedCrossRef Sadick NS, Wasser S (2007) Combined endovascular laser plus ambulatory phlebectomy for the treatment of superficial venous incompetence: a 4-year perspective. J Cosmet Laser Ther 9(1):9–13 PubMedCrossRef
55.
Zurück zum Zitat Min RJ, Khilnani N, Zimmet SE (2003) Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol 14(8):991–996 PubMedCrossRef Min RJ, Khilnani N, Zimmet SE (2003) Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol 14(8):991–996 PubMedCrossRef
56.
Zurück zum Zitat Jones L et al (1996) Neovascularisation is the principal cause of varicose vein recurrence: results of a randomised trial of stripping the long saphenous vein. Eur J Vasc Endovasc Surg 12(4):442–445 PubMedCrossRef Jones L et al (1996) Neovascularisation is the principal cause of varicose vein recurrence: results of a randomised trial of stripping the long saphenous vein. Eur J Vasc Endovasc Surg 12(4):442–445 PubMedCrossRef
57.
Zurück zum Zitat Brar R et al (2010) Surgical management of varicose veins: meta-analysis. Vascular 18(4):205–220 PubMedCrossRef Brar R et al (2010) Surgical management of varicose veins: meta-analysis. Vascular 18(4):205–220 PubMedCrossRef
58.
Zurück zum Zitat Luebke T, Brunkwall J (2008) Systematic review and meta-analysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis. J Cardiovasc Surg (Torino) 49(2):213–233 Luebke T, Brunkwall J (2008) Systematic review and meta-analysis of endovenous radiofrequency obliteration, endovenous laser therapy, and foam sclerotherapy for primary varicosis. J Cardiovasc Surg (Torino) 49(2):213–233
59.
Zurück zum Zitat García-Madrid C et al (2012) Update on endovenous radio-frequency closure ablation of varicose veins. Ann Vasc Surg 26(2):281–291 PubMedCrossRef García-Madrid C et al (2012) Update on endovenous radio-frequency closure ablation of varicose veins. Ann Vasc Surg 26(2):281–291 PubMedCrossRef
60.
Zurück zum Zitat Siribumrungwong B et al (2012) A systematic review and meta-analysis of randomised controlled trials comparing endovenous ablation and surgical intervention in patients with varicose vein. Eur J Vasc Endovasc Surg 44(2):214–223 PubMedCrossRef Siribumrungwong B et al (2012) A systematic review and meta-analysis of randomised controlled trials comparing endovenous ablation and surgical intervention in patients with varicose vein. Eur J Vasc Endovasc Surg 44(2):214–223 PubMedCrossRef
61.
Zurück zum Zitat Balint R et al (2016) Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review Vascular 24(6):649–657 PubMedCrossRef Balint R et al (2016) Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review Vascular 24(6):649–657 PubMedCrossRef
62.
Zurück zum Zitat He G et al (2017) Comparison of ultrasound-guided endovenous laser ablation and radiofrequency for the varicose veins treatment: an updated meta-analysis. Int J Surg 39:267–275 PubMedCrossRef He G et al (2017) Comparison of ultrasound-guided endovenous laser ablation and radiofrequency for the varicose veins treatment: an updated meta-analysis. Int J Surg 39:267–275 PubMedCrossRef
Metadaten
Titel
Efficacy of Radiofrequency Ablation (RFA) in the Treatment of Varicose Veins: a Systematic Review and Meta-analysis
verfasst von
Mohammad Karimian
Zeinab Tardeh
Younes Mohammadi
Samira Tardeh
Publikationsdatum
11.11.2022
Verlag
Springer India
Erschienen in
Indian Journal of Surgery
Print ISSN: 0972-2068
Elektronische ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-022-03613-y

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Chirurgie und bleiben Sie gut informiert – ganz bequem per eMail.