Early-Term Results of Endovenous Saphenous Vein Radiofrequency Ablation Combination with Trans-sheath Ultrasound-Guided Foam Sclerotherapy

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dc.contributor.authorOguz, Sonay
dc.date.accessioned2026-02-03T12:00:09Z
dc.date.available2026-02-03T12:00:09Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: To determine the early success rate in cases of great saphenous vein insufficiency treated with radiofrequency ablation (RFA) and combined transsheath ultrasonography-guided foam sclerotherapy (RFA+ST). Study Design: Descriptive study. Place and Duration of the Study: Department of Cardiovascular Surgery, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkiye, from July 2022 to October 2024. Methodology: Patients who underwent only RFA and combined RFA+ST between July 2022 and October 2024 were retrospectively scanned. Demographic data and complications were recorded. Differences between the demographic and collected data of the two groups were examined using the Mann-Whitney U test, Pearson's Chi-square or Fisher's exact test. Results: In total, 235 patients were included in the study: 120 in the RFA group (Group A) and 115 in the RFA+ST group (Group B). The median age (IQR) of Groups A and B was 48 (24) and 50 (26) years, respectively. The gender distribution was 86 females (65.6%) and 45 males (34.4%) in Group A, 75 females (67%) and 37 males (33%) in Group B. The median GSV diameter was 6.7 (1.5) mm and 7 (1.7) mm, respectively. Recanalisation occurred in 8 (6.1%) patients in Group A and 1 (0.9%) patient in Group B (p = 0.041). Other complications in Groups A and B included tenderness [7 (5.3%) vs. 12 (10.7%)], phlebitis or cellulitis [4 (3.1%) vs. 2 (1.8%)], ecchymosis [1 (0.8%) vs. 2 (1.8%)], hyperpigmentation [5 (3.8%) vs. 2 (1.8%)], and phlebothrombosis [7 (5.3%) vs. 24 (21.4%); p <0.001], respectively. Conclusion: In Group B combined with foam sclerotherapy, recanalisation rate was found to be significantly lower, and phlebothrombosis was higher in the early period. Closure reactions may develop more strongly with phlebothrombosis; however, appropriate case selection and procedure should be performed very carefully due to possible adverse conditions such as deep vein thrombosis.
dc.identifier.doi10.29271/jcpsp.2025.11.1391
dc.identifier.endpage1395
dc.identifier.issn1022-386X
dc.identifier.issn1681-7168
dc.identifier.issue11
dc.identifier.scopus2-s2.0-105021510527
dc.identifier.scopusqualityQ2
dc.identifier.startpage1391
dc.identifier.urihttps://doi.org/10.29271/jcpsp.2025.11.1391
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34532
dc.identifier.volume35
dc.identifier.wosWOS:001656303900005
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorOguz, Sonay
dc.language.isoen
dc.publisherColl Physicians & Surgeons Pakistan
dc.relation.ispartofJcpsp-Journal of the College of Physicians and Surgeons Pakistan
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260130
dc.subjectVenous insufficiency
dc.subjectRadiofrequency ablation
dc.subjectEndovenous laser
dc.subjectFoam sclerotherapy .
dc.titleEarly-Term Results of Endovenous Saphenous Vein Radiofrequency Ablation Combination with Trans-sheath Ultrasound-Guided Foam Sclerotherapy
dc.typeArticle

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