Effectiveness of the thermal radiofrequency minimally invasive methods for the treatment of varicose veins surgical experience in Ukrainian population

Abstract

Aim: Evaluate the results of study of the effectiveness of radiofrequency ablation in patients with chronic venous insufficiency in the Ukrainian population. Materials and Methods: Observation included the evaluation of the great saphenous vein occlusion and reflux at the patients undergone radiofrequency ablation on great saphenous vein. The condition was assessed according to the clinical severity scale of chronic venous disease and CEAP classification. Data were interpreted according to an analysis of the Kaplan-Meyer survival model. Results: After radiofrequency ablation all the patients under observation had complete occlusion of the great saphenous vein when being discharged. By the one-year of the observation, Kaplan Meyer’s analysis determined that over the course of 12 months, the probability of an outcome without recurrence of varicose after radiofrequency ablatio was 98,77%. Reflux of blood was determined in reopened perforating vein of the leg in one patient in three months according to the results of duplex ultrasound. According to the CEAP scale at the time of admission, there were 56.72% of the patients with C2, and 34.33% with C3, 8.96% with C4. The average clinical severity scale scores improved from 4.69 in the preoperative period to 2.90 on the first day after surgery and 2.52, 1.27, 0.92, 0.71, 0.64, 0.60 on the 7th day, 1, 3, 6, 9 and 12 months respectively. Conclusion: Radiofrequency ablation showed its efficiency for endovenous treatment of incompetent great saphenous vein with sustained clinical and anatomical success for most patients.