Radiofrequency Ablation of Great Saphenous Vein with Several Heating Cycles

Makhnev A.V.; Ivanov E.V.; Schneider V.E.; Aliev F.Sh.; Sokolova V.V.

doi:https://doi.org/10.17116/flebo2017114222-227

Makhnev A.V.

Tyumen State Medical University, Tumen, Russia

Ivanov E.V.

Lomonosov Moscow State University, Moscow, Russia

Schneider V.E.

Tyumen State Medical University, Tumen, Russia

Aliev F.Sh.

Tyumen State Medical University, Tumen, Russia

Sokolova V.V.

Tyumen State Medical University, Tumen, Russia

Radiofrequency Ablation of Great Saphenous Vein with Several Heating Cycles

Authors:

Makhnev A.V., Ivanov E.V., Schneider V.E., Aliev F.Sh., Sokolova V.V.

More about the authors

Journal: Journal of Venous Disorders. 2017;11(4): 222‑227

DOI: 10.17116/flebo2017114222-227

Read: 1544 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Makhnev AV, Ivanov EV, Schneider VE, Aliev FSh, Sokolova VV. Radiofrequency Ablation of Great Saphenous Vein with Several Heating Cycles. Journal of Venous Disorders. 2017;11(4):222‑227. (In Russ.)
https://doi.org/10.17116/flebo2017114222-227

Подписка 2026 Флебология (Journal of Venous Disorders)

Использование инфографики авторами научных работ

Close metadata

Recommended articles:

Significance of Local Microcirculation Parameters in Predicting the Results of Surgical Treatment of Varicose Veins with Trophic Disorders. Journal of Venous Disorders. 2025;(1):6-14

Clinical and Ultrasound Semiotics of Varicose Vein Recurrence. Journal of Venous Disorders. 2025;(1):28-36

Endovenous Glue-Induced Thrombosis: Incidence, Risk Factors and Prevention. Journal of Venous Disorders. 2025;(2):84-94

Impact of Physical Activity on Varicose Veins: an Experimental Study. Journal of Venous Disorders. 2025;(2):105-112

Invasive Treatment of Recurrent Varicose Veins in Patients with Femoral Vein Incompetence. Journal of Venous Disorders. 2025;(3):156-163

Varicose veins in chronic experiment. Pirogov Russian Journal of Surgery. 2025;(7):16-23

Treatment of giant varicose veins of the lower extremities using total endovenous laser coagulation. Pirogov Russian Journal of Surgery. 2025;(8):125-130

Potential for the six-minute walk test use in patients with atrial fibrillation. Russian Journal of Preventive Medicine. 2025;(10):129-133

Correction of postoperative metabolic disorders after radiofrequency ablation for atrial fibrillation. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(6):680-684

Thoracoscopic resection of giant left atrial appendage aneurysm with epicardial radiofrequency isolation of pulmonary veins and posterior wall of the left atrium without cardiopulmonary bypass. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(6):713-718

Abstract:

Aim — to compare the effectiveness of radiofrequency ablation (RFA) of the great saphenous vein (GSV) in accordance with the standard protocol recommended by the manufacturer with that of the procedure using several heating cycles. Material and methods. 65 patients with primary varicose veins and GSV incompetence were included in the study. The patients were divided into two groups. RFA in patients of the first group has been performed following the standard protocol (n=12). In the second group, radiofrequency ablation was performed taking into consideration changes in the power needed to create effective temperature on the working part of the catheter (n=53). In this group several ablation cycles were used. To compare groups we used a mean sum of postoperative scores for pain and pigmentation assessed by visual-analog scale (VAS) at 7 days after procedure, venous clinical severity score (VCSS) and malleolar perimeter at 6 months. Results. All the RFA procedures led to ablation of GSV trunk. In the second group, pain and pigmentation after the procedure were significantly less and the reduction of obliterated vein diameter required a shorter time to be achieved. The mean sum of postoperative scores for pain and pigmentation assessed by visual-analog scale the day after RFA was the same (16.84±2.85 vs 16.11±2.90; p>0.05). After 7 days, the mean sum was significantly lower in the second group (15.15±3.41 vs 5.03±2.40; p<0.05). The VCSS scale and the malleolar perimeter in both groups significantly decreased 6 months after the RFA. There were no differences between the groups as regards these parameters. Conclusion. RFA performed with several heating cycles is an effective and safe tool for GSV ablation.

Keywords:

varicose veins

radiofrequency ablation

energy power

visual-analog scale

VCSS

malleolar perimeter

Authors:

Makhnev A.V.

Tyumen State Medical University, Tumen, Russia

Ivanov E.V.

Lomonosov Moscow State University, Moscow, Russia

Schneider V.E.

Tyumen State Medical University, Tumen, Russia

Aliev F.Sh.

Tyumen State Medical University, Tumen, Russia

Sokolova V.V.

Tyumen State Medical University, Tumen, Russia

Close metadata

References:

Kemp N. A synopsis of current international guidelines and new modalities for the treatment of varicose veins. Aust Fam Physician. 2017;46(4):229-233.
Kalra M, Gloviczki P. Endovenous ablation of the saphenous vein. Perspect Vasc Surg Endovasc Ther. 2008;20(4):371-380. https://doi.org/10.1177/1531003508328580
Paravastu SC, Horne M, Dodd PD. Endovenous ablation therapy (laser or radiofrequency) or foam sclerotherapy versus conventional surgical repair for short saphenous varicose veins. Cochrane Database Syst Rev. 2016 Nov 29;11:CD010878. https://doi.org/10.1002/14651858.CD010878.pub2
Sydnor M, Mavropoulos J, Slobodnik N, Wolfe L, Strife B, Komorowski D. 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. Phlebology. 2017;32(6):415-424. https://doi.org/10.1177/0268355516658592
Balint R, Farics A, Parti K, Vizsy L, Batorfi J, Menyhei G, Balint IB. Which endovenous ablation method does offer a better long-term technical success in the treatment of the incompetent great saphenous vein? Review. Vascular. 2016;24(6):649-657. https://doi.org/10.1177/1708538116648035
Woźniak W, Mlosek RK, Ciostek P. 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. 2016;50(7):475-483.
Boersma D, Kornmann VN, van Eekeren RR, Tromp E, Ünlü Ç, Reijnen MM, de Vries JP. Treatment modalities for small saphenous vein insufficiency: systematic review and metaanalysis. J Endovasc Ther. 2016;23(1):199-211. https://doi.org/10.1177/1526602815616375
Lawaetz M, Serup J, Lawaetz B, Bjoern L, Blemings A, Eklof B, Rasmussen L. Comparison of endovenous ablation techniques, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Extended 5-year follow-up of a RCT. Int Angiol. 2017;36(3):281-288. https://doi.org/10.23736/S0392-9590.17.03827-5
Hirsch T. Varicose vein therapy and nerve lesions. Vasa. 2017;46(2):96-100. https://doi.org/10.1024/0301-1526/a000588
Jin HY, Ohe HJ, Hwang JK, Kim SD, Kim JY, Park SC, Kim JI, Won YS, Yun SS, Moon IS. 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. 2017;40(1):48-54. https://doi.org/10.1016/j.asjsur.2016.03.004
Nayman A, Yildiz I, Koca N, Deniz S, Koplay M, Oguzkurt L. Risk factors associated with recanalization of incompetent saphenous veins treated with radiofrequency ablation catheter. Diagn Interv Imaging. 2017;98(1):29-36. https://doi.org/10.1016/j.diii.2016.06.003
Shaidakov EV, Grigoryan AG, Ilyukhin EA, Bulatov VL, Rosukhovskiy DA. Radiofrequency ablation or stripping of large-diameter incompetent great saphenous varicose veins with C2 or C3 disease. J Vasc Surg Venous Lymphat Disord. 2016;4(1):45-50. https://doi.org/10.1016/j.jvsv.2015.07.007
Van der Velden SK, Lawaetz M, De Maeseneer MG, Hollestein L, Nijsten T, van den Bos RR. Predictors of recanalization of the Great saphenous vein in Randomized Controlled Trials 1 yYear after endovenous thermal ablation. Eur J Vasc Endovasc Surg. 2016;52(2):234-241. https://doi.org/10.1016/j.ejvs.2016.01.021
Shaidakov EV, Grigoryan AG, Korzhevskiy DE, Ilyukhin EA, Rosukhovski DA, Bulatov VL. Morphologic changes of the venous wall after radiofrequency obliteration in vivo. Bulletin of Pirogov National Medical &Surgical Center. 2015;10(3):18-23. (In Russ.)
Tyurin DS, Dibirov MD, Shimanko AI, Tebenikhin VS, Aref’ev MN, Volkov AS, Tsuranov SV, Shvydko VS, Magdiev AKh. The evaluation of morphological changes in the venous wall following endovasal lLaser and radio-frequency ablation. Flebologia. 2016;10(4):164-170. (In Russ.) https://doi.org/10.17116/flebo2016104164-170
Bogachev VYu, Golovanova OV, Kuzhetsov AN, Shekoian AO. On advisability of perioperative phleboprotection in endovascular treatment of lower in varicose disease: first initial results of the decision study. Angiol Sosud Khir. 2012;18(2):90-95. (In Russ.)
El-Sheikha J, Carradice D, Nandhra S, Leung C, Smith GE, Wallace T, Campbell B, Chetter IC. A systematic review of the compression regimes used in randomized clinical trials following endovenous ablation. Phlebology. 2017;32(4):256-271. https://doi.org/10.1177/0268355516648497
Ivanov EV. Ocenka kachestva zhizni pacientov s oslozhnyonnymi formami hronicheskoj venoznoj nedostatochnosti. Med Nauka i Obrazovanie Urala. 2006;7(1):19-20. (In Russ.)