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Volkov A.S.

FGBU Ob''edinennaia bol'nitsa s poliklinikoĭ Upravleniia delami Prezidenta Rossii

Dibirov M.D.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, City Clinical hospital named after S.I. Spasokukotskyi

Shimanko A.I.

Kafedra khirurgicheskikh bolezneĭ i klinicheskoĭ angiologii

Gadzhimuradov R.U.

Department of Surgical Diseases and Clinical Angiology, Moscow State University of Medicine and Dentistry;
City Clinical Hospital №81, Moscow

Tsuranov S.V.

Glavnyĭ klinicheskiĭ gospital' MVD RF

Shvydko V.S.

Central Clinical Hospital, Russian Ministry of Internal Affairs

Tiurin D.S.

Kafedra khirurgicheskikh bolezneĭ i klinicheskoĭ angiologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Magdiev A.Kh.

Department of Surgical Diseases and Clinical Angiology, A.I. Evdokmov Moscow State Medical Stomatological University

Parfentyev E.A.

A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russia, Moscow, Russia

Comparison of Endovasal Laser and Radiofrequency Ablation of Great Saphenous Vein in the Complex Treatment of Lower Limb Varicose Vein Disease

Authors:

Volkov A.S., Dibirov M.D., Shimanko A.I., Gadzhimuradov R.U., Tsuranov S.V., Shvydko V.S., Tiurin D.S., Magdiev A.Kh., Parfentyev E.A.

More about the authors

Journal: Journal of Venous Disorders. 2020;14(2): 91‑98

DOI: 10.17116/flebo20201402191

Views: 2316

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Table of contents

COMPARISON OF ENDOVASAL LASER AND RADIOFREQUENCY ABLATION OF GREAT SAPHENOUS VEIN IN THE COMPLEX TREATMENT OF LOWER LIMB VARICOSE VEIN DISEASE
COMPARISON OF ENDOVASAL LASER AND RADIOFREQUENCY ABLATION OF GREAT SAPHENOUS VEIN IN THE COMPLEX TREATMENT OF LOWER LIMB VARICOSE VEIN DISEASE

To cite this article:

Volkov AS, Dibirov MD, Shimanko AI, et al. . Comparison of Endovasal Laser and Radiofrequency Ablation of Great Saphenous Vein in the Complex Treatment of Lower Limb Varicose Vein Disease. Journal of Venous Disorders. 2020;14(2):91‑98. (In Russ.)
https://doi.org/10.17116/flebo20201402191

Подписка 2025-2 (Journal of Venous Disorders)
 
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Objective. To compare the results of endovasal laser ablation (EVLA) and radiofrequency ablation (RFA) of great saphenous vein (GSV) in the complex surgical treatment of varicose veins of the lower extremities. Material and methods. Medical records of 150 patients with varicose veins of the lower extremities who underwent surgical treatment for the period from 2015 to 2017 were analyzed. EVLO was performed in 76 patients (EVLO group), RFO — in 74 patients (RFO group). All patients underwent simultaneous mini-phlebectomy on the lower leg. Early (after 3 days) and mid-term (after 6 and 12 months) postoperative outcomes were analyzed. We assessed VAS score of pain syndrome, ecchymosis, hyperpigmentation, string sensations, GSV recanalization, VCSS grade of disease and quality of life (CIVIQ-2 questionnaire). Results. GSV obliteration in early postoperative period was achieved in both groups. According to sonography data after 12 months, GSV was not visualized in 73 (96%) patients after EVLO (1560 nm), complete obliteration was visualized in 3 (4%) cases. In the RFO group, GSV was not visualized in 69 (93%) patients, complete obliteration was confirmed in 5 (7%) cases. Incidence and severity of pain, ecchymosis, hyperpigmentation was similar in both groups. Both approaches reduced severity of disease and improved quality of life in the same extent. Conclusion. EVLO and RFO of GSV ensure similar efficacy within 12 months after surgery. Both methods are followed by favorable clinical and cosmetic treatment outcomes in patients with varicose veins of the lower extremities with minimal number of complications and adverse effects.

Keywords:

endovenous laser ablation
radiofrequency ablation
varicose veins

Authors:

Volkov A.S.

FGBU Ob''edinennaia bol'nitsa s poliklinikoĭ Upravleniia delami Prezidenta Rossii

Dibirov M.D.

Moscow State University of Medicine and Dentistry named after A.I. Evdokimov, City Clinical hospital named after S.I. Spasokukotskyi

Shimanko A.I.

Kafedra khirurgicheskikh bolezneĭ i klinicheskoĭ angiologii

Gadzhimuradov R.U.

Department of Surgical Diseases and Clinical Angiology, Moscow State University of Medicine and Dentistry;
City Clinical Hospital №81, Moscow

Tsuranov S.V.

Glavnyĭ klinicheskiĭ gospital' MVD RF

Shvydko V.S.

Central Clinical Hospital, Russian Ministry of Internal Affairs

Tiurin D.S.

Kafedra khirurgicheskikh bolezneĭ i klinicheskoĭ angiologii Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta

Magdiev A.Kh.

Department of Surgical Diseases and Clinical Angiology, A.I. Evdokmov Moscow State Medical Stomatological University

Parfentyev E.A.

A.I. Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of Russia, Moscow, Russia

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