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Surg Today. 2013 Jul;43(7):741-4. doi: 10.1007/s00595-012-0296-4. Epub 2012 Aug 30.

Radiofrequency ablation of the great saphenous vein with the ClosureFASTâ„¢ procedure: mid-term experience on 400 patients from a single centre.

Author information

1
General and Vascular Surgery Department, Istituto Auxologico Italiano IRCCS, Via Pier Lombardo 22, 20135, Milan, Italy. v.tolva@auxologico.it

Abstract

INTRODUCTION:

Endovascular obliteration of the great saphenous vein (GSV) has been proposed as an alternative to conventional extirpative treatment of varicose veins.

MATERIALS AND METHODS:

This report reviewed the initial experience with the ClosureFASTâ„¢ procedure in 407 legs over a one-year period. Occlusion of the GSV was seen on 98 % of completion scans and in all patients within 1 week of the procedure. Persistent occlusion was documented in all cases. One had paresthesias and one had skin pigmentation. Three patients had transient superficial thrombophlebitis in a treated segment of a superficial collateral of the GSV. One patient was found to have extension of an asymptomatic, nonocclusive thrombus into the common femoral vein 1 week after the procedure.

CONCLUSION:

Radiofrequency ablation of the GSV appears to be a safe alternative to conventional stripping and ligation. Randomised clinical trials and longer follow-up periods are required to establish the overall superiority of the procedure in comparison to conventional stripping.

PMID:
22932839
DOI:
10.1007/s00595-012-0296-4
[Indexed for MEDLINE]

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