Abstract
Endovenous Radiofrequency Ablation (EVRFA) is a safe and effective, thermal and tumescent mini-invasive percutaneous procedure for the treatment of chronic venous disease (CVD). Recent guidelines highly recommended it for saphenous ablation (Grade 1B). In the last 20 years, innovation of the generator and the catheter electrode simplify the procedure and transform it in a fast-learning curve technique if compared with Laser. Next generation RF catheters and electrodes are very promising; new markings and curved tip are specially designed for ease of navigation and positioning; smaller profile (6F), offers greater flexibility while a 10 cm electrode definitely reduce the time of saphenous ablation.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gloviczki P, Comerota A, Dalsing M, et al. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American venous Forum. J Vasc Surg. 2011;53:2S–48S.
Merchant RF, Pichot O, Closure Study Group. Long-term outcomes of radiofrequency obliteration of saphenous reflux as a treatment for superficial venous insufficiency. J Vasc Surg. 2005;42:502–9.
Harlander-Locke M, Jimenez JC, Lawrence PF, et al. Endovenous ablation with concomitant phlebectomies is a safe and effective method of treatment for symptomatic patients with axial reflux and large incompetent tributaries. J Vasc Surg. 2013;58:166–72.
Garcia-Madrid C, Pastor Manrique JO, Sanchez VA, et al. Endovenous radiofrequency ablation (venefit procedure): impact of different energy rates on great saphenous vein shrinkage. Ann Vasc Surg. 2013;27:314–21.
Pichot O, Sessa C, Chandler J, et al. Role of duplex imaging in endovenous obliteration for primary venous insufficiency. J Endovasc Ther. 2000;7:451–9.
Jacobs CE, Pinzon MM, et al. Deep venous thrombosis after saphenous radiofrequency ablation: is it predictable? Ann Vasc Surg. 2013. [Epub ahead of print].
Lin JC, Peterson EL, Rivera ML, et al. Vein mapping prior to endovenous catheter ablation of the great saphenous vein predicts risk of endovenous heat-induced thrombosis. Vasc Endovascular Surg. 2012;46:378–83.
Rasmussen LH, Lawaerz M, Bjoern L, et al. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Surg. 2011;98:1079–87.
Goode SD, Chowdhury A, Crochett M, et al. Laser and radiofrequency ablation study (LARA study): a randomized study comparing radiofrequency ablation and endovenous laser ablation (810 nm). Eur J Vasc Endovasc Surg. 2010;40:246–53.
Eidson JL III, Atkins MD, Bohannon WT, et al. Economic and outcomes-based analysis of the care of symptomatic varicose veins. J Surg Res. 2011;168:5–8.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kontothanassis, D. (2024). Radiofrequency Ablation for Chronic Venous Disease. In: Geroulakos, G., Avgerinos, E., Becquemin, J.P., Makris, G.C., Froio, A. (eds) Mastering Endovascular Techniques. Springer, Cham. https://doi.org/10.1007/978-3-031-42735-0_71
Download citation
DOI: https://doi.org/10.1007/978-3-031-42735-0_71
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-42734-3
Online ISBN: 978-3-031-42735-0
eBook Packages: MedicineMedicine (R0)