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Endovenous thermal ablation (EVTA) by radiofrequency or laser is a safe and effective treatment of refluxing great saphenous veins [7] (GSVs) and has replaced traditional high ligation and stripping in official recommendations of various leading Vascular Societies in the United States and the United Kingdom.
The CHIVA method is also equivalent to either radio frequency ablation or endovenous laser therapy regarding recurrence and side effects. [ 1 ] But a subsequently published network meta-analysis of 39 RCTs on 6917 limbs showed the greatest long-term efficacy of the method, as well as the lowest recurrence rate.
Local anaesthetic endovenous surgery using the thermoablation (endovenous laser ablation or radiofrequency), perforator closure (TRLOP) and foam sclerotherapy showed an 85% success rate of healing, with no recurrence of healed ulcers at an average of 3.1 years, and a clinical improvement in 98% in a selected group of venous leg ulcers. [48]
Laser ablation or photoablation (also called laser blasting [1] [2] [3]) is the process of removing material from a solid (or occasionally liquid) surface by irradiating it with a laser beam. At low laser flux, the material is heated by the absorbed laser energy and evaporates or sublimates .
The longest study of endovenous laser ablation is 39 months. [53] Two prospective randomized trials found speedier recovery and fewer complications after radiofrequency ablation (ERA) compared to open surgery. [54] [55] Myers [56] wrote that open surgery for small saphenous vein reflux is obsolete. Myers said these veins should be treated with ...
Sclerotherapy is one method for the treatment of spider veins, varicose veins (which are also often treated with surgery, radiofrequency, and laser ablation), and venous malformations. In ultrasound -guided sclerotherapy, ultrasound is used to visualize the underlying vein so the physician can deliver and monitor the injection.
Laser radiation being delivered via a fiber for photodynamic therapy to treat cancer. A 40-watt CO 2 laser with applications in ENT, gynecology, dermatology, oral surgery, and podiatry. Laser medicine is the use of lasers in medical diagnosis, treatments, or therapies, such as laser photodynamic therapy, [1] photorejuvenation, and laser surgery.
Radiofrequency ablation (RFA), also called fulguration, [1] is a medical procedure in which part of the electrical conduction system of the heart, tumor, sensory nerves or a dysfunctional tissue is ablated using the heat generated from medium frequency alternating current (in the range of 350–500 kHz).