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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.
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 [54] [55] Myers [56] wrote that open surgery for small saphenous vein reflux is obsolete.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 ...
Chronic venous insufficiency (CVI) is a medical condition characterized by blood pooling in the veins, leading to increased pressure and strain on the vein walls. [1] The most common cause of CVI is superficial venous reflux, which often results in the formation of varicose veins, a treatable condition. [2]
Insufficiency in the Giacomini vein can present in isolation but is mostly seen together with a GSV insufficiency. It has been shown to be effectively treated either with endovenous laser ablation or by ultrasound guided sclerotherapy. [6]