Comparative Study of Outcome of Duplex Ultrasound Guided Catheter Directed Foam Sclerotherapy and Radiofrequency Ablation in the Management of Great Saphenous Varicose Veins

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Department of Vascular Surgery, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt.

Abstract

Background; Lower leg varicose veins were described as dilated subcutaneous veins more than 3mm in diameter when assessed while standing, Aim and objectives: to assess the effectiveness of radiofrequency (RF) ablation therapy with ultrasound-guided foam sclerotherapy (UGFS) for the treatment of primary, uncomplicated great saphenous vein varicosities, Subjects and methods: This prospective Randomized study was performed between June and December 2022, in the of vascular surgery department of the Al-Azhar University Hospitals (Al-Hussein and Sayed Galal). The 40 patients were divided into two groups: Group (A): 20 patients with non-complicated primary varicose veins and treated by radiofrequency ablation of GSV. Group (B): 20 patients with non-complicated primary varicose veins and treated by ultrasound guided direct catheter foam sclerotherapy of GSV. Three to six months were spent on the experiment, Result: There is no statistically significant difference between the two groups for the GSV recanalization rate, recurrence rate, reoperation rate, complication rate and type, patient satisfaction, venous clinical severity score, venous disability score, or venous related quality of life score, Conclusion: In terms of morphological obliteration and lowering clinical signs and symptoms in persons with GSV varicosity, foam sclerotherapy, particularly catheter-directed foam sclerotherapy, is just as successful as radio frequency ablation. In impoverished countries where the cost and availability, and availability of RFA continue to be significant challenges in the government setup, it is a perfect and more economical alternative to RFA. It also provides almost the same advantages.

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