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Phlebology 2009;24:208-212
doi:10.1258/phleb.2009.008090
© 2009 Royal Society of Medicine Press

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Original articles

Treatment of incompetent perforating veins using the radiofrequency ablation stylet: a pilot study

R R van den Bos, T Wentel, M H A Neumann and T Nijsten 

Department of Dermatology, Erasmus MC, Rotterdam, The Netherlands

Correspondence: T Nijsten MD PhD, Department of Dermatology, Erasmus MC, Burgs' Jacobusplein 51, 3015 CA Rotterdam, The Netherlands Email: t.nijsten{at}erasmusmc.nl

Background: Although the role of incompetent perforating veins (IPV) in chronic venous insufficiency remains controversial, they are often treated by surgical or by minimal invasive techniques.

Objectives: To describe the procedure of radiofrequency ablation (RFA) of IPV and to evaluate its short-term effectiveness and safety.

Methods: In a clinical pilot study, 14 IPV in 12 patients were treated with a radiofrequency stylet. After three months, ultrasound (US) examination was used to assess anatomical success rate and exclude deep venous thrombosis. Also, self-reported side-effects were investigated.

Results: Of the 14 treated IPV, nine (64%) were obliterated on US examination and the others showed remaining reflux. Two patients reported localized paresthesia, but no deep venous thrombosis was recorded.

Conclusion: RFA of IPV may be a promising procedure, but patient and incompetent perforator vein selection is important and further standardization of the procedure is required. Comparative clinical trials between RFA and other therapies are warranted.

Key Words: perforating veins • radiofrequency ablation • varicose veins


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This article has been cited by other articles:


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T F O'Donnell
The role of perforators in chronic venous insufficiency
Phlebology, February 1, 2010; 25(1): 3 - 10.
[Abstract] [Full Text] [PDF]



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