Concomitant radiofrequency ablation and foam-sclerotherapy of varicose veins; a design with novel plots

To evaluate the outcome of radiofrequency ablation (RFA) procedure concomitantly performed with ultrasonography guided foam sclerotherapy (UGFS) in patients with varicose veins. To assess the effect of diameter of greater saphenous vein (GSV), distance from saphenofemoral junction (SFJ) and catheter entry site on outcome. Patients with symptomatic varicose veins underwent RFA concomitant with UGFS. Three follow up sessions were scheduled to evaluate patients in terms of recanalization and non-occlusion and complication rates. Combined procedures were used for ۳۵۰ patients and ۳۷۵ legs with varicosities. After ۳ months of follow up, none of the patients showed any evidence of reflux. No reflux was observed in ۹۹.۲%, ۹۷.۸%, and ۹۶.۳% of patients at ۶, ۹ and ۱۲ months. The occlusion probability was ۹۹.۷%, ۹۹.۴%, ۹۹.۴%, ۹۹.۴% at ۳, ۶, ۹ and ۱۲ months. Three legs (۰.۸%) were recognized as cases with proximal deep vein thrombosis (DVT). The relationship between three measured variants and occlusion probability or recanalization rate was not statistically significant. Treating the varicose veins concomitantly with RFA and UGFS could result in excellent rate of occlusion and very low rate of recanalization and complications.