Ahmed M. Almahrouky , Mohamed Rafik
Ahmed Faraghaly¹, Ahmed Elmarakby¹, Ahmed Gamal Eldin Fouad¹, Fatma Zeinhom² & Wesam El-Din Sultan³
Ahmad Gamal1, Haitham A. Eldmarany1, Ahmed Farghaly1, Ahmed Elmarakby1, Ayman Refaat2.
Ahmed Nawar1, Waleed Reda1, Ahmed Safwat1, Sahar Mansour2
Mohamed Saber MSc, Tarek Hegazy MD,MRCS
Hossam Elmahdy; Waleed Eldaly; Hussein Elwan; Baker Ghoneim
Ahmed H. Ali FRCS and Hany Rafik MD
Hany M S Mikhail MD, FRCS, Hany A. Balamoun MD, FRCS
Abd Elrahman Elmaraghy, Mahmoud Saad Farahat and Mohammed abdo MD
Mahmoud Saad1, Haitham Mostafa Elmaleh1and Safaa Refaat El-Sady2
Ahmed H. Ali,FRCS
1Amr Mohamed Salem, 2Mohamed Mohamed Mokhtar, 2Sahar Ahmed El Shafei, 3Omaima Gaber Yassine, 2Eman Farouk Safwat
Shehab Soliman , Ahmed F. Aborady
Mr. Ayman M. A. Osman1 MD, MRCS (Eng); Mr. Sameh A. Mikhail1 MD, FRCS (Eng), MRCS (Eng); Mr. Mohamed E. Alkashty1 M.Sc.; Prof. Mohamed H.A. Fahmy1 MD.
Sherif Essam Eldin Tawfik; Ahmed Farouk Abdelmohsen; Mohamed Abd El-Monem Abd El-salam Rizk
Marwan Yousry, Hossam El Mahdy, Walied Eldaly, Hussein Elwan
Wael Ghanem MD*, and Mohamed Eldebeiky MD, FRCS*, Ayman Albaghdady MD*
Wael Ghanem MD
Sameh Mikhail1, Shady Elghazaly Harb 1, Sherif M. Mokhtar 1, Mohamed ElNady 2
Amr Saleh El Bahaey and Haitham A.Eldmarany
Haitham A. Eldmarany1, Amr Saleh El Bahaey2
Endovenous Laser Versus Radiofrequency Ablation of Great Saphenous Vein: Early Postoperative Results
Background : Minimally invasive endovenous thermal ablaton therapy has revolutionized the treatment of
varicose veins. Comparing both techniques (RFA versus EVLA) need to be more elaborated in the context
of better management of patients. Methods: fifty young 10 patient bilateral and 40 patients unilateral)
patients were enrolled in this study over the period of 2 years starting from June 2014 in a prospective
interventional study. All patients were blinded to the chosen method to achieve a single blinded study, with
2 groups. Exclusion criteria included, DVT, PAD, severe tortuosity of GSV, refusal of consent. All patients
were assessed for deep system patency and flow in ablated segment by duplex immediately after procedure
and one month later. Results: Sixty limbs were equally allocated to 2 groups. There was no significant
difference between both groups concerning the demography,and CEAP classification. All patients were
blinded to the method of venous ablation. Postoperative duplex shows no failed recanalization nor DVT.
Pain, ecchymosis and superfacial thrombophlebitis were significantly higher in EVLA group versus RFA
group (P value < 0.05) Surprisingly, First degree burn occurred in 2 cases (6.6%) in EVLA group.
Conclusion: Both thermal ablative techniques performed well concerning high occlusion rates for
incompetent GSV. Less postoperative complications were observed with RFA as compared to EVLA,
namely postoperative pain , ecchymosis, superficial thrombophlebitis and first degree burn burn. However
such complications were deemed to be benign and managed conservatively.
Key words: Endovenous laser, Radiofrequency, Varicose veins ablation, Complications of venous ablation.