OBJECTIVE: Thermoablation has been replacing conventional
surgery in the surgical
treatment of great
saphenous vein (GSV) reflux in
patients with
lower limb varicose veins ; however, thermoablation is expensive. Intravenous
electrocoagulation (EC) may, selectively and safely, cause
necrosis of the GSV wall, but the clinical results have never been studied. The objective of this study was to compare EC and
radiofrequency ablation (RFA) in the
treatment of GSV insufficiency, considering
efficacy ,
complications , and effect on
quality of life .
METHODS: This was a prospective, double-blind, randomized
clinical trial .
Patients with
lower limb varicose veins and GSV reflux confirmed by duplex ultrasound were randomized into two
treatment groups EC and RFA.
Patients were followed up at 1 week, 3 months, and 6 months after the
procedure . Occlusion of the GSV confirmed by duplex ultrasound was considered the primary outcome, and the rate of
complications and improvement in
quality of life , using the Aberdeen
Varicose Vein Questionnaire score, were the
secondary outcomes...