Enfermedad venosa crónica en miembros inferiores. Tratamiento endovascular mediante radiofrecuencia

Abstract

Objective: Evaluate the safety and efficacy in the short term of endovascular ultrasound-guided radiofrequency ablation (RF) for the treatment of internal and external saphenous veins with chronic venous disease (CVD), under tumescent local anesthesia and on an outpatient basis. Materials and methods: Retrospective, observational, descriptive, monocentric study of a cohort of patients who underwent thermoablation with RF as a treatment of internal and external saphenous veins with EVC. The included patients had ultrasound diagnosis of insufficiency with venous diameter equal to or greater than 4 mm. Results: 47 saphenous veins were treated in 33 patients. The average age was 50.6 years. Predominance of female patients with 60.60 % over 39.39 % male. The average diameter of the saphenous vein was 9.2 mm, treating focal segments of up to 24 mm. The clinical CEAP (Clinical-Anatomical Pathophysiological) found in the series was 1 (0 %), 2 (51 %), 3 (21.20 %), 4 (17 %), 5 (8.5 %) and 6 (2.1 %). 2 (4.20 %) patients, attended with self-limited complications. At one week of follow-up, 100 % of the patients had closure of the treated venous segments, a finding that is repeated at the follow-up of 1, 3, 6 and 12 months. CEAP improved in all patients. Conclusions: Endovascular thermoablation with RF for EVC and in particular for Chronic Venous Insufficiency (CVI), is a safe and effective therapeutic method, well tolerated by patients and with an ambulatory nature that ensures a rapid return to daily activities.