Butt Muhammad A, Avabde Dani, Cheema Muhammad U, Raza Tilala, Latif Atif, Leechong Peter, Miah Mohammad M R
Department of Vascular Surgery, Nottingham University Hospital, UK.
Department of Vascular Surgery, United Lincolnshire Hospital NHS Trust, UK.
Vasc Endovascular Surg. 2025 Feb;59(2):121-125. doi: 10.1177/15385744241284876. Epub 2024 Sep 12.
Radiofrequency ablation (RFA) is a minimally invasive treatment for lower limb varicose veins. Studies indicate that RFA results in immediate occlusion of 90%-100% of treated long saphenous veins. Evidence suggests that post-operative scans rarely alter patient management or outcomes.
The aim of this study was to assess the potential necessity of routine postoperative scanning in the treatment of varicose veins.
Retrospective data were collected for the patients who had RFA under a single consultant from November 2015 to June 2018. Descriptive statistics were calculated to summarize patient demographics, procedural details, and outcome measures.
A total of 124 patients underwent radiofrequency ablation (RFA). Most of the patients (n = 114, 92%) demonstrated complete ablation, indicating a high success rate for the procedure.
This study suggested that routine postoperative scanning should be discontinued as this did not alter patient management in over 99% of cases. The resources currently used for postoperative scans could be redirected towards other critical areas.
射频消融术（RFA）是一种用于治疗下肢静脉曲张的微创治疗方法。研究表明，射频消融术能使90%-100%接受治疗的大隐静脉立即闭塞。有证据表明，术后扫描很少会改变患者的治疗管理或治疗结果。
本研究的目的是评估在静脉曲张治疗中进行常规术后扫描的潜在必要性。
收集2015年11月至2018年6月期间在一位顾问医生指导下接受射频消融术患者的回顾性数据。计算描述性统计数据以总结患者人口统计学、手术细节和结果指标。
共有124例患者接受了射频消融术（RFA）。大多数患者（n = 114，92%）显示完全消融，表明该手术成功率较高。
本研究表明，应停止常规术后扫描，因为在超过99%的病例中，这并未改变患者的治疗管理。目前用于术后扫描的资源可重新导向其他关键领域。
