chirurgie radiologie iposs

Radiofrequency in vascular surgery

The way we do this is to heat the vein using radio-frequency energy to permanently close it. This mini-invasive technique means we can avoid scars in the groin.

 

Pre-operative mapping using ultrasound is carried out the day before.

 

The surgery is performed under local or general anaesthetic (depending on the surgeon’s decision).

 

A thin disposable catheter is inserted in the saphenous vein up to the cross starting from the upper part of the leg or the ankle. The whole process is performed using ultrasound.

 

The catheter is gradually removed until the vein is totally collapsed.

 

In addition to this, phlebectomies can be performed on varicose veins in the leg and thigh. Phlebectomy incisions are closed by sticking steri-strips to the skin.

 

Compression bandages or support stockings are worn on the leg at the end of the surgery.

 

Walking must be resumed right away. Normal activity starts again the very next day.

 

 

The advantages compared to conventional surgery are numerous:

 

  • The surgery is less invasive: no scars in the groin because it is not necessary to perform a crossectomy.
  • There are few or no bruises after radiofrequency. (bruises might be the usual complications in invaginated stripping.)
  • The patient can resume normal activity 1 or 2 days after surgery.
  • There is little or no pain after surgery.
  • There is less œdema of the leg and ankle as there is no lymphatic trauma.

 

The surgeon will decide if the radiofrequency treatment is relevant.

 

Clinical results

 

Clinical efficiency has been proved by this effective and long-lasting treatment (94,5% vein closure up to 5 years). The process of radiofrequency with heat control has been validated by a HAS report in 2008 and 2013.

 

Surgeon Dr Ecollan,

theatre assistant Raulin Muriel