Safety of ultrasound guided endovenous management of varicose veins and how to avoid potential complications

Abstract

SUMMARY AND CONCLUSION Because most of the side effects are minor, and major complications are rare EVLA is a safe and minimally invasive procedure with excellent efficacy in the treatment of varicose veins. Because optimizing laser parameters and the EVLA procedure may reduce the incidence and severity of complications associated with EVLA, additional research is warranted. Chronic venous disease of the lower limbs is one of the commonest conditions (Callam, 1992). Untreated venous hypertension has significant morbidity. The sequelae include chronic pain and edema, recurrent cellulitis and dermatitis, pigmentation, Lipodermatosclerosis, non-healing leg ulcers, cutaneous infarction, hemorrhage from varices, superficial thrombophlebitis, deep vein thrombosis, pulmonary embolism, and even malignant transformation (Robert et al., 2001). Endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) have been used to treat superficial venous insufficiency, Ablation of veins has replaced operative saphenectomy as the procedure of choice for the treatment of superficial venous insufficiency. This change has likely taken place due to the minimally invasive nature and acceptable safety of endovenous ablation while remaining as efficacious and durable as saphenous ligation and stripping (Gohel et al., 2018).