Related Experiment Video
Updated: Jun 20, 2026
Robotic Ablation of Atrial Fibrillation
Published on: May 29, 2015
Treatment of incompetent perforating veins using the radiofrequency ablation stylet: a pilot study
R R van den Bos1, T Wentel, M H A Neumann
1Department of Dermatology, Erasmus MC, Burgs' Jacobusplein 51, 3015 CA Rotterdam, The Netherlands.
Background:
Although the role of incompetent perforating veins (IPV) in chronic venous insufficiency remains controversial, they are often treated by surgical or by minimal invasive techniques.
Objectives:
To describe the procedure of radiofrequency ablation (RFA) of IPV and to evaluate its short-term effectiveness and safety.
Methods:
In a clinical pilot study, 14 IPV in 12 patients were treated with a radiofrequency stylet. After three months, ultrasound (US) examination was used to assess anatomical success rate and exclude deep venous thrombosis. Also, self-reported side-effects were investigated.
Results:
Of the 14 treated IPV, nine (64%) were obliterated on US examination and the others showed remaining reflux. Two patients reported localized paresthesia, but no deep venous thrombosis was recorded.
Conclusion:
RFA of IPV may be a promising procedure, but patient and incompetent perforator vein selection is important and further standardization of the procedure is required. Comparative clinical trials between RFA and other therapies are warranted.
