الفهرس 
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Abstract
Surgical or conservative approaches can be used to treat patients with primary varicose vein (VV), according to the patient’s preferences and clinical circumstances. The development of minimally invasive endovenous techniques has resulted in a dramatic change in the recommendations for managing symptomatic VV over the past ten years. Following EVLA, RFA and sclerotherapy, the 2013 National Institute for Health and Care Excellence clinical guidelines suggest surgery as a third-line therapeutic option.
Aim of the work:
The aim of the current study was to evaluate RFA for the treatment of primary VV in the lower limbs.
Patients and methods:
Twenty patients with primary, non-complicated VV were included in this study. All patients were clinically assessed and scanned with an ultrasound venous duplex. The patients were followed up for one year by clinical and duplex scanning.
Results:
The current study included 13 (65%) females and 7 males (35%). They were between the ages of 25 and 56. The mean age was 41.50 ± 9.11 years. There were 14 cases (70%) with an affected left lower limb, while only 6 cases (30%) were right sided. The mean BMI was 27.85 ± 6.18 kg/m2. The duration of the procedure ranged from 18 minutes to 45 minutes, with a mean time of 30.90 ± 7.09 minutes. There were only minor complications and no major complications. Only 3 cases had ecchymosis post-operatively, which was completely managed. There were no cases of skin pigmentation, neuritis, DVT, or PE for the one-year follow up. All patients were discharged on the same day after procedures, and they returned to daily activities.
Conclusion:
RFA is safe and effective in the treatments of VV with minor complications, which can be easily managed.