Evaluation of D-dimer after radiofrequency ablation or foam sclerotherapy of lower limp varicose: D-dimer is not good marker of venous thromboembolism after this procedure

Varicose veins are the most common human vascular disease. For the past two decades, intravenous destruction techniques, laser therapy, radiofrequency ablation (RFA), and ultrasound-guided foam sclerotherapy (UGFS) are some of these intravenous techniques which have been used as an alternative to the surgical removal of saphenous varicose veins. This cross-sectional analytical study was performed on ۳۵ patients with venous insufficiency of the lower extremities who were referred to Razi Hospital Vascular Surgery Clinic, during the first ۶ months of ۲۰۱‎‎۹. Patients were treated with RF and UGFS which were performed by a vascular surgeon. A che‎cklist with necessary information was prepared for patients individually. The sexual frequency of patients with ۲۵ cases (۷۱.۴%) was male and ۱۰ cases (۲۸.۶%) were female. Totally, ۲۵ cases (۷۱.۴%) were treated by sclerotherapy method and ۱۰ cases (۲۸.۶%) were treated by RF. The results of our study showed that there was no significant difference in D- dimer within ۲۴ hours before the surgery (P = ۰.۶۲۵) but the mean of D- dimer one week and two weeks after surgery showed a significant difference between the two groups (P<۰.۰۵).The results of our study showed that the level of D-dimer ۲۴ hours before the surgery was not significantly different between the two treatment methods, however, one and two weeks after the surgery, the level of D-dimer was ‎significantly higher in patients receiving sclerotherapy and RF with no difference in the final side‎ effects of the two treatment methods.‎

Keywords:

Varicose Veins , Sclerotherapy , Radiofrequency