Abstract Objective: To evaluate the efficacy and outcomes of patients who underwent microwave ablation (MWA) to treat the lower limb's truncal varicose veins (VVs). Patients and Methods: The study included all adult patients with truncal VVs of clinical, aetiological, anatomical, and pathological (CEAP) classification (C 2-6) who underwent MWA of the great saphenous vein (GSV) and /or short saphenous vein (SSV) with vein diameter 5.5-15mm and reflux time > 0.5 sec. Results: The study included 20 patients with a mean age of 33 ± 10.4 years. The majority of patients (70%) were females. A history of prolonged standing was the most common risk factor (70%). The mean diameter of GSV was 9.2. ± 0.08 mm. According to the CEAP classification, C2 was the most common presentation. The mean time of the procedure was 56.9 ± 3.3 minutes, while the mean time to ambulation was 3.9 ± 0.3 hours. Technical success was achieved in all patients. There was a significant improvement in VAS score from 3.4 preoperatively to 2.4 at 24 hours postoperatively, P = <0.001. Complete occlusion was noticed in all patients undergoing a duplex ultrasound examination one month postoperatively. Over the 1-year follow-up period, there was a highly significant reduction in the Aberdeen Varicose Vein Questionnaire (AVVQ) score (7.6 vs 33.9, P =< 0.001). Patients with venous ulcers showed complete ulcer healing within 3 months. The occlusion rates at 3,6 and 12 months were 95.0%, 90.0%, and 85.0%, respectively. Conclusion: MWA is a safe and effective minimally invasive treatment for truncal VVs. MWA offers advantages like short operation times, minimal postoperative pain sensation, and fast recovery.
El_Badawy, H., Saleh, M., Elashry, M., & Youssef Saleeb, J. (2025). Endovenous Microwave Ablation (MWA) for Varicose Veins: A Promising Minimally Invasive Treatment. Journal of Current Medical Research and Practice, 10(1), 39-46. doi: 10.21608/jcmrp.2025.415958
MLA
Hassan Bakr El_Badawy; Mahmoud Ismael Saleh; Mohamed Gamal Elashry; Joseph Samy Youssef Saleeb. "Endovenous Microwave Ablation (MWA) for Varicose Veins: A Promising Minimally Invasive Treatment", Journal of Current Medical Research and Practice, 10, 1, 2025, 39-46. doi: 10.21608/jcmrp.2025.415958
HARVARD
El_Badawy, H., Saleh, M., Elashry, M., Youssef Saleeb, J. (2025). 'Endovenous Microwave Ablation (MWA) for Varicose Veins: A Promising Minimally Invasive Treatment', Journal of Current Medical Research and Practice, 10(1), pp. 39-46. doi: 10.21608/jcmrp.2025.415958
VANCOUVER
El_Badawy, H., Saleh, M., Elashry, M., Youssef Saleeb, J. Endovenous Microwave Ablation (MWA) for Varicose Veins: A Promising Minimally Invasive Treatment. Journal of Current Medical Research and Practice, 2025; 10(1): 39-46. doi: 10.21608/jcmrp.2025.415958
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