Endovenous Radiofrequency Ablation of an Incompetent Great Saphenous Vein in Patient with Venous Ulceration and Severe Coagulopathy: A Case Report

Abstract 

Introduction

The aim of this report is to present a patient with a large venous ulcer and severe coagulopathy, who underwent endovenous ablation.

Report

A 54-year-old patient had venous ulceration due to great saphenous vein (GSV) incompetence. She also suffered from chronic alcoholic liver cirrhosis and severe coagulopathy, which precluded treatment by means of saphenous stripping. She was treated by radiofrequency ablation of the GSV, without major post-operative complication. The ulcer healed following this over a period of three months.

Discussion

Endovenous radiofrequency ablation may be used to treat severe chronic venous disease in patients in whom other medical conditions preclude sapheno-femoral ligation and stripping of the GSV.

Keywords: Ambulatory surgical procedures, Radiofrequency ablation, Radiology interventional, Varicose ulcer, Vascular surgical procedures, Venous insufficiency