Transfixing Endovenous Thermal Ablation (TEThA) for varicose veins treatment - A prospective single-arm study

Abstract

Background

Varicose veins impact quality of life in patients with chronic venous disease (CVD), and their optimal treatment remains unclear. The Transfixing Endovenous Thermal Ablation(TEThA) technique is a procedure that consists of endovenous laser thermal ablation of varicose tributaries by combining the transfixing technique for endovenous procedure with tumescent anesthesia.

Objective

To evaluate the impact of the TEThA technique on quality of life and postoperative complications in patients with varicose veins.

Methods

This Prospective, single-arm study included 22 patients (CEAP C2–C6) treated with the TEThA technique. Quality-of-life and clinical scores (CIVIQ-14, AVVQ, rVCSS, CEAP, Caprini) were assessed at baseline, 6 weeks, and 6 months postoperative.

Results

Significant improvements were observed in CIVIQ-14 (30.95 to 22.76; p = .013), AVVQ (36.43 to 23.49; p = .012), rVCSS (7.73 to 4.18; p = .014), and CEAP (3.09 to 1.94; p = .002). No significant complications, thrombotic events, or need for reintervention occurred.

Conclusion

TEThA significantly improved clinical and quality-of-life outcomes in patients with varicose veins, with a favorable safety profile.