Systematic review and meta-analysis comparing microwave ablation vs. radiofrequency ablation for treatment of great saphenous vein reflux.

IF 1.1 Q4 PERIPHERAL VASCULAR DISEASE

Jornal Vascular Brasileiro Pub Date : 2026-03-30 eCollection Date: 2026-01-01 DOI:10.1590/1677-5449.202501832

Luis Eduardo Rodrigues Sobreira, Vitor Kendi Tsuchiya Sano, Enrico Prajiante Bertolino, Marilia Pereira Costa, Altino Ono Moraes

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Abstract

This study compares the outcomes of Endovenous Microwave Ablation (EMA) and Radiofrequency Ablation (RFA). A systematic search of the PubMed, Embase, Web of Sciences, and Scopus databases was conducted. Statistical analysis was performed with a random-effects model to compute mean differences (MD) and risk ratios (RR) with 95% confidence intervals. Three cohorts were included. Patients undergoing EMA showed a significant improvement in quality of life, with a reduction in Chronic Venous Insufficiency Questionnaire - 14 (CIVIQ-14) scores (MD -0.66; 95% CI -1.08 to -0.25; P < 0.01). Regarding length of stay, RFA patients may have experienced a slightly shorter recovery time than those in the EMA group (MD 0.12; 95% CI -0.01 to 0.30; P = 0.06). Lastly, phlebitis was slightly reduced in the EMA group, but this difference was also non-significant. Our findings revealed no significant differences between the two techniques.

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比较微波消融与射频消融治疗大隐静脉返流的系统评价和荟萃分析。

本研究比较了静脉内微波消融（EMA）和射频消融（RFA）的结果。系统检索了PubMed、Embase、Web of Sciences和Scopus数据库。采用随机效应模型进行统计分析，以95%置信区间计算平均差异（MD）和风险比（RR）。包括三个队列。接受EMA的患者生活质量显著改善，慢性静脉功能不全问卷-14 （CIVIQ-14）评分降低（MD -0.66; 95% CI -1.08 ~ -0.25; P < 0.01）。关于住院时间，RFA患者的恢复时间可能比EMA组稍短（MD = 0.12; 95% CI = -0.01 ~ 0.30; P = 0.06）。最后，静脉炎在EMA组略有减少，但这种差异也不显著。我们的研究结果显示两种技术之间没有显著差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.