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

Abstract

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 35 patients with venous insufficiency of the lower extremities who were referred to Razi Hospital Vascular Surgery Clinic, during the first 6 months of 201‎9. 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 25 cases (71.4%) was male and 10 cases (28.6%) were female. Totally, 25 cases (71.4%) were treated by sclerotherapy method and 10 cases (28.6%) were treated by RF. The results of our study showed that there was no significant difference in Ddimer within 24 hours before the surgery (P = 0.625) but the mean of Ddimer one week and two weeks after surgery showed a significant difference between the two groups (P<0.05).The results of our study showed that the level of D-dimer 24 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.‎