ABSTRACT
Introduction: Varicose veins are common disorder causingleg pain, blue veins and ulcer in humans. Varicose veinsproduce symptoms due to junctional incompetence, perforatorincompetence or both. In a unique combination of treatmentmodality we have used RFA for large vein ie GSV and SSV, glueembolization for incompetent perforator and sclerotherapyfor superficial varicosity. In our mind Combination of thesetherapies have synergistic action and better short term andlong term outcome and our aim is to find the same.Material and methods: Study was done in department ofradiology Geetanjali Medical College and Hospital,Udaipurfrom january 2019 to july 2019. Patients with varicose veinswho underwent combination polytherapy in interventionalradiology subdivision of were included in the study. Closurefast RFA system with 7cm ablation zone catheter fromMedtronic was used in all cases.Results: In our study of 27 patients all had leg pain and visiblevericocity as presenting symptoms 15 patients had pain withvenous edema and 12 patients had active ulcers. On followup at 1 month 11 patient had ulcer healing mean duration was2 weeks 1 patient had to undergo skin grafting. At 6 monthsfollow up 2 patients had residual symptomatic varicosity andsegmental recanalization of GSV. The long term obliterationrate was 92.59%. 5 patients had mild leg pain on prolongedstanding. Complications were bruising of overlying skin in5 patients but none had ulceration. Thrombophlebitis in 1patient and transient paraesthesia in 3 patients however nonehad permanent deficits. We did not record any DVT.Conclusion: For treatment of varicose veins especially inthe presence of venous stasis ulcers, treatment with triplecombination therapy is associated with faster ulcer healingand lower recurrence rate of ulcer as well as varicocities.