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. 2021 Aug 11;2021(8):CD005624. doi: 10.1002/14651858.CD005624.pub4

11. Post‐operative complications after three months.

Late post‐operative complications (after three months)
EVLA versus RFA
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique EVLA RFA EVLA RFA EVLA RFA EVLA RFA EVLA RFA EVLA RFA EVLA RFA EVLA RFA
Nordon 2011                                
Rasmussen 2011a                                
Recovery 2009                                
Shepherd 2010                                
Syndor 2017     8/79
(10.3)
6/74
(8.33)
0/79
(0)
0/74
(0)
    10/79
(12.66)
6/74
(8.11)
0/79
(0)
2/74
(2.7)
0/79
(0)
0/74
(0)
0/79
(0)
0/74
(0)
EVLA versus EVSA
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique EVLA EVSA EVLA EVSA EVLA EVSA EVLA EVSA EVLA EVSA EVLA EVSA EVLA EVSA EVLA EVSA
LAST 2014     0/98
(0)
2/107
(1.9)
            0/98
(0)
3/107
(2.8)
       
EVLA versus UGFS
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique EVLA UGFS EVLA UGFS EVLA UGFS EVLA UGFS EVLA UGFS EVLA UGFS EVLA UGFS EVLA UGFS
Magna 2013     0/78
(0)
1/77
(1.3)
        1/78
(1.3)
1/77
(1.3)
           
Rasmussen 2011a                                
Vernermo 2016                                
EVLA versus CA
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique EVLA CA EVLA CA EVLA CA EVLA CA EVLA CA EVLA CA EVLA CA EVLA CA
Calik 2019     13/200
(7)
2/200
(1.1)
        3/200
(1.6)
1/200
(0.5)
0/200
(0)
0/200
(0)
    2/200
(1.1)
0/200
(0)
EVLA versus MOCA
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique EVLA MOCA EVLA MOCA EVLA MOCA EVLA MOCA EVLA MOCA EVLA MOCA EVLA MOCA EVLA MOCA
Vähäaho 2019     3/33
(11)
0/55
(0)
        3/33
(11)
6/55
(11)
           
EVLA versus HL/S (surgery)
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique EVLA HL/S EVLA HL/S EVLA HL/S EVLA HL/S EVLA HL/S EVLA HL/S EVLA HL/S EVLA HL/S
Darwood 2008a 0/80
(0)
0/34
(0)
0/80
(0)
1/34
(3)
0/80
(0)
0/34
(0)
0/80
(0)
0/34
(0)
0/80
(0)
0/34
(0)
0/80
(0)
0/34
(0)
0/80
(0)
0/34
(0)
0/80
(0)
0/34
(0)
Flessenkämper 2013     23/127
(18)
5/128
(4)
        12/127
(9.4)
14/128
(11)
           
HELP‐1 2011                                
Magna 2013     0/78
(0)
1/68
(1.5)
        1/78
(1.3)
0/68
(0)
           
Pronk 2010                                
Rasmussen 2007a 0/96
(0)
0/68
(0)
0/96
(0)
1/68
(2)
0/96
(0)
0/68
(0)
0/96
(0)
0/68
(0)
0/96
(0)
0/68
(0)
0/96
(0)
0/68
(0)
0/96
(0)
0/68
(0)
0/96
(0)
0/68
(0)
Rasmussen 2011a                                
RELACS 2012                                
Vernermo 2016                                
RFA versus UGFS  
Study Minor (requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique RFA UGFS RFA UGFS RFA UGFS RFA UGFS RFA UGFS RFA UGFS RFA UGFS RFA UGFS
Rasmussen 2011a                                
RFA versus CA
Study Minor (requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique RFA CA RFA CA RFA CA RFA CA RFA CA RFA CA RFA CA RFA CA
Morrison 2015         0/84
(0)
1/86
(1.2)
                   
RFA versus MOCA
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique RFA MOCA RFA MOCA RFA MOCA RFA MOCA RFA MOCA RFA MOCA RFA MOCA RFA MOCA
Lane 2017                                
MARADONA 2019                                
Vähäaho 2019     2/29
(6.9)
0/55
(0)
        4/29
(13.8)
             
RFA versus HL/S (surgery)
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique RFA HL/S RFA HL/S RFA HL/S RFA HL/S RFA HL/S RFA HL/S RFA HL/S RFA HL/S
EVOLVeS 2003 0/43
(0)
3/34
(9)
0/43
(0)
0/34
(0)
0/43
(0)
0/34
(0)
0/43
(0)
0/34
(0)
0/43
(0)
1/34
(3)
0/43
(0)
2/34
(6)
0/43
(0)
0/34
(0)
0/43
(0)
0/34
(0)
Helmy ElKaffas 2011                                
Rasmussen 2011a                                
Rautio 2002 0/15
(0)
0/13
(0)
1/15
(0)
5/13
(38)
0/15
(0)
0/13
(0)
0/15
(0)
0/13
(0)
0/15
(0)
0/13
(0)
0/15
(0)
0/13
(0)
0/15
(0)
0/13
(0)
0/15
(0)
0/13
(0)
Subramonia 2010                                
UGFS versus HL/S (surgery)
Study Minor (not requiring intervention) (%) Major (requiring intervention) (%)
Adverse event Haematoma (wound or thigh) Saphenous nerve injury Thermal injury/ inflammation Wound problems (groin/stab) Bruising and pigmentation Phlebitis Wound problems Other
Technique UGFS HL/S UGFS HL/S UGFS HL/S UGFS HL/S UGFS HL/S UGFS HL/S UGFS HL/S UGFS HL/S
FOAM 2010                 12/213
(5.6)
2/177
(1.1)
           
Magna 2013     1/77
(1.3)
1/68
(1.5)
                       
Rasmussen 2011a                                
Vernermo 2016                                

aResults only available per limb, not per participant

CA: cyanoacrylate glue
EVLA: endovenous laser ablation
EVSA: endovenous steam ablation
HL/S: high ligation and stripping
MOCA: mechanochemical ablation
RFA: radio frequency ablation
UGFS: ultrasound‐guided foam sclerotherapy