Extensive recurrent superficial varicosities following great saphenous vein radiofrequency ablation in a patient with deep venous insufficiency: a case report

İngilizce (OpenAlex)

Radiofrequency ablation (RFA) is widely accepted as an effective and minimally invasive treatment for superficial venous insufficiency, particularly for the great saphenous vein (GSV). However, its use in patients with concomitant deep venous insufficiency remains controversial due to potential hemodynamic consequences and increased recurrence rates. We present a case of a 54-year-old male with preexisting deep venous insufficiency who underwent RFA of the GSV three years ago and developed extensive recurrent superficial varicosities postoperatively. Despite complete occlusion of the GSV, the patient’s symptoms, including leg swelling, nocturnal cramps, and pain, persisted, and varicosities became more diffuse. This case highlights the complex interaction between the superficial and deep venous systems and the importance of individualized treatment planning. A review of the literature is presented, focusing on the indications, contraindications, complications, and alternative treatments for RFA in patients with combined venous disease.