Abstract:

Chronic venous insufficiency (CVI) is an important health problem due to both epidemiological and socioeconomic outcomes that decrease the quality of life due to both cosmetic reasons and complications. When aiming to reduce / control symptoms and prevent complications with conservative treatment, the goal of interventional treatment is to achieve a satisfactory cosmetic result with minimal complications, elimination of venous hypertension, excision of all varicosities. In addition to classical treatment methods percutaneous applications comes to be widespread. Endovenous laser ablation therapy, radiofrequency ablation therapy, steam ablation therapy, cyanoacrylate ablation therapy and sclerosing agent ablation are the best known of these current methods. These less invasive methods offer earlier discharge and more comfortable treatment. However, new technical challenges  and high costs are the major problem of these new generation methods. On the other hand, short and mid-term results in terms of recurrence and successful outcome have been reported in the literature as similar to open surgery, but there is no clear data for long-term results yet. In conclusion, although the gold standard for CVI is still a classic open surgical technique it is likely that different percutaneous methods will be more popular in the near future.

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