Phlebologie 2017; 46(05): 278-280
DOI: 10.12687/phleb2394-5-2017
Schattauer GmbH

Avoiding aesthetic complications after endovenous radiofrequency ablation

Vermeidung von ästhetischen Komplikationen nach endovenöser Radiofrequenzablation
D. Bissacco
1   ASST Fatebenefratelli-Sacco, Vascular Surgery Unit, Milan, Italy
S. Stegher
1   ASST Fatebenefratelli-Sacco, Vascular Surgery Unit, Milan, Italy
F. M. Calliari
1   ASST Fatebenefratelli-Sacco, Vascular Surgery Unit, Milan, Italy
M. P. Viani
1   ASST Fatebenefratelli-Sacco, Vascular Surgery Unit, Milan, Italy
› Author Affiliations
Further Information

Publication History

Received: 07 August 2017

Accepted: 08 August 2017

Publication Date:
04 January 2018 (online)


Radiofrequency endovenous ablation treatment is a safe, effective and durable technique for the treatment of great saphenous vein truncal incompetence. However, it is associated with relatively rare complications, such as ecchymosis, paresthesia, hyperpigmentation, phlebitis, haematoma, deep vein thrombosis and pulmonary embolism. Among these, aesthetic complications are the most frequent minor complications occurred after the procedure. This brief review defines and describes aesthetic complications after endovenous radiofrequency ablation of great saphenous vein and provides useful tips to minimize their incidence. Aesthetic complications can be avoided with a careful and accurate preoperative patient and vein evaluation, proper operative indication, adherence to procedure and device instruction for use and best postoperative management.


Endovenöse Radiofrequenzablation ist ein sicheres, effektives und dauerhaftes Verfahren für die Behandlung von Vena Saphena Magna Stamminsuffizienz. Allerdings, seltene Komplikationen können auftreten, wie Ekchymose, Parästhesie, Hyperpigmentierung, Phlebitis, Hämatom, tiefe Beinvenenthrom-bose und Lungenembolie. Unter diesen sind ästhetische Komplikationen die häufigsten leichten Komplikationen nach diesem Eingriff. Dieser Artikel stellt eine kurze Review der ästhetischen Komplikationen nach Radio-frequenzablation von Vena saphena magna Stamminsuffizienz dar, und bietet nützliche Hinweise um ihre Inzidenz zu minimieren. Ästhetische Komplikationen können vermieden werden durch sorgfältige und akkurate prä-operative Patienten- und Venenevaluation, geeignete operative Indikation, Einhaltung der Bedienungsanleitungen des Gerätes, und beste postoperative Versorgung.

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