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Compression Therapy Using Compression Pads Could Avoid EHIT and Stab Avulsion after Radio-frequency Ablation for Varicose Veins

The action to prevent EHIT (endovenous heat-induced thrombosis) due to RFA (radio frequency ablation) for GSV (great saphenous vein) insufﬁciency is still under consideration. We have tried to utilize compression pads to obstruct GSV from SFJ (sapheno- femoral junction) to the peripheral end after RFA. No EHIT was observed in 132 limbs of 115 patients under Doppler ultra-sound examination at 7 days post RFA. The compression pad has enough pressure ( > 50 mmHg) to close GSV dressed by compression bandage. Not only that, but residual varices were also compressed using pads. The varices were diminished by sclerotherapy at 2 〜 3 months post RFA without stab avulsion. Compression therapy using compression pads could avoid EHIT and stab avulsion after RFA in varicose vein treatment