Akademik Veri Yönetim Sistemi
22st National Vascular and Endovascular Surgery Congress and the 13th National Phlebology Congress, Antalya, Türkiye, 6 - 09 Kasım 2025, ss.225, (Özet Bildiri)
Aim: The treatment of varicose veins are traditional methods like stripping and minimally invasive methods which have become
more popular in the past decade. Radiofrequency thermal ablation (RA) is one of the minimally invasive method which is indicated
for the treatment of chronic superficial venous insufficiency in lower limb.
Material and Methods: Stripping could be associated with risk of injury in saphenous, sural, tibial and peroneal nerves. Although
rates of nerve injury is decreased with endovascular methods, neural injury is still a predominant complication. Surgical removal of
the great saphenous vein is associated with saphenous vein injury and the removal of lesser saphenous vein is associated with sural
nerve, less commonly peroneal nerve injury.
Results: We reported a 50 year old female patient with ischiatic nerve injury after radiofrequency ablation treatment for great
saphenous vein reflux. The patient had suddenly onset pain in the leg and paresthesia after RA. Ipsilateral distal sciatic nerve
injury pattern was documented by clinical examination and electromyogram(EMG). In the literature,there were only few case
reports regarding to ischiatic nerve injury after radiofrequency ablation.We referred patient to physiotherapy and exercise therapy.
Endovenous radiofrequency ablation generally is perfomed under ultrasound guidance and thermal energy nearly 120 C°.
Conclusion: The mechanism of peripheral nerve damage after RA is unclear. The damage may be by thermal injury or local
compression of edema. Postprocedural nerve injury is extremely rare. Electromyogram and magnetic resonance imaging are essential
to diagnose the nerve injury.
Keywords: Ischiatic nerve injury, venous insufficiency, radiofrequency ablation