Pain During Heat Treatment for Lower Extremity Varicose Veins: Radiofrequency vs. Microwave
Condition(s) studied
Investigational drug(s) / intervention(s)
Radiofrequency ablation: Endovenous thermal ablation of the incompetent great saphenous vein (GSV) using radiofrequency energy. The procedure is performed under tumescent local anesthesia (TLA). The device delivers segmental radiofrequency energy (460 kHz) through a catheter placed within the GSV, heating the vein wall to approximately 120°C, causing collagen contraction and vein occlusion.
Microwave Ablation: Endovenous thermal ablation of the incompetent great saphenous vein (GSV) using microwave energy. The procedure is performed under tumescent local anesthesia (TLA). The device delivers microwave energy (2450 MHz) through an antenna placed within the GSV, generating dielectric heating that causes thermal coagulation and vein closure.
Study summary
This study compares two common heat-based procedures for treating varicose veins in the legs: radiofrequency ablation (RFA) and microwave ablation (MWA). Both treatments use heat to close off diseased veins, but they work differently-RFA heats through direct contact, while MWA uses microwave energy that spreads heat more widely.
The main question is: Which procedure causes less pain during the surgery?
Participants will be randomly assigned to receive either RFA or MWA. Since the surgery is done under local anesthesia (not general anesthesia), patients remain awake throughout. We will measure their pain at four key moments:
When the needle is first inserted
Right after injecting the numbing fluid (tumescent anesthesia)
During the heat treatment itself
At the end of the entire procedure
We will also track how much numbing fluid is used, how long the procedure takes, and any side effects. Patients will be followed for 30 days after surgery to monitor recovery and satisfaction.
The goal is to find out whether one method is more comfortable for patients, and to identify which factors (such as age, vein size, or anxiety level) affect pain during each procedure. This will help doctors choose the best approach for each patient and improve the overall treatment experience.
Eligibility
Primary outcome measure(s)
- Pain Score at Tumescent Anesthesia Injection Completion (VAS-T2) — Measured immediately after TLA injection is completed and ultrasound confirms satisfactory perivenous fluid infiltration (before ablation begins) - Intraoperative (Day 0)
Pain intensity immediately after completion of tumescent local anesthesia (TLA) injection, assessed using the Visual Analog Scale (VAS). VAS is a clinical assessment tool that quantifies pain intensity using a linear scale approximately 10 centimeters long. The two ends of the scale are marked as "0" (no pain) and "10" (worst imaginable pain).The patient reports the most significant pain experienced during the entire TLA injection phase (from the first puncture to completion of injection). - Pain Score During Catheter Ablation (VAS-T3) — Measured immediately after completion of GSV trunk ablation and withdrawal of the ablation catheter
Pain intensity during the endovenous ablation phase, assessed using the Visual Analog Scale (VAS). The patient reports the most significant pain experienced during the entire ablation phase (from activation of the ablation device to completion of great saphenous vein trunk ablation).Visual Analog Scale (VAS): Minimum = 0, Maximum = 10. Higher scores indicate worse outcome (greater pain intensity). A score of 0 represents "no pain" and a score of 10 represents "worst imaginable pain."
Trial sites (1)
| Facility | City | Region | Status |
|---|---|---|---|
| Affiliated Hospital of Chengdu University of Traditional Chinese Medicine | Chengdu | Sichuan |
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This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT07907315 on ClinicalTrials.gov ↗ ← All trials in China