Abstract Chronic venous insufficiency (CVI) is a prevalent vascular disorder that significantly affects patients’ quality of life. Over the past few decades, endovascular procedures have gained popularity as less invasive and effective alternatives to conventional surgery. This study aims to evaluate the effectiveness, safety, and patient outcomes associated with endovascular techniques for treating CVI. A comprehensive literature search was conducted across the Cochrane Library, PubMed, and Scopus databases, focusing on studies published between 2010 and 2024. Keywords included “chronic venous insufficiency,” “endovenous laser therapy,” “radiofrequency ablation,” “sclerotherapy,” “mechanochemical ablation,” and “venous insufficiency treatment.” Both observational studies and randomized controlled trials were included in the analysis. Studies focusing on non-endovascular or traditional surgical interventions were excluded from this analysis. Key data on long-term efficacy, complication rates, treatment outcomes, and patient-reported quality of life were extracted and analyzed. The evidence suggests that endovascular treatments, particularly radiofrequency ablation and endovenous laser therapy, are associated with high success rates and low complication rates. Compared to traditional surgical methods, these approaches offer faster recovery and higher patient satisfaction. Despite these advantages, challenges remain, including long-term recurrence, variable treatment accessibility, and cost considerations. Future research should focus on optimizing patient selection criteria and investigating long-term outcomes to enhance treatment strategies for venous insufficiency.
Omar Elsaka (Tue,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: