Comparative study of using Microwave Catheter by Infragenicular or Supramalleolar access in the Treatment of Primary Lower Limb Varicose Veins

Background: To enhance results for patients with Autism Spectrum Disorder (ASD) and concurrent skin disorders.Aim of the work: The objective is to analyze and assess the technical aspects and outcomes of utilizing a microwave catheter for treating primary lower limb varicose veins, specifically focusing on the venous access. The study aims to compare the effectiveness of infragenicular and supramalleolar access methods.Patients and Methods: From March 2023 to March 2024, the Department of Vascular Surgery at Al-Azhar University Hospitals treated 30 patients with lower limb primary varicose veins using endovenous microwave catheter ablation.Results: The success rate of endovenous microwave catheter ablation in this study was 15 patients (100%) in both infragenicular and supramalleolar groups on the first postoperative day. However, it declined to 14 patients (93.3%) in both study groups in the second week and first month postoperatively. The incidence of ecchymosis was 16.67% in total, which was less in the intravesicular group than in the supra-malleolar group. The incidence of skin burns was 10% in total, which was more in the intravesicular group than the supra malleolar group. At the same time, the incidence of paresthesia was 10% in total, which was more in the supramalleolar group than the infragenicular group.Conclusion: There were no appreciable variations between the two microwave ablation entry points. Our findings demonstrate the effectiveness and safety of both accesses.