Clinical outcomes following mechanochemical ablation of superficial venous incompetence compared with endothermal ablation: meta-analysis.

Br J Surg 2023; 110: 562-567.  

Four randomized trials including 654 patients were analyzed. The rate of occlusions was lower after mechanical ablation: risk ratio of 0.85, 95 per cent confidence interval 0.78 to 0.91, P<0.000. There was no difference in pain during the procedure or clinical outcomes.

Comment: The role of mechanical ablation remains unproven. It doesn’t seem as effective as endothermal ablation, although the occlusion rate as an endpoint may not be ideal.