Comparing the Efficacy of Mechanochemical Ablation Versus Radiofrequency Ablation for Treating Great Saphenous Vein Incompetence: A Meta-Analysis.
Ann Vasc SurgJul 17, 2026 (epub)
Clinical ResearchVascular Surgery
Qingjian Cheng, Qinming Zhao, Junsheng Cao et al.
✦ AI-curated · Sources linked
In 30 seconds
This meta-analysis compared mechanochemical ablation (MOCA) and radiofrequency ablation (RFA) for treating great saphenous vein incompetence in 737 patients. Results indicated that RFA had significantly higher anatomical success rates than MOCA (OR = 0.38 for short-term, OR = 0.17 for long-term), while MOCA resulted in lower perioperative pain and quicker recovery.
Key findings
- RFA showed significantly better anatomical success rates than MOCA (OR = 0.38 for short-term, OR = 0.17 for long-term).
- Patients in the MOCA group experienced significantly lower perioperative pain (MD = -4.48).
- MOCA patients required fewer days to return to normal activities (MD = -0.76).
- No significant differences in complications or quality of life scores between the two groups.
Why it matters
Understanding the comparative efficacy and safety of MOCA and RFA is crucial for clinicians treating great saphenous vein incompetence, as it informs decision-making regarding patient management and expected outcomes.