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Lower Extremity Varicose VeinsNCT07907315

Pain During Heat Treatment for Lower Extremity Varicose Veins: Radiofrequency vs. Microwave

An observational study of Lower Extremity Varicose Veins and Radiofrequency Ablation, run by Chunshui He at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial 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… Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
What is being tested?
Radiofrequency ablation and Microwave Ablation
Type of treatment
Surgery or procedure
How many people
130 participants
Where
1 siteChina
Study dates
1 Sep 2026to 30 Apr 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: The study population will be selected from adult patients presenting to the Department of Vascular Surgery at the Hospital of Chengdu University of Traditional Chinese Medicine with symptomatic lower extremity varicose veins. The study population will be recruited from adult patients presenting to the Department of Vascular Surgery at the Hospital of Chengdu University of Traditional Chinese Medicine with symptomatic lower extremity varicose veins. Eligible participants are individuals aged 18 to 75 years with ultrasound-confirmed great saphenous vein incompetence (reflux time >0.5 seconds), vein diameter of 4-12 mm, and CEAP clinical class C2 to C6. Exclusion criteria include prior ipsilateral venous interventions, deep vein thrombosis, arterial disease (ABI <0.7), severe organ dysfunction, pregnancy, chronic pain, or local anesthetic allergy. Consecutive eligible patients will be invited to participate until the target of 130 patients (65 per group) is reached.

Who may be able to join

  • Age 18 to 75 years, male or female.
  • Confirmed diagnosis of great saphenous vein (GSV) trunk reflux with a reflux time >0.5 seconds on lower extremity duplex ultrasound.
  • CEAP clinical classification of C2 to C6 (inclusive).
  • GSV trunk diameter (thigh segment) measuring 4 to 12 mm on pre-operative ultrasound.
  • Planned to undergo endovenous thermal ablation treatment for varicose veins.
  • Willing and able to provide written informed consent to participate in the study.

Who cannot join

  • History of deep vein thrombosis (DVT) in the ipsilateral lower extremity.
  • ior surgical stripping or endovenous ablation treatment on the ipsilateral GSV.
  • Acute superficial venous thrombophlebitis in the ipsilateral lower extremity at the time of screening.
  • Concurrent lower extremity arterial disease with an ankle-brachial index (ABI) <0.7.
  • Pregnancy or currently breastfeeding.
  • Known allergy or hypersensitivity to lidocaine, ropivacaine, or any amide-type local anesthetic agent.
Show all 14Show fewer
  • Severe hepatic impairment (ALT or AST >3 times the upper limit of normal).
  • Severe renal impairment (estimated glomerular filtration rate <30 mL/min/1.73m²).
  • Severe cardiac dysfunction (New York Heart Association Class III or IV) or uncontrolled cardiac arrhythmia.
  • Coagulation abnormality (international normalized ratio >1.5 or platelet count <80 × 10⁹/L).
  • Diagnosis of severe psychiatric disorder or cognitive impairment that would interfere with the ability to provide reliable Visual Analog Scale (VAS) pain scores.
  • Planned bilateral simultaneous ablation procedure (both legs treated in the same session).
  • Chronic pain syndrome or long-term use of analgesic medications (regular use for >3 months).
  • Any other condition that, in the investigator's judgment, would make the patient unsuitable for study participation.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Affiliated Hospital of Chengdu University of Traditional Chinese Medicine

    Chengdu, Sichuan, 610075

Other trials in China

About this study

Official title: Comparison of Intraoperative Pain Scores Between Radiofrequency Ablation and Microwave Ablation for Lower Extremity Varicose Veins: A Prospective Single-Center Randomized Controlled Study

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?

Read more

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.

Being tested
Radiofrequency ablation, Microwave Ablation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Radiofrequency ablationProcedure or surgery

    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 AblationProcedure or surgery

    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 groups in NCT07907315
Study groupRoleWhat they receive
RFA GroupNot described
Receives: Procedure: Radiofrequency ablation
MWA GroupNot described
Receives: Procedure: Microwave Ablation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain Score at Tumescent Anesthesia Injection Completion (VAS-T2)

    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).

    Measured: Measured immediately after TLA injection is completed and ultrasound confirms satisfactory perivenous fluid infiltration (before ablation begins) - Intraoperative (Day 0)

  2. Pain Score During Catheter Ablation (VAS-T3)

    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."

    Measured: Measured immediately after completion of GSV trunk ablation and withdrawal of the ablation catheter

Secondary outcomes (17)
  1. Intraoperative Pain Trajectory (Group × Time Interaction)

    Overall pattern of intraoperative pain across the four procedural time points, assessed to determine whether the pain trajectory differs between RFA and MWA groups. This is a composite measure derived by aggregating VAS scores from all four time points into a single repeated-measures model.VAS score (0-10 cm) analyzed as a repeated measure; reported as the group × time interaction effect (F-statistic and p-value) from a linear mixed effects model.

    VAS scores from T1, T2, T3, and T4 will be combined using a linear mixed effects model (LMM) with fixed effects for group, time, and group × time interaction, and random effects for individual patients. The reported value is the group × time interaction effect, which indicates whether the pain trajectory differs between groups.

    Measured: Assessed at four time points: T1 (immediately after sheath placement), T2 (immediately after TLA injection), T3 (immediately after ablation completion), and T4 (immediately after procedure completion)

  2. TLA Total Injection Volume

    Total volume of tumescent local anesthesia (TLA) solution injected during the procedure.Milliliters (mL)

    Measured: Recorded during the TLA injection phase

  3. RFA Ablation Energy Parameters

    Device-specific energy parameters for the RFA group, including temperature achieved.Temperature (°C)

    Measured: Intraoperative (Day 0); recorded during the ablation phase

  4. MWA Ablation Energy Parameters

    Device-specific energy parameters for the MWA group, including power output .Power (Watts)

    Measured: Recorded during the ablation phase

  5. Postoperative Pain at 2 Hours

    Pain intensity at rest in the treated leg at 2 hours after procedure completion.VAS score (0-10 cm)

    Measured: Postoperative 2 hours

  6. Postoperative Pain at 24 Hours

    Pain intensity at rest in the treated leg at 24 hours after procedure completion.VAS score (0-10 cm),Visual Analog Scale (VAS): Minimum = 0, Maximum = 10. Higher scores indicate worse outcome (greater pain intensity)

    Measured: Postoperative 24 hours (Day 1)

  7. Postoperative Pain at 7 Days

    Pain intensity at rest in the treated leg at 7 days after procedure completion.VAS score (0-10 cm)

    Measured: Postoperative 7 days (Day 7)

  8. Postoperative Pain at 30 Days

    Pain intensity at rest in the treated leg at 30 days after procedure completion.VAS score (0-10 cm),VAS: Minimum = 0, Maximum = 10. Higher scores indicate worse outcome (greater pain intensity)

    Measured: Postoperative 30 days (Day 30)

  9. Venous Clinical Severity Score (VCSS) at Baseline

    Disease-specific clinical severity assessed using the Venous Clinical Severity Score (VCSS) before treatment.VCSS score (0-30)

    Measured: Baseline (preoperative, within 7 days before surgery)

  10. Venous Clinical Severity Score (VCSS) at 30 Days

    Disease-specific clinical severity assessed using the Venous Clinical Severity Score (VCSS) at 30 days after treatment.VCSS is a standardized tool for assessing the severity of lower extremity venous disease. It consists of 10 items (pain, varicose veins, edema, pigmentation, inflammation, induration, ulcer number/size/duration, and compression therapy). Each item is scored from 0 to 3, with a total score ranging from 0 to 30. Higher scores indicate more severe clinical symptoms.

    Measured: Postoperative 30 days (Day 30)

  11. Change in Venous Clinical Severity Score (ΔVCSS)

    Change in disease-specific clinical severity from baseline to 30 days after treatment. This is a derived composite measure calculated by subtracting the 30-day VCSS from the baseline VCSS.VCSS score change (baseline VCSS minus 30-day VCSS)

    Measured: Baseline to postoperative 30 days

  12. Incidence of Adverse Events

    Incidence and severity of all procedure-related adverse events from intraoperative period through 30 days post-procedure.Count and percentage of patients with ≥1 adverse event

    Measured: Intraoperative through postoperative 30 days

  13. Factors Influencing Intraoperative Pain - Univariable Analysis

    Exploratory analysis to identify patient, anatomical, and procedural factors associated with pain at each intraoperative time point.Correlation coefficient (r or ρ) or regression coefficient (β) with 95% CI.Each candidate factor is tested individually against each VAS outcome (T1-T4). Results are reported as point estimates with 95% confidence intervals.

    Measured: Intraoperative (Day 0); using data from all four time points (T1, T2, T3, T4)

  14. Factors Influencing Intraoperative Pain - Multivariable Analysis

    Exploratory multivariable analysis to identify independent factors influencing pain at the two core time points (VAS-T2 and VAS-T3).Regression coefficient (β) with 95% CI.Separate multivariable linear regression models for VAS-T2 and VAS-T3. Each model includes group assignment, prespecified core variables, and univariable significant factors.

    Measured: Intraoperative (Day 0); using data from T2 (TLA injection) and T3 (ablation)

  15. Effect Modification by Patient/Procedural Factors (Group × Factor Interaction)

    Exploratory analysis to determine whether the effect of RFA vs. MWA on pain is modified by patient, anatomical, or procedural factors.Interaction effect (β for interaction term) with 95% CI and p-value.Each interaction term (group × factor) tested individually in separate regression models that include both main effects and the interaction.

    Measured: Intraoperative (Day 0); using data from T2 (TLA injection) and T3 (ablation)

  16. RFA Ablation Energy Parameters

    Device-specific energy parameters for the RFA group, including number of ablation segments and temperature achieved.Number of segments (count); temperature (°C)

    Measured: Intraoperative (Day 0); recorded during the ablation phase

  17. MWA Ablation Energy Parameters

    Device-specific energy parameters for the MWA group, including power output .Power (Watts)

    Measured: Intraoperative (Day 0); recorded during the ablation phase

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Oct 2026
  2. Study start1 Sep 2026
  3. Primary completion31 Jan 2027 (estimated)
  4. Study completion30 Apr 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
130 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07907315
Sponsor's protocol ID
ChengduUTCM XGWK
Status last verified
Sep 2026
First submitted
3 Sep 2026
Last updated
30 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

An observational study of Lower Extremity Varicose Veins and Radiofrequency Ablation, run by Chunshui He at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain Score at Tumescent Anesthesia Injection Completion (VAS-T2) (time frame: Measured immediately after TLA injection is completed and ultrasound confirms satisfactory perivenous fluid infiltration (before ablation begins) - Intraoperative (Day 0)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.

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