Outcomes of Ultrasound-Guided Endovenous Laser Ablation of Varicose Veins Using Straight End-on and Radial Fibres in a Tertiary Care Centre: A Prospective Study

Background: Chronic venous insufficiency (CVI) leads to varicose veins and associated complications, affecting quality of life. Endovenous laser ablation (EVLA) is a minimally invasive alternative to surgery. This study aimed to compare outcomes of EVLA using straight end-on (bare-tip) versus radial fibres in patients with symptomatic varicose veins. Methodology: In this prospective observational study at Vishesh Jupiter Hospital, Indore (September 2021–August 2025), 400 patients underwent EVLA (210 straight fibre, 190 radial fibre). Procedural parameters, complications, symptom improvement, vein closure, recurrence, patient satisfaction, and time to return to routine work were recorded. Follow-up was at 1 week and 6 months. Results: Radial fibre EVLA had shorter procedure time (49.7 vs. 52.8 min, p=0.01) and lower energy use (72.4 vs. 75.2 J/cm). Postoperative pain (6.8% vs. 18.1%), bruising (10.5% vs. 22.4%), and induration (7.9% vs. 16.7%) were lower with radial fibre. Vein closure was excellent in both groups (99.5% vs. 97.6%), with minimal recurrence. Patient satisfaction and early return to work were higher in the radial group. Conclusion: Both fibres are safe and effective, however, radial fibre EVLA provides shorter procedure time, less postoperative discomfort, faster recovery, and higher patient satisfaction, supporting its preferential use