ClinicalTrials.gg
Active, not recruitingNCT07907315Updated Oct 30, 2026

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

An observational study in Lower Extremity Varicose Veins, Radiofrequency Ablation and Microwave Ablation, sponsored by Chunshui He. Active, not recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-10-30.

Sponsored by Chunshui He · Observational

Updated Oct 30, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
130
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 244 studies in Pain with a site in China — 64 open to participants now, 70 under way, 2 of them phase 3. Pain · China.

Planned enrollment
23rd of 34
130 · median 169
Started
2026
with 22 others
Observational
35 of 244
11 open now
Primary completion
2027-01
later than 37 of 69 live
Registered
242nd of 244
by date

Among the 244 studies in Pain with a site in China, this one is the 23rd largest by planned enrollment of the 34 observational ones, is one of 23 that started in 2026, is one of 35 observational ones, reaches primary completion later than 37 of the 69 other live ones, and was the 242nd registered.

By phase

244 studies; the count open now beside each. This study's row is marked.

No phase114 · 38 open
Observationalthis study35 · 11 open
Phase 430 · 6 open
Phase 321 · 1 open
Phase 218 · 4 open
Phase 117 · 4 open
Phase 2/35 · 0 open
Phase 1/24 · 0 open

By the year they started

First in 1992; this study’s year is marked. 23 started in 2026.

Size and results

Median enrollment 120 across the 209 interventional studies, 169 across the 34 observational. Of the 121 that completed or were terminated, 17 (14%) have results posted.

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02

Study 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 more widely.

The main question is: Which procedure causes less pain during the surgery?

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.

03

Conditions studied

  • Lower Extremity Varicose Veins
  • Radiofrequency Ablation
  • Microwave Ablation
  • Pain Measurement
04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

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.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

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

Exclusion criteria

Exclusion Criteria:

  1. History of deep vein thrombosis (DVT) in the ipsilateral lower extremity.
  2. ior surgical stripping or endovenous ablation treatment on the ipsilateral GSV.
  3. Acute superficial venous thrombophlebitis in the ipsilateral lower extremity at the time of screening.
  4. Concurrent lower extremity arterial disease with an ankle-brachial index (ABI) \<0.7.
  5. Pregnancy or currently breastfeeding.
  6. Known allergy or to lidocaine, ropivacaine, or any amide-type local anesthetic agent.
  7. Severe hepatic impairment ( or AST >3 times the ).
  8. Severe renal impairment (estimated \<30 mL/min/1.73m²).
  9. Severe cardiac dysfunction ( Class III or IV) or uncontrolled cardiac arrhythmia.
  10. Coagulation abnormality ( >1.5 or count \<80 × 10⁹/L).
  11. Diagnosis of severe psychiatric disorder or cognitive impairment that would interfere with the ability to provide reliable Visual Analog Scale (VAS) pain scores.
  12. Planned bilateral simultaneous ablation procedure (both legs treated in the same session).
  13. Chronic pain syndrome or long-term use of analgesic medications (regular use for >3 months).
  14. Any other condition that, in the investigator's judgment, would make the patient unsuitable for study participation.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

05

Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
130 participants (estimated)
Patient registry
No

Groups and cohorts

  • RFA Group

    Procedure: Radiofrequency ablation

  • MWA Group

    Procedure: Microwave Ablation

Interventions

  • ProcedureRadiofrequency ablation

    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.

  • ProcedureMicrowave Ablation

    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.

06

What researchers measure

Primary outcomes

  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).

    Time frame: 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."

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

Secondary outcomes

  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.

    Time frame: 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)

    Time frame: Recorded during the TLA injection phase

  3. RFA Ablation Energy Parameters

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

    Time frame: 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)

    Time frame: 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)

    Time frame: 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)

    Time frame: 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)

    Time frame: 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)

    Time frame: 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)

    Time frame: 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.

    Time frame: 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)

    Time frame: 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

    Time frame: 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.

    Time frame: 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.

    Time frame: 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.

    Time frame: 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)

    Time frame: 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)

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

07

Study locations

1 site
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2026 (actual). Primary completion is estimated for Jan 2027, 4 months after the start.

Of 504 non-industry observational studies under Pain, half reached primary completion within 18 months of starting (the median), counting those still running; a quarter within 8 and three quarters within 42. This study's planned 4 months is below that.

Counting every sponsor, half of 519 studies reached it within 18 months; a quarter within 8 and three quarters within 41.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 3, 2026
First posted
Oct 30, 2026
StartActual
Sep 1, 2026
Primary completionEst.
Jan 31, 2027
CompletionEst.
Apr 30, 2027
Last update
Oct 30, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 30, 2026
Show all 1 update
  1. Oct 30, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07907315
Lead sponsor
Chunshui He
Responsible party
Chunshui He (Professor, Chengdu University of Traditional Chinese Medicine) — Sponsor-investigator
First posted
Oct 30, 2026
Start date
Sep 1, 2026
Primary completion
Jan 31, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Oct 30, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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