Endovenous laser ablation: Venous outcomes and thrombotic complications are independent of the presence of deep venous insufficiency

Abstract Background Chronic venous insufficiency (CVI) manifests as unilateral or bilateral lower-limb venous hypertension causing pain, swelling, edema, and skin changes, among other symptoms. CVI affects patients’ socioeconomic status, is particularly seen in the young, and, in its severe manifestation, may have a debilitating effect on patients’ quality of life (QoL). The authors wanted to evaluate change in pain and QoL among rural patients after endovenous laser ablation (EVLA) treatment in a pilot study. Methods Twenty patients having CVI who opted for 1,470-nm EVLA treatment were enrolled at the Interventional Radiology department between July 2018 and September 2018. The authors evaluated pain using the visual analog scale (VAS) before and after EVLA procedure (standard protocol) of the affected vein. They also assessed QoL using the Aberdeen Varicose Vein Questionnaire before and 6 weeks after EVLA. Results The authors observed significant reduction in pain postprocedure versus preprocedure. Majority of the patients had improvement in itching and stasis dermatitis after the procedure. Rash and skin ulcers remained uncommon before and after EVLA. Also, after EVLA, fewer patients than before reported that the appearance of their diseased veins caused them concern (35 vs. 65% before EVLA), influenced their choice of clothing (45 vs. 80%), interfered with their work (40 vs. 90%), and interfered with their leisure activities (30 vs. 80%). Conclusion EVLA 1470nm procedure may help patients with CVI attain improved QoL and significant pain reduction.

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Retrograde Administration of Ultrasound-Guided Endovenous Microfoam Chemical Ablation Versus Endovenous Laser Ablation for the Treatment of Superficial Venous Insufficiency

Journal of Vascular Surgery Venous and Lymphatic Disorders ◽

10.1016/j.jvsv.2019.12.044 ◽

2020 ◽

Vol 8 (2) ◽

pp. 327-328

Author(s):

Steven Deak

Keyword(s):

Laser Ablation ◽

Venous Insufficiency ◽

Ultrasound Guided ◽

Endovenous Laser Ablation ◽

Chemical Ablation ◽

Superficial Venous Insufficiency

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PRELIMINARY RESULTS OF ENDOVENOUS LASER TREATMENT FOR SAPHENOUS VENOUS INSUFFICIENCY IN HUE CENTRAL HOSPITAL

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2020.4.9 ◽

2020 ◽

pp. 69-74

Author(s):

Minh Nguyen Hoang ◽

Thao Trinh Cong

Keyword(s):

Laser Ablation ◽

Laser Treatment ◽

Venous Insufficiency ◽

Daily Activities ◽

Alternative Methods ◽

Treatment Modalities ◽

Invasive Technique ◽

Central Hospital ◽

Endovenous Laser Ablation ◽

Endovenous Laser Treatment

Saphenous venous insufficency (VI) is more and more common. This disease is diagnosed by clinical symptoms and doppler US. In the last decade, ligation and stripping was main treatment modalities. Recently, there are many alternative methods for this disease such as sclerotherapy, thermal therapies… Laser is one of effective procedure for VI. Objective: To evaluate short-term outcomes of endovenous laser ablation for the treatment of saphenous venous insufficiency. Methods: This retrospective study included 124 patients at C2 stage and above (CEAP classification) who underwent endovenous laser ablation at Hue Central Hospital from 12/2014 to 02/2017. Results: The patients’ average median age was 52 ± 12.18. Patients with great saphenous insufficency were 98.4% (181 limbs) and only 1.6% with small saphenous disease. Most of them were treated with laser wavelength at 1470nm, power at 6-10W. There were 82 patients needed phlebectomy (Muller) and 20 patients associated with sclerotherapy. Most of cases underwent local anesthesia. The initial outcomes of the patient are excelent, there were no major complication related to the procedure. Most of patient were no pain significantly after treatment. The number of patient with mild (no need of antalgics) and severe pain (needed fort antalgics for 5 days) due to laser ablation were 4 cases and 1 case, respectively. Patients could return to daily activities at the day after. A follow – up postoperative ultrasound after 10 days: 100% of cases presented sclerosant veins and no intravenous flow, no deep venous thrombose. There were no recurrence at 3 and 6 month of medical revisit. Conclusion: Endovenous laser treatment was proven as a method of preference for chronic vein insufficiency because of its advandtages such as minimal invasive technique, high successive percentage, least of complication, high aesthetics and early to return daily activities. Key words: Saphenous venous insufficency (VI), laser, endovenous laser ablation

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