Results of Great Saphenous Vein Endovenous Laser Ablation with a Wavelength of 1470 nm Using Radial 2ring Fiber With Different Linear Energy Density

2017 ◽  
Vol 5 (1) ◽  
pp. 151 ◽  
Author(s):  
Evgeny V. Shaidakov ◽  
Arsen Grigorian ◽  
Vasiliy Bulatov ◽  
Olga Porembskaya ◽  
Dmitriy Rosukhovsky
Keyword(s):  
Laser Ablation ◽  
Energy Density ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Endovenous Laser Ablation

Factors affecting optimal linear endovenous energy density for endovenous laser ablation in incompetent lower limb truncal veins – A review of the clinical evidence

2016 ◽  
Vol 32 (5) ◽  
pp. 299-306 ◽  
Author(s):  
Christine A Cowpland ◽  
Amy L Cleese ◽  
Mark S Whiteley
Keyword(s):  
Laser Ablation ◽  
Energy Density ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Duplex Ultrasound ◽  
Flow Diagram ◽  
Current Evidence ◽  
Endovenous Laser Ablation ◽  
Delivery Technique ◽  
Optimal Linear

Objectives The objective is to identify the factors that affect the optimal linear endovenous energy density (LEED) to ablate incompetent truncal veins. Methods We performed a literature review of clinical studies, which reported truncal vein ablation rates and LEED. A PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) flow diagram documents the search strategy. We analysed 13 clinical papers which fulfilled the criteria to be able to compare results of great saphenous vein occlusion as defined by venous duplex ultrasound, with the LEED used in the treatment. Results Evidence suggests that the optimal LEED for endovenous laser ablation of the great saphenous vein is >80 J/cm and <100 J/cm in terms of optimal closure rates with minimal side-effects and complications. Longer wavelengths targeting water might have a lower optimal LEED. A LEED <60 J/cm has reduced efficacy regardless of wavelength. The optimal LEED may vary with vein diameter and may be reduced by using specially shaped fibre tips. Laser delivery technique and type as well as the duration time of energy delivery appear to play a role in determining LEED. Conclusion The optimal LEED to ablate an incompetent great saphenous vein appears to be >80 J/cm and <95 J/cm based on current evidence for shorter wavelength lasers. There is evidence that longer wavelength lasers may be effective at LEEDs of <85 J/cm.

scholarly journals Corrigendum to the clinical significance of below-knee great saphenous vein reflux following endovenous laser ablation of above-knee great saphenous vein

2015 ◽  
Vol 30 (7) ◽  
pp. 500-500
Keyword(s):  
Laser Ablation ◽  
Clinical Significance ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Endovenous Laser Ablation ◽  
Vein Reflux

The clinical significance of below-knee great saphenous vein reflux following endovenous laser ablation of above-knee great saphenous vein, by NS Theivacumar, RJ Darwood, D Dellagrammaticas, AID Mavor, MJ Gough, Phlebology DOI:10.1258/phleb.2008.008004, published February 2009; 24 (1): 17–20 . The authors would like to note the following correction to their article: One of the co-authors’ names was misspelled; it appears as “Dellegrammaticas”; however, it should be spelt “Dellagrammaticas”.

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