Endovenous laser ablation for superficial venous insufficiency

2010 ◽  
Vol 64 (1) ◽  
pp. 61-66 ◽  
Author(s):  
R. Durai ◽  
P. D. Srodon ◽  
C. Kyriakides
Keyword(s):  
Laser Ablation ◽  
Venous Insufficiency ◽  
Endovenous Laser Ablation ◽  
Superficial Venous Insufficiency

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

2008 ◽  
Vol 48 (6) ◽  
pp. 1538-1545 ◽  
Author(s):  
Brian S. Knipp ◽  
Susan A. Blackburn ◽  
Jess R. Bloom ◽  
Elaine Fellows ◽  
William LaForge ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Venous Insufficiency ◽  
Endovenous Laser Ablation ◽  
Thrombotic Complications

scholarly journals A randomized prospective long-term (>1 year) clinical trial comparing the efficacy and safety of radiofrequency ablation to 980 nm laser ablation of the great saphenous vein

2016 ◽  
Vol 32 (6) ◽  
pp. 415-424 ◽  
Author(s):  
Malcolm Sydnor ◽  
John Mavropoulos ◽  
Natalia Slobodnik ◽  
Luke Wolfe ◽  
Brian Strife ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Radiofrequency Ablation ◽  
Laser Ablation ◽  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Clinical Severity ◽  
Endovenous Laser Ablation ◽  
Venous Clinical Severity Score ◽  
Superficial Venous Insufficiency

Purpose To compare the short- and long-term (>1 year) efficacy and safety of radiofrequency ablation (ClosureFAST™) versus endovenous laser ablation (980 nm diode laser) for the treatment of superficial venous insufficiency of the great saphenous vein. Materials and methods Two hundred patients with superficial venous insufficiency of the great saphenous vein were randomized to receive either radiofrequency ablation or endovenous laser ablation (and simultaneous adjunctive therapies for surface varicosities when appropriate). Post-treatment sonographic and clinical assessment was conducted at one week, six weeks, and six months for closure, complications, and patient satisfaction. Clinical assessment of each patient was conducted at one year and then at yearly intervals for patient satisfaction. Results Post-procedure pain ( p < 0.0001) and objective post-procedure bruising ( p = 0.0114) were significantly lower in the radiofrequency ablation group. Improvements in venous clinical severity score were noted through six months in both groups (endovenous laser ablation 6.6 to 1; radiofrequency ablation 6.2 to 1) with no significant difference in venous clinical severity score ( p = 0.4066) or measured adverse effects; 89 endovenous laser ablation and 87 radiofrequency patients were interviewed at least 12 months out with a mean long-term follow-up of 44 and 42 months ( p = 0.1096), respectively. There were four treatment failures in each group, and every case was correctable with further treatment. Overall, there were no significant differences with regard to patient satisfaction between radiofrequency ablation and endovenous laser ablation ( p = 0.3009). There were no cases of deep venous thrombosis in either group at any time during this study. Conclusions Radiofrequency ablation and endovenous laser ablation are highly effective and safe from both anatomic and clinical standpoints over a multi-year period and neither modality achieved superiority over the other.

scholarly journals Evaluation of Postprocedural Pain and Quality-of-Life Improvement in Rural Patients with Chronic Venous Insufficiency Undergoing Endovenous Laser Ablation

2019 ◽  
Vol 03 (02) ◽  
pp. 081-088
Author(s):  
Sushmita Shailendra Deshmukh ◽  
Pankaj Banode ◽  
Abhinav Mohan
Keyword(s):  
Quality Of Life ◽  
Laser Ablation ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Venous Hypertension ◽  
Radiology Department ◽  
Endovenous Laser Ablation ◽  
Before And After ◽  
Rural Patients

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.

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

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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