Endovenous laser closure of the perforating vein of the leg

2007 ◽  
Vol 22 (2) ◽  
pp. 80-82 ◽  
Author(s):  
I J Uchino
Keyword(s):  
Laser Therapy ◽  
Left Thigh ◽  
Ultrasound Guided ◽  
Duplex Scan ◽  
Posterior Tibial ◽  
Run Off ◽  
Endovenous Laser Therapy ◽  
Perforating Vein ◽  
Vein Reflux

Background: Endovenous procedures have been proven effective in treating axial vein reflux. This report describes a new application, namely endovenous laser therapy of the incompetent perforating vein of the leg. Objective: To explore an alternative option for treatment of incompetent perforating vein of the leg. Methods & materials: An 80-year-old male underwent ultrasound-guided sclerotherapy of the neovascularization vessels at the groin and the refluxing vein of the left thigh. Endovenous laser therapy of the incompetent perforating vein was then performed to treat a persisting incompetency of the posterior tibial perforating vein (Cockett's perforating vein). Results: Follow-up duplex scan showed that not only was the tributary vein (run-off vein) thrombosed, but the perforating vein itself was thrombosed with an intact posterior tibial vein at one-week, three-week, and 12-week follow-up examinations. The only complication was a slight erythematous change of the overlying skin, which subsided spontaneously. Conclusions: There are many options in the treatment of incompetent perforating vein of the leg. An endovenous procedure should be considered as one of the options, especially where tissue around the incompetent perforating vein of the leg is compromised.

scholarly journals Long-term Results of Endovenous Laser Therapy (EVLT) of Saphenous Vein Reflux: Up to 9 Years Follow-up

2019 ◽  
Vol 58 (6) ◽  
pp. e766
Author(s):  
Butros Karam ◽  
Fady Haddad ◽  
Karim Ataya ◽  
Rola Jaafar ◽  
Hussein Nassar
Keyword(s):  
Laser Therapy ◽  
Saphenous Vein ◽  
Long Term Results ◽  
Endovenous Laser Therapy ◽  
Vein Reflux

scholarly journals Endovenous laser therapy (EVLT) in the treatment of short saphenous (SSV) varicose veins (VVS) – Long term follow up

2016 ◽  
Vol 36 ◽  
pp. S132
Author(s):  
J. Lewis ◽  
A. Sheel ◽  
J. Murray ◽  
S. Grahamslaw ◽  
K. Hawkins ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Varicose Veins ◽  
Endovenous Laser Therapy ◽  
Long Term Follow Up

Predictors of recurrence of great saphenous vein reflux following treatment with ultrasound-guided foamsclerotherapy

2014 ◽  
Vol 30 (3) ◽  
pp. 194-199 ◽  
Author(s):  
N Shadid ◽  
P Nelemans ◽  
J Lawson ◽  
A Sommer
Keyword(s):  
Saphenous Vein ◽  
Cox Regression ◽  
Great Saphenous Vein ◽  
Controlled Trial ◽  
Clinical Severity ◽  
Ultrasound Guided ◽  
Cox Regression Analysis ◽  
Venous Clinical Severity Score ◽  
Vein Reflux

Objective To investigate which clinical characteristics at baseline are predictive for great saphenous vein recurrence following ultrasound-guided foamsclerotherapy. Material and methods Data of patients treated for great saphenous vein incompetence with ultrasound-guided foamsclerotherapy were derived from a multicentre prospective randomized controlled trial comparing surgery versus ultrasound-guided foamsclerotherapy with a follow-up of two years. Recurrence of reflux was determined on colour duplex scans at three months, one year and two years. Univariate and multivariate Cox regression analysis was used to evaluate the effect of gender, age, C of CEAP classification, diameter of great saphenous vein, injected foam volume, presence of distal great saphenous vein reflux, presence of reflux in the anterior accessory saphenous vein and Venous Clinical Severity Score on risk of recurrent reflux. Results Two hundred twenty-five patients were available for analysis. Treatment after one single session was successful in 120 patients and recurrence of saphenous reflux was observed in 105 patients within two years during follow-up. Significant associations with risk of recurrence were observed for mid thigh great saphenous vein diameter (HR = 1.012 with 95% CI: 1.002–1.022, p = 0.022) and presence of distal great saphenous vein reflux (HR = 1.882 with 95% CI: 1.029–3.443, p = 0.040). Conclusion In conclusion, this prospective study suggests that ultrasound-guided foamsclerotherapy treatment for the proximal great saphenous vein is less effective for patients with a large vein and a refluxing distal great saphenous vein at baseline.

The Outcome of Anticoagulation on Endovenous Laser Therapy for Superficial Venous Incompetence

2018 ◽  
Vol 52 (4) ◽  
pp. 245-248 ◽  
Author(s):  
Jamie Vatish ◽  
Nusrat Iqbal ◽  
Viswa Retnasingam Rajalingam ◽  
Alok Tiwari
Keyword(s):  
Pulmonary Embolism ◽  
Venous Thromboembolism ◽  
Venous Occlusion ◽  
Complication Rates ◽  
Success Rates ◽  
Duplex Scan ◽  
Endovenous Laser Ablation ◽  
Endovenous Laser Therapy ◽  
Endovenous Treatment

Objectives: The purpose of this study was to evaluate whether anticoagulation (warfarin or direct oral inhibitors) affected the success of endovenous treatment. Methods: Patients taking anticoagulation (warfarin or direct oral inhibitors) undergoing endovenous treatment in the form of endovenous laser ablation (EVLA) were matched against controls for sex, age, leg, and vein. Data were collected prospectively between January 2012 and March 2017. The primary endpoint was failure of treatment at 6-week postoperative duplex scan. The rates of major bleeding, hematoma, endothermal heat-induced thrombosis, venous thromboembolism, or pulmonary embolism were also compared between groups. Results: Two hundred eighty-four limbs underwent EVLA during the study period. Of this, 23/284 (8.1%) procedures were done in patients on anticoagulation. 21/23 (91.3%) limbs had venous occlusion at follow-up compared with 23/23 (100%) of controls ( P = .49). The patient who failed treatment in the anticoagulation group had undergone small saphenous vein (SSV) ablation. There was no difference in the complication rates between groups. Discussion: This study demonstrates that anticoagulation does not affect success rates of EVLA though there was higher recanalization rate in patients undergoing SSV ablation. Anticoagulation can be continued safely in patients undergoing this procedure.

scholarly journals Pediatric endoscopic pilonidal sinus treatment (PEPSiT): what we learned after a 3-year experience in the pediatric population

2021 ◽  
Author(s):  
Ciro Esposito ◽  
Ernesto Montaruli ◽  
Giuseppe Autorino ◽  
Mario Mendoza-Sagaon ◽  
Maria Escolino
Keyword(s):  
Patient Satisfaction ◽  
Laser Therapy ◽  
Pilonidal Sinus ◽  
Pediatric Population ◽  
Treatment Protocol ◽  
Pilonidal Sinus Disease ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Clavien Grade

AbstractThis paper aimed to report a multi-institutional 3-year experience with pediatric endoscopic pilonidal sinus treatment (PEPSiT) and describe tips and tricks of the technique. We retrospectively reviewed all patients < 18 years, with primary or recurrent pilonidal sinus disease (PSD), undergoing PEPSiT in the period 2017–2020. All patients received pre-operative laser therapy, PEPSiT and post-operative dressing and laser therapy. Success rate, healing rate/time, post-operative management, short- and long-term outcome and patient satisfaction were assessed. A total of 152 patients (98 boys) were included. Median patient’s age was 17.1 years. Fifteen/152 patients (9.8%) presented a recurrent PSD. All patients resumed full daily activities 1 day after surgery. The post-operative course was painless in 100% of patients (median VAS pain score < 2/10). Patient satisfaction was excellent (median score 4.8). The median follow-up was 12.8 months (range 1–36). Complete healing in 8 weeks was achieved in 145/152 (95.4%) and the median healing time was 24.6 days (range 16–31). We reported post-operatively immediate Clavien grade 2 complications (3 oedema, 2 burns) in 5/152 (3.3%) and delayed Clavien grade 2 complications (3 granulomas, 8 wound infections) in 11/152 (7.2%). Disease recurrence occurred in 7/152 (4.6%), who were re-operated using PEPSiT. PEPSiT should be considered the standard of care for surgical treatment of PSD in children and teenagers. PEPSiT is technically easy, with short and painless post-operative course and low recurrence rate (4.6%). Standardized treatment protocol, correct patient enrollment and information, and intensive follow-up are key points for the success of the procedure.

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