scholarly journals Biochemical Endothelial Injury and Platelets Activation Detectionin Endovenous Laser Ablation of Varicose Veins

2021 ◽  
Vol 6 (1) ◽  
pp. 1-5
Author(s):  
Ayman M Fakhry ◽  
Keyword(s):  
Laser Ablation ◽  
Degradation Products ◽  
Varicose Veins ◽  
Thrombus Formation ◽  
Venous Blood ◽  
Armed Forces ◽  
Energy Effect ◽  
Endovenous Laser Ablation ◽  
Soluble Thrombomodulin ◽  
Fibrin Degradation Products

Background: Thrombus formation and extension to femoral or popliteal veins and pulmonary embolism may be though as a complication of EVLT in varicose veins treatment we aimed to study the thermal energy effect of the procedure under standardized conditions on biochemical markers of platelets and endothelium activities. Patients and methods: 25 patients admitted to vascular surgery dept. of Alexandria armed forces hospital with varicose veins and GSV. reflux and all treated by endovenous laser ablation during: 1/1/2018_12/31/2018. Venous blood samples were taken from iliofemoral and antecubital veins, before during and one day after surgery of P-selectin, soluble thrombomodulin, fibrin degradation products and D-dime Results: There was no immediate rise of P-selectin and s TM in neither iliofemoral nor antecubital veins, where FDPs D-dimer was significantly elevated post operatively in the two regions. Conclusion: 1480 pulsed mode diode laser doesn’t induce measurable endothelial and platelets activation in iliofemoral region during endovenous ablation of varicose veins.

scholarly journals Endovenous laser ablation of varicose veins with the 1470-nm diode laser

2010 ◽  
Vol 51 (6) ◽  
pp. 1474-1478 ◽  
Author(s):  
Thomas Schwarz ◽  
Eva von Hodenberg ◽  
Christian Furtwängler ◽  
Aljoscha Rastan ◽  
Thomas Zeller ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Diode Laser ◽  
Varicose Veins ◽  
Endovenous Laser Ablation

Randomized clinical trial of endovenous laser ablation compared with conventional surgery for great saphenous varicose veins

2011 ◽  
Vol 98 (4) ◽  
pp. 501-510 ◽  
Author(s):  
D. Carradice ◽  
A. I. Mekako ◽  
F. A. K. Mazari ◽  
N. Samuel ◽  
J. Hatfield ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Laser Ablation ◽  
Randomized Clinical Trial ◽  
Varicose Veins ◽  
Conventional Surgery ◽  
Endovenous Laser Ablation

scholarly journals Heat conduction from the exceedingly hot fiber tip contributes to the endovenous laser ablation of varicose veins

2009 ◽  
Vol 24 (2) ◽  
pp. 247-251 ◽  
Author(s):  
Renate R. van den Bos ◽  
Michael A. Kockaert ◽  
H. A. Martino Neumann ◽  
Rolf H. Bremmer ◽  
Tamar Nijsten ◽  
...  
Keyword(s):  
Heat Conduction ◽  
Laser Ablation ◽  
Varicose Veins ◽  
Endovenous Laser Ablation

Successful lysis in a stroke following endovenous laser ablation and extensive miniphlebectomy of varicose veins

2015 ◽  
Vol 31 (4) ◽  
pp. 296-298 ◽  
Author(s):  
Luca Spinedi ◽  
Daniel Staub ◽  
Heiko Uthoff
Keyword(s):  
Ischemic Stroke ◽  
Laser Ablation ◽  
Thermal Ablation ◽  
Patent Foramen Ovale ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Foramen Ovale ◽  
Fatal Complication ◽  
Endovenous Laser Ablation ◽  
Endovenous Thermal Ablation

Stroke is a very rare but potential fatal complication of endovenous thermal treatment in patients with a right-to-left shunt. To our best knowledge, there are only two reports in the literature of stroke after endovenous thermal ablation of varicose veins, one after endovenous laser ablation and one after radiofrequency ablation and phlebectomy, both treated conservatively. This report describes a successful lysis in a patient with an ischemic stroke associated with bilateral endovenous heat-induced thrombosis class I after endovenous laser ablation of both great saphenous vein and extensive miniphlebectomy in a patient with an unknown patent foramen ovale.

Endovenous Laser Ablation of Varicose Veins after Direct Percutaneous Puncture

2007 ◽  
Vol 33 (10) ◽  
pp. 1243-1249 ◽  
Author(s):  
SANG WOO PARK ◽  
IK JIN YUN ◽  
JAE JOON HWANG ◽  
SONG AM LEE ◽  
JUN SEOK KIM ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Varicose Veins ◽  
Endovenous Laser Ablation ◽  
Percutaneous Puncture

scholarly journals Endovenous laser ablation for varicose veins: towards a personalized energy dose

2014 ◽  
pp. 85
Author(s):  
Claudio Castagno ◽  
Gianfranco Varetto ◽  
Caterina Guiot ◽  
Matteo Destro ◽  
Luigi Contessa ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Varicose Veins ◽  
Endovenous Laser Ablation ◽  
Energy Dose

Evolution of an Endovenous Laser Ablation Practice for Varicose Veins

2012 ◽  
Vol 28 (5) ◽  
pp. 248-256 ◽  
Author(s):  
N Samuel ◽  
T Wallace ◽  
D Carradice ◽  
G Smith ◽  
F Mazari ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Varicose Veins ◽  
Clinical Severity ◽  
Complication Rates ◽  
Technical Failure ◽  
Normal Functioning ◽  
Endovenous Laser Ablation ◽  
Pain Scores ◽  
Sf 36 ◽  
Severity Scores

Objective: We aimed to assess the evolution of an endovenous laser ablation (EVLA) practice in the management of varicose veins in a university teaching hospital vascular surgical unit, over five years. Methods: This was a retrospective review of a prospectively collected database of patients undergoing EVLA for great saphenous vein incompetence and followed up for a year. For inter- and intragroup comparison, patients were divided into three groups: group A: endovenous access generally established at the perigenicular level ( n = 105); group B: when practice changed to gain access at lowest point of demonstrable reflux ( n = 70); and group C: when tumescence delivery changed from manual injections to delivery via peristaltic pump ( n = 49). Outcomes including pain scores, time taken to return to normal functioning, quality of life (QoL), venous clinical severity scores (VCSS) and complication rates were evaluated. Results: Intergroup analysis: increase in the length of vein treated and laser density delivered was observed over time, even as median procedure duration decreased ( P < 0.001). An increase in sensory disturbance was noticed in group C ( P = 0.047) while better Aberdeen Varicose Vein Questionnaire (AVVQ) ( P = 0.004), SF-36® physical domains ( P < 0.05) and patient satisfaction with treatment ( P = 0.025) were recorded in the same group at 52 weeks. No significant difference was observed in technical failure, pain scores, return to normal functioning, VCSS and recurrence rates post-intervention. Intragroup analysis: QoL measures (AVVQ, SF-36®, EQ-5D) and VCSS scores demonstrated significant improvement at 12 and 52 weeks compared with baseline ( P < 0.05). Conclusions: Increase in length of vein treated and energy delivery seems to improve short-term outcomes; however, operators need to be wary of a possible concurrent increase in paraesthetic complications.

Sign in / Sign up

Export Citation Format

Share Document