scholarly journals Heat-induced thrombosis extension after endovenous laser ablation: a clinical case

2020 ◽  
Vol 27 (4) ◽  
pp. 179-188
Author(s):  
A. A. Fokin ◽  
D. A. Borsuk ◽  
A. V. Sazanov ◽  
H. P. Manjikyan
Keyword(s):  
Laser Ablation ◽  
Clinical Case ◽  
Varicose Veins ◽  
High Ligation ◽  
Anticoagulant Treatment ◽  
Oral Anticoagulant Treatment ◽  
Endovenous Laser Ablation ◽  
Choice Of Treatment ◽  
Minor Surgery ◽  
The Right

Endothermal heat-induced thrombosis (EHIT) is a complication of endovenous thermal ablation in treatment of varicose veins. Existing classifications do not account for the length of thrombus extension floating in the deep venous system. While the risk of extension is minor, the consequences can be baleful.Aim. To report a rare clinical case of endothermal heat-induced thrombosis extension formed in spite of ongoing anticoagulant treatment in a patient with endovenous laser ablation.Results. A 39 years-old man with endovenous laser ablation of the right great saphenous vein had class 2 EHIT with 1.92 cm length on the next day after surgery. Rivaroxaban was prescribed at a dose of 15 mg 2 times a day. EHIT extension above the inguinal ligament occurred on the 15th day after surgery, despite oral anticoagulant treatment. Open thrombectomy with high ligation was ordered. Postoperative period without complications. Preoperative Caprini score was 6 (varicose veins, BMI> 25 kg/m2 , minor surgery, personal history of venous thromboembolism (VTE)).Conclusion. The reported clinical case illustrates that both the choice of treatment strategy and follow-up of patients with EHIT need to account for the combined risk of embolism with existing EHIT and potential thrombus extension with subsequent massive embolism.

A case of high-output heart failure caused by a femoral arteriovenous fistula after endovenous laser ablation treatment of the saphenous vein

2014 ◽  
Vol 30 (4) ◽  
pp. 290-292 ◽  
Author(s):  
Osamu Hashimoto ◽  
Takuya Miyazaki ◽  
Joji Hosokawa ◽  
Yumi Shimura ◽  
Hiroshi Okuyama ◽  
...  
Keyword(s):  
Heart Failure ◽  
Laser Ablation ◽  
Arteriovenous Fistula ◽  
Varicose Veins ◽  
Femoral Vein ◽  
Endovenous Laser Ablation ◽  
Therapeutic Choice ◽  
High Output Heart Failure ◽  
The Right ◽  
High Output

Endovenous laser ablation treatment has become the less invasive therapeutic choice for the treatment of superficial venous insufficiency and varicose veins. A 64-year-old woman presented at our hospital with varicose veins and prior endovenous laser ablation treatment. The patient had high-output heart failure caused by a right femoral arteriovenous fistula. She was treated medically and underwent an open repair of the right superficial femoral artery and the right femoral vein with complete resolution of the arteriovenous fistula and heart failure. Here, we have reviewed the literature and discussed possible causes of the complication of arteriovenous fistula after endovenous laser ablation treatment.

Twenty Years’ Experience with Endovenous Laser Ablation for Varicose Veins: A Critical Appraisal of the Original Procedure

2021 ◽  
Vol 39 ◽  
Author(s):  
Bernardus Disselhoff ◽  
◽  
Daan der Kinderen ◽  
Keyword(s):  
Patient Satisfaction ◽  
Laser Ablation ◽  
Critical Appraisal ◽  
Varicose Veins ◽  
Infusion Pump ◽  
Ambulatory Setting ◽  
High Ligation ◽  
Safe Procedure ◽  
Endovenous Laser Ablation ◽  
Original Procedure

Objective: A critical appraisal of the original procedure of endovenous laser ablation (EVLA) for varicose veins. Method: Evaluation of all practical aspects of the procedure. Results: EVLA procedures are performed in a strictly ambulatory setting with tumescent local anesthesia (TLA). Technical improvements have resulted in the need for fewer incisions and re-punctures, less ecchymosis, and fewer technical failures. Administration of an appropriate amount of TLA via an infusion pump has reduced the risk of nerve injury, administration time, and pain during the procedure. Use of a 1470-nm diode laser and a radial fiber have significantly improved patient satisfaction and reduced the occurrence of complications such as pain, tightness, ecchymosis, and the need for additional procedures. Lastly, there are only a few indications left for high ligation and stripping. Conclusion: Over the past 20 years, EVLA has evolved into an effective, cost-efficient, and safe procedure that provides high patient satisfaction.

scholarly journals Evaluation of Endovenous Laser Ablation in Management of Varicose Veins

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
T I Ouf ◽  
M A Nada ◽  
A M Salem ◽  
N Y Elzefzaf
Keyword(s):  
Laser Ablation ◽  
Varicose Veins ◽  
Recovery Period ◽  
Minimal Invasive ◽  
High Ligation ◽  
Minor Complication ◽  
Endovenous Laser Ablation ◽  
Invasive Method ◽  
Primary Varicose Veins ◽  
Promising Line

Abstract Background There have been tremendous changes to the treatment of varicose veins over the years. High ligation of the SFJ and stripping of the GSV have been considered as standard treatments for GSV insufficiency for more than one century and it is still adopted as the preferred method in the majority of the surgical centers. Aim of the Work To discuss the advances in the treatment of varicose veins and their advantages over traditional methods in an attempt to choose the best method of treatment with least complications and highest success rate of cure and to review the recently advanced endovenous laser ablation as a promising line of management of primary varicose veins. Patients and Methods This observational prospective was conducted on 30 patients 30 patients with varicose veins in multiple centers carrying out endovenous laser ablation.during the period from October 2017 till March 2018. Results After the EVL ablation +/- sclerotherapy, no major complications occurred, minor complication however, was quite common and included bruising (33.3%), ecchymosis (16.6%), postoperative pain (66%) that require analgesic, superficial thrombophlebitis (16.6%) and skin burn (3.3%). Conclusion EVLA is continuing to be an outstanding minimal invasive method for treatment of varicose veins with minimal complications and a very short recovery period which sounds appealing to the patients.

scholarly journals The Management of Varicose Veins

2015 ◽  
Vol 100 (1) ◽  
pp. 185-189 ◽  
Author(s):  
Fan Lin ◽  
Shiyi Zhang ◽  
Yan Sun ◽  
Shiyan Ren ◽  
Peng Liu
Keyword(s):  
Radiofrequency Ablation ◽  
Laser Ablation ◽  
Varicose Veins ◽  
Controlled Study ◽  
High Ligation ◽  
Foam Sclerotherapy ◽  
Current Management ◽  
Endovenous Laser Ablation ◽  
Randomized Controlled ◽  
Better Than

Abstract This study aimed to review the current management modalities for varicose veins. There are a variety of management modalities for varicose veins. The outcomes of the treatment of varicose veins are different. The papers on the management of varicose veins were reviewed and the postoperative complications and efficacy were compared. Foam sclerotherapy and radiofrequency ablation were associated with less pain and faster recovery than endovenous laser ablation and surgical stripping. Patients undergoing endovenous laser ablation and radiofrequency ablation are most likely to have a faster recovery time and earlier return to work in comparison with those undergoing conventional high ligation and stripping. A randomized controlled study in multiple centers is warranted to verify which approach is better than others for the treatment of varicose veins.

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