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

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

Challenges in advancing the laser fiber through the great saphenous vein during endovenous ablation and strategies to overcome them

2019 ◽  
Vol 34 (8) ◽  
pp. 530-535
Author(s):  
Vitor C Gornati ◽  
Karen Utsunomia ◽  
Nicos Labropoulos
Keyword(s):  
Laser Ablation ◽  
Prospective Study ◽  
Lower Limb ◽  
Great Saphenous Vein ◽  
Ultrasound Guided ◽  
Entry Site ◽  
Endovenous Laser Ablation ◽  
Endovenous Ablation ◽  
A Prospective Study ◽  
Endovenous Laser Treatment

Objectives To determine the incidence of possible obstacles and patients’ characteristics when performing endovenous laser treatment (EVLT) and suggestions to improve the ability to overcome them. Method A prospective study with 215 limbs treated with EVLT. A sequence of maneuvers was performed to move the fiber forward when difficulty was found and if unsuccessful another entry site was punctured. Results In 29 of 215 (13.48%) limbs, resistance was encountered while navigating the fiber; 16 (55.17%) solved with lower limb extension; 13 (44.82%) needed ultrasound guided maneuvers; five (17.24%) needed a saline flush and in three patients (10.34%) another entry site was necessary. In 214 of 215 cases (99.53%), ablation was accomplished and no complications were observed. Conclusions Both obstruction and higher patients' BMI are the main obstacles during endovenous laser ablation and usually needs additional maneuvers to accomplish the procedure in our study and the use of tricks to overcome these issues is feasible.

Recurrence patterns after endovenous laser treatment of saphenous vein reflux

2016 ◽  
Vol 31 (7) ◽  
pp. 496-500 ◽  
Author(s):  
Ronald S Winokur ◽  
Neil M Khilnani ◽  
Robert J Min
Keyword(s):  
Laser Ablation ◽  
Varicose Veins ◽  
Endovenous Laser Ablation ◽  
Recurrent Varicose Veins ◽  
Saphenous Veins ◽  
Recurrence Patterns ◽  
Endovenous Laser Treatment ◽  
Saphenofemoral Junction ◽  
Patterns Of Recurrence

Introduction The patterns of recurrent varicose veins after endovascular ablation of the saphenous veins are not well described. Methods The current study describes the ultrasound defined recurrence patterns seen in 58 patients (79 limbs) who returned for evaluation of recurrent varicose veins from a cohort of 802 patients treated with endovenous laser ablation and subsequent sclerotherapy from March 2000 to March 2007 with clinical follow-up until May 2014. Findings The most common ultrasound defined recurrence patterns leading to the varicose veins were new reflux in the anterior accessory saphenous and small saphenous veins as well as recanalization of the treated saphenous segment. Neovascularization at the saphenofemoral junction and incompetent perforating veins as the source of the recurrent veins were not seen. Conclusions The patterns of recurrence following thermal ablation of saphenous veins are different to those seen after surgery. Specifically, new reflux in other saphenous veins is responsible for most recurrent varicose veins and neovascularity seems to be unusual following endovenous laser ablation.

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.

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