Early clinical improvement in chronic venous insufficiency symptoms after laser ablation of saphenous veins

2012 ◽  
Author(s):  
Ugur Ozkan ◽  
Cagla Sariturk
Keyword(s):  
Laser Ablation ◽  
Clinical Improvement ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Saphenous Veins

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.

Correlation Between Various Definition of Superficial Venous Reflux and Clinical Presentation of Venous Disease

2018 ◽  
Vol 42 (4) ◽  
pp. 189-192
Author(s):  
Mehrdad Mac Farid ◽  
Bernardo Fernandez ◽  
Szilvia Udvari-Nagi ◽  
Suresh Kacham ◽  
Tracey Mountjoy Cross ◽  
...  
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Clinical Presentation ◽  
Primary Objective ◽  
Venous Disease ◽  
Venous Reflux ◽  
Saphenous Veins ◽  
Anatomic Distribution ◽  
Definition Of ◽  
Saphenofemoral Junction

There have been various ways of reporting venous reflux in chronic venous insufficiency (CVI). Some vascular laboratories tend to describe venous reflux with categorical presence of reflux and some use grading method by measuring duration of venous reflux in seconds. The primary objective of study is to find out which method of describing venous incompetency in superficial venous system at great saphenous veins (GSV) and saphenofemoral junction (SFJ) would best correlate with clinical presentation of venous disease using CEAP (clinical manifestation, etiologic factors, anatomic distribution, pathophysiologic dysfunction) classification.

Ablation therapy with cyanoacrylate glue and laser for refluxing great saphenous veins – a prospective randomised study

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 405-412
Author(s):  
Eyüp Serhat Çalık ◽  
Ümit Arslan ◽  
Bilgehan Erkut
Keyword(s):  
Laser Ablation ◽  
Venous Insufficiency ◽  
Clinical Severity ◽  
Life Questionnaire ◽  
Compression Stockings ◽  
Cyanoacrylate Glue ◽  
Endovenous Laser Ablation ◽  
Saphenous Veins ◽  
Venous Clinical Severity Score

Summary: Background: Endovenous cyanoacrylate ablation is a new technique for the treatment of clinically symptomatic venous insufficiency. The results of a prospective comparative study of cyanoacrylate glue versus endovenous laser ablation for the management of incompetent great saphenous veins are presented. Patients and methods: A total of 400 subjects were treated with cyanoacrylate ablation or endovenous laser ablation between April 2014 and April 2016. The preprocedural, procedural, postprocedural, and follow-up data were recorded and compared. Results: There were 208 procedures in cyanoacrylate ablation group (CAA) and 204 in endovenous laser ablation group (EVLA). Operative time was 13 ± 3.4 minutes in the CAA and 31.7 ± 8.8 minutes in the EVLA (< 0.001). All procedures in both groups were successful, and the target vein segments were fully occluded at the end of the procedure. Periprocedural pain was less in the CAA (< 0.001). Enduration, ecchymosis, and paresthesia rates were significantly higher in the EVLA (< 0.001). The mean length of follow-up was 14 months (range 10–16). The 3, 6 and 12 months closure rates were 97.4%, 95.6%, and 94.1% for EVLA and 98.6%, 97.1% and 96.6% for CAA respectively. In both groups, the Venous Clinical Severity Score and Chronic Venous Insufficiency Quality of Life Questionnaire with declined significantly with no difference between groups. Conclusions: Management of incompetent great saphenous veins both endovenous cyanoacrylate ablation and laser ablation results in high occlusion rates. Endovenous cyanoacrylate ablation technique is fast and simple with low periprocedural pain that does not require tumescent anesthesia and compression stockings.

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