Early Experience of Endovenous Laser Ablation with 980 nm Diode Laser for Primary Varicose Veins in Single Center

Background Endovenous Laser Ablation (EVLA) is one of the most accepted treatment options for varicose veins. The aim of this study was to investigate the efficacy and safety of the new radial fiber slim (ELVeS-radial-slim kit™) for the 1470 nm diode laser in perforator veins with a 1 month follow-up. Methods Our prospective observational cohort study comprised 69 perforating veins in 55 patients. Ninety percent of all patients were in the CEAP-stage C3-C6. The radial fiber slim was used to occlude the perforating vein and the great or small saphenous vein in the same procedure. The primary efficacy endpoint of the study was ultrasonographically proven elimination of venous reflux in the perforating vein after at least one month. Secondary efficacy and further safety end points after one month were as follows: (1) sonographic exclusion of recanalization of the treated vein segments, (2) deep vein thrombosis (DVT), clinical pulmonary embolism (PE), or superficial vein thrombosis (SVT) as defined by objective testing, (3) death from any cause, (4) persistent clinical complaints such as pain and paresthesia. Results Follow-up could be completed in all patients. In all treated perforating varicose veins, occlusion with elimination of reflux could be demonstrated immediately after the procedure. After one month 95.6% of the treated veins were still occluded (67/69). During follow-up, we did not diagnose any DVT, PE or SVT in the area related to the treated perforating vein. No patient died. One patient reported paresthesia distally of the puncture site. Conclusion Endovenous laser treatment of varicose perforating veins with 1470 nm diode laser using the radial fiber slim is effective and safe with low recanalization rates during 1-month follow-up.

Download Full-text

Endovenous laser ablation of great saphenous veins using a 1470 nm diode laser and the radial fibre – follow-up after six months

Phlebology The Journal of Venous Disease ◽

10.1258/phleb.2010.009096 ◽

2010 ◽

Vol 26 (1) ◽

pp. 35-39 ◽

Cited By ~ 65

Author(s):

F Pannier ◽

E Rabe ◽

J Rits ◽

A Kadiss ◽

U Maurins

Keyword(s):

Laser Ablation ◽

Diode Laser ◽

Laser Energy ◽

Varicose Veins ◽

Compression Stockings ◽

Efficient Treatment ◽

Endovenous Laser Ablation ◽

Saphenous Veins ◽

Bare Fibre

Background Endovenous laser ablation (EVLA) is an efficient method to treat insufficient great saphenous veins (GSV) with high occlusion rates.1–5 Most studies used 810, 940 or 980 nm diode lasers and a bare fibre.1,2,6 Moderate postoperative pain and bruising are frequent findings.2,6 Laser systems with higher wavelengths like 1470 nm with a higher absorption in water show less pain and bruising after the procedure.7–9 A newly-developed fibre (radial fibre, Biolitec) emits the laser energy radially around the tip directly into the venous wall contrary to the bare fibre.9 The aim of this study was to demonstrate the outcome and side-effects after EVLA of GSV with a 1470 nm diode laser (Ceralas E, Biolitec) by using the radial fibre. Methods Non-randomized, prospective study including 50 unselected limbs of 50 patients with a duplex sonographically verified incompetent GSV. EVLA was performed with a 1470 nm diode laser (Ceralas E, Biolitec) and a radial fibre. In the same session all insufficient tributaries were treated by phlebectomy. Tumescent local anaesthesia with 0.05% lidocaine was applied perivenously. Laser treatment was carried out in a continuous mode with a power of 15 W. Compression stockings (30 mmHg) were applied for one month. Postinterventional checkups took place one, 10, 30 days and six months after the procedure. Results Three patients were lost to follow-up. The average linear endovenous energy density (LEED) was 90.8 J/cm vein (SD 35.3). At the six month follow-up all treated veins remained occluded and no new reflux in the treated segments occurred. No recurrent varicose veins had occurred so far. No severe complications such as deep venous thrombosis could be detected. In four patients at 30 days and three patients at six months local paresthesia occurred in the region of EVLA. Forty-four percent of patients did not have any pain after the treatment and 50% did not take any analgesic tablets at any time after the procedure. Postoperative ecchymoses in the track of the treated GSV was rare. In 80% of the limbs, no ecchymoses was observed after the treatment. Conclusion EVLA of GSV with a radially emitting laser fibre by using a 1470 nm diode laser is a safe and efficient treatment option.

Download Full-text

Efficacy and Complications of Endovenous Laser Ablation for Great Saphenous Varicose Veins with a 980 nm Diode Laser

The Japanese Journal of Phlebology ◽

10.7134/phlebol.412 ◽

2013 ◽

Vol 24 (4) ◽

pp. 396-402

Author(s):

Naoki Konagai

Keyword(s):

Laser Ablation ◽

Diode Laser ◽

Varicose Veins ◽

Endovenous Laser Ablation

Download Full-text

Bare Tip versus Radial Endovenous Laser Ablation for the Treatment of Primary Varicose Veins

Suez Canal University Medical Journal ◽

10.21608/scumj.2016.116169 ◽

2016 ◽

Vol 19 (2) ◽

pp. 174-183

Author(s):

Sherif Reffat ◽

Mohammed El Yamani ◽

Ahmed Taha ◽

El-Sayed El-Zayat

Keyword(s):

Laser Ablation ◽

Varicose Veins ◽

Endovenous Laser Ablation ◽

Primary Varicose Veins

Download Full-text

Evaluation of Endovenous Laser Ablation in Management of Varicose Veins

QJM ◽

10.1093/qjmed/hcaa071.001 ◽

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.

Download Full-text