Document Detail

Endovenous laser ablation-induced complications: review of the literature and new cases.
MedLine Citation:
PMID:  19469796     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In the last decade, minimally invasive techniques have been introduced in the treatment of lower extremity varicosities. Of these therapies, endovenous laser ablation is the most widely accepted and used treatment option for insufficient great and short saphenous veins. OBJECTIVE: To present a review of reported common and rare and minor and major complications associated with endovenous laser ablation. METHODS: A systematic review of studies and case reports on endovenous laser ablation-induced complications. The complications were classified as minor or major according to the Society of Interventional Radiology Standards of Practice Committee guidelines on reporting complications. A case-series of complications after endovenous laser ablation is presented. RESULTS: Ecchymoses and pain are frequently reported side effects of endovenous laser ablation. Nerve injury, skin burns, deep vein thrombosis and pulmonary embolism seldom occur. An exceptional complication is a material or device that by accident remains inside the body after the procedure. Ecchymosis, pain, induration, skin burns, dysesthesia, superficial thrombophlebitis, and hematoma were classified as minor complications. Deep vein thrombosis and nerve injury were classified as major complications. CONCLUSION: Endovenous laser ablation may be considered a safe treatment of lower extremity varicosities. The incidence of common side effects may decrease with better laser parameters.
Renate R Van Den Bos; Martino Neumann; Kees-Peter De Roos; Tamar Nijsten
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2009-05-15
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  35     ISSN:  1524-4725     ISO Abbreviation:  Dermatol Surg     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-17     Completed Date:  2009-08-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1206-14     Citation Subset:  IM    
Department of Dermatology, Erasmus Medical Centre, Rotterdam, The Netherlands.
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MeSH Terms
Ecchymosis / etiology
Laser Therapy / adverse effects*,  methods
Middle Aged
Pain / etiology
Postoperative Complications
Saphenous Vein / surgery
Varicose Veins / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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