Document Detail


Endovenous laser ablation for saphenous vein insufficiency: immediate and short-term results of our first 60 procedures.
MedLine Citation:
PMID:  17846992     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To present the immediate and short-term results of our first 60 endovenous laser (EVL) ablation procedures. MATERIALS AND METHODS: Between July 2005 and December 2006, 60 EVL ablations were performed in 36 symptomatic patients (26 females, 10 males; mean age +/- SD, 46 +/- 14 years). The incompetent veins included the great saphenous vein (GSV) (n = 52), small saphenous vein (n = 6), and major branches of the GSV (n = 2). In all cases incompetent veins were punctured under ultrasound (US) guidance and the laser fiber was placed into these veins through a vascular sheath or with the help of a catheter. After tumescent anesthesia was administered, the veins were ablated with laser by delivering 50-100 joules/cm energy to the vein wall. Following EVL ablations, 29 patients also underwent foam sclerotherapy to treat the remaining varicosities. After the EVL ablation +/- sclerotherapy, patients were followed- up with Doppler US at 1 week, and then 3, 6, and 12 months post procedure. RESULTS: In all patients EVL ablation was technically successful. Complications were minor and included transient visual disturbance due to foam sclerotherapy (n = 1), bruising/ ecchymoses (n = 24), postoperative pain (n = 16), and superficial thrombophlebitis (n = 6). All patients returned to normal activity within 2 days. During the 7 +/- 5 months (mean +/- SD) of follow-up, recurrent reflux was seen in only one patient, in both GSVs, which was successfully treated with foam sclerotherapy. CONCLUSION: EVL ablation is a safe and effective method for the management of saphenous vein insufficiency.
Authors:
Saim Yilmaz; Kağan Ceken; Ahmet Alparslan; Timur Sindel; Ersin Lüleci
Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  13     ISSN:  1305-3825     ISO Abbreviation:  -     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-09-11     Completed Date:  2007-10-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  156-63     Citation Subset:  IM    
Affiliation:
Department of Radiology, Akdeniz University School of Medicine, Antalya, Turkey. ysaim@akdeniz.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Humans
Laser Coagulation / utilization*
Male
Middle Aged
Saphenous Vein*
Severity of Illness Index
Turkey / epidemiology
Ultrasonography, Interventional / utilization*
Venous Insufficiency / epidemiology*,  etiology,  pathology,  surgery*,  ultrasonography

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