| Endovenous laser ablation for saphenous vein insufficiency: immediate and short-term results of our first 60 procedures. | |
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MedLine Citation:
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PMID: 17846992 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Saim Yilmaz; Kağan Ceken; Ahmet Alparslan; Timur Sindel; Ersin Lüleci |
Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Diagnostic and interventional radiology (Ankara, Turkey) Volume: 13 ISSN: 1305-3825 ISO Abbreviation: - Publication Date: 2007 Sep |
Date Detail:
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Created Date: 2007-09-11 Completed Date: 2007-10-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101241152 Medline TA: Diagn Interv Radiol Country: Turkey |
Other Details:
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Languages: eng Pagination: 156-63 Citation Subset: IM |
Affiliation:
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Department of Radiology, Akdeniz University School of Medicine, Antalya, Turkey. ysaim@akdeniz.edu.tr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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