| Endovenous laser ablation of varicose veins after direct percutaneous puncture: early results. | |
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MedLine Citation:
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PMID: 17903158 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although endovenous laser ablation has been demonstrated to effectively occlude incompetent saphenous veins, it does not treat branch varicosities directly. OBJECTIVE: The objective was to evaluate the technical feasibility and early results of the direct ablation of branch varicosities using a 980-nm diode laser. MATERIALS AND METHODS: From July to August 2005, 17 patients (21 limbs; male:female ratio, 7:10; mean age, 50.1 years; range, 24-62 years) with varicose veins were enrolled in this study. Endovenous laser ablation was performed in incompetent saphenous veins. Thereafter, branch varicosities were percutaneously punctured and a direct laser ablation was performed using a 400-microm laser fiber. Patients were evaluated at 1 week and at 1-, 3-, and 6-month intervals. RESULTS: Technical success in branch varicosities was achieved in 11 of 15 limbs (71.4%). Continued closure of treated saphenous veins was evident in 11 of 11 limbs (100%) at 1-month follow-up. Successful ablation in varicose tributaries was seen in 6 of 11 limbs (54.5%) at 1-month follow-up and ablation failed in 5 limbs. One of the 11 limbs (9%) had a skin burn that required treatment. CONCLUSION: Despite partly successful occlusion, we suggest that direct laser ablation cannot replace classic methods of treating branch varicosities, because of its high failure rate and the risk of skin burns. |
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Authors:
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Sang Woo Park; Ik Jin Yun; Jae Joon Hwang; Song Am Lee; Jun Seok Kim; Seong-Hwan Chang; Hyun Keun Chee; Suk Joo Hong |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] Volume: 33 ISSN: 1076-0512 ISO Abbreviation: Dermatol Surg Publication Date: 2007 Oct |
Date Detail:
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Created Date: 2007-10-01 Completed Date: 2007-11-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9504371 Medline TA: Dermatol Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1243-9 Citation Subset: IM |
Affiliation:
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Department of Radiology, Konkuk University Hospital, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Catheter Ablation / methods* Female Humans Laser Therapy / methods* Male Middle Aged Postoperative Complications Prospective Studies Saphenous Vein / surgery* Treatment Outcome Varicose Veins / pathology, surgery* |
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