Endovenous ablation with 940 nm laser for the treatment of the great saphenous vein insufficiency: the short-mid term results

Memetoğlu, Mehmet Erdem; Kurtcan, Serpil; Erbasan, Ozan; Özel, Deniz

doi:10.4261/1305-3825.dir.4234-11.2

Cited by 15 publications

(16 citation statements)

References 18 publications

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“…A range of DVT incidences have been reported according to the type of venous procedure: 0.4 %-5.3 %, following saphenofemoral junction (SFJ) ligation and great saphenous vein (GSV) stripping [2][3][4]; 0.7-16 % following radiofrequency ablation (RFA) [5][6][7]; 1 % following endovenous laser ablation (EVLA) [5,8]; and 1-3 % following foam sclerotherapy [9].…”

Section: Introductionmentioning

confidence: 99%

Risk of venous thromboembolism following surgical treatment of superficial venous incompetence

Barker

Evison

Benson

et al. 2017

Vasa

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Summary:Background: The invasive management of varicose veins has a known risk of post-operative deep venous thrombosis and subsequent pulmonary embolism. The aim of this study was to evaluate absolute and relative risk of venous thromboembolism (VTE) following commonly used varicose vein procedures. Patients and methods: A retrospective analysis of secondary data using Hospital Episode Statistics database was performed for all varicose vein procedures performed between 2003 and 2013 and all readmissions for VTE in the same patients within 30 days, 90 days, and one year. Comparison of the incidence of VTEs between procedures was performed using a Pearson's Chi-squared test. Results: In total, 261,169 varicose vein procedures were performed during the period studied. There were 686 VTEs recorded at 30 days (0.26 % incidence), 884 at 90 days (0.34 % incidence), and 1,246 at one year (0.48 % incidence). The VTE incidence for different procedures was between 0.15-0.35 % at 30 days, 0.26-0.50 % at 90 days, and 0.46-0.58 % at one year. At 30 days there was a signifi cantly lower incidence of VTEs for foam sclerotherapy compared to other procedures (p = 0.01). There was no difference in VTE incidence between procedures at 90 days (p = 0.13) or one year (p = 0.16). Conclusions: Patients undergoing varicose vein procedures have a small but appreciable increased risk of VTE compared to the general population, with the effect persisting at one year. Foam sclerotherapy had a lower incidence of VTE compared to other procedures at 30 days, but this effect did not persist at 90 days or at one year. There was no other signifi cant difference in the incidence of VTE between open, endovenous, and foam sclerotherapy treatments. Keywords: Varicose veins, vascular surgical procedures, thrombosis, embolusThe wide range of reported incidences may be accounted for by the varying length of follow-ups in the studies and by whether routine duplex scanning was performed postoperatively or it was relied upon the development of clinical features of a DVT. The signifi cance of duplex identifi ed DVTs in the absence of clinical signs is uncertain; however, one series examining this problem reported no instances of a patients with early positive duplex fi ndings developing a clinical DVT on long term follow-up [3].The relative risk of DVT following diff erent VV procedures is currently unknown. NICE guidelines have highlighted the lack of large cohorts and high quality evidence, investigating this phenomenon, as the available evidence is limited to comparisons between two procedure types, with relatively small cohorts leading to identifi cation of sporadic events, which preclude in-depth statistical analysis. Currently the only reported comparisons are the ones between RFA and EVLA, which demonstrate no signifi cant diff erence in the incidence of DVT between these two procedures [5,10].

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Section: Introductionmentioning

confidence: 99%

Risk of venous thromboembolism following surgical treatment of superficial venous incompetence

Barker

Evison

Benson

et al. 2017

Vasa

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“…A success rate of 100% one week after EVLA and a success rate of >90% on one-year and three-year follow-up have been reported in most series since then (22)(23)(24)(25). Freedom from recurrent varicose veins was achieved in 79% of patients after a fiveyear follow-up in a randomized trial (26).…”

Section: Treatment Outcomementioning

confidence: 91%

Endovenous laser ablation for the treatment of varicose veins

Oğuzkurt¹

2011

Diagn Interv Radiol

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“…Mūsų atliktame retrospektyviniame tyrime recidyvų yra labai nedaug, palyginti su literatūros duomenimis [7,9,11,15]. Didesnių komplikacijų, tokių kaip tromboflebitas, giliųjų venų trombozė, odos nudegimai, neužregistravome.…”

Section: Rezultatų Aptarimas (Diskusija)unclassified

Recidyvai Po Poodžio Venų Varikozės Gydymo Endovaskuliniu Lazeriu

Markevičius¹,

Sudikas²,

Gutauskas

et al. 2014

Medicinos Teorija Ir Praktika

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SANTRAUKAReikšminiai žodžiai: endovaskulinė, recidyvas, chirurgija, venos, varikozė. Tikslas. Nustatyti poodžio venų varikozės recidyvų dažnį, atsirandantį po endoveninės lazerinės chirurgijos operacijų. Tyrimo medžiaga ir metodai. Tyrimas retrospektyvinis, atliktas Vilniaus miesto klinikinėje ligoninėje. Buvo ištirti 2011-2013 m. lazeriu operuoti 555 pacientai (598 apatinės galūnės) C3-C4 pagal CEAP stadijos. Operacijos metu panaudotos lazerio energijos kiekis svyravo nuo 7 J iki 9 J vienam mm venos spindžio. Pacientai vertinti kliniškai ir dvigubu ultragarso skenavimu prieš operaciją ir 1-3 metai po jos. Vertinta veninė kraujotaka tik operuotoje galūnėje. Gydytos galūnės vertintos kaip atskiri atvejai. ABSTRACTKey words: endovascular, relapse, surgery, veins ,variuosis. Objective. To determine the rate of recurrence of the varicose veins after endovenous laser treatment. Materials and methods. The retrospective analysis in Vilnius' city clinical hospital was made. 555 patients (598 limbs) were treated for varicose veins in 2011-2013. Selected patients were in C3-C4 stages of chronic venous disease (CEAP). From 7 J to 9 J of energy was used during the operation for 1 mm of vein's length. Clinical and ultrasound tests were performed before and 1-3 years after the operation. Only limbs which were treated were evaluated. Results were analysed in limbs as separate cases. Results. 102 men (18 %) and 453 women (82 %) were treated. Mean age was 49,7 ± 12,8. Dispersion was from 18 to 87. Reflux before intervention was determined in vena saphena magna (96 %); vena saphena parva (3 %); in both veins -1 % of cases. The rate of recurrences was 0,5 %.Conclusions. There were no major compications in the follow up period. The rate cof recurrences was 0,5 proc. In all cases recanalization after endovenous laser treatment occured in women. ĮVADASLazeriai medicinos srityje taikomi nuo 1960 metų kraujagyslių malformacijoms gydyti. 1998 m. Ispanijoje pirmą kartą lazeris panaudotas išsiplėtusioms kojų venoms gydyti.Per mažą pjūvį kateteris su lazeriu įstumtas į išsiplėtusios venos spindį ir atlikta užakinanti operacija.Endovaskulinis gydymas lazeriu šiuo metu labai paplitęs tarp minimaliai invazyvių operacijų ir plačiai naudojamas

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Endovenous ablation with 940 nm laser for the treatment of the great saphenous vein insufficiency: the short-mid term results

Cited by 15 publications

References 18 publications

Risk of venous thromboembolism following surgical treatment of superficial venous incompetence

Risk of venous thromboembolism following surgical treatment of superficial venous incompetence

Endovenous laser ablation for the treatment of varicose veins

Recidyvai Po Poodžio Venų Varikozės Gydymo Endovaskuliniu Lazeriu

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