Endovenous laser ablation (EVLA) performed with 1470 nm laser: long term outcomes and comparison with 980 nm laser

Ahn, Sun Ho; Gill, Gerald; Prince, Ethan A.; Soares, Gregory M.; Zandt, B. Van; Dubel, Gregory J.; Marshall, D.S.; Reddy, Sanjay S.

doi:10.1016/j.jvir.2013.01.358

Cited by 2 publications

(2 citation statements)

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“…The rates of successful EVLA closure of the GSV are high with most published rates ranging between 90 and 98% at 2 years or more 16 with some suggestion of improved long-term closure rates with the 1,470-nm fiber versus a 910-nm fiber. 17 Published closure rates with perforator veins are in excess of 94%. 18 Endovenous procedures (RFA, EVLA, and ultrasound-guided foam injection) have all demonstrated improvement in venous symptom scores in controlled trials.…”

Section: Resultsmentioning

confidence: 99%

Varicose Veins and Lower Extremity Venous Insufficiency

DePopas¹,

Brown²

2018

Semin intervent Radiol

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Lower extremity venous insufficiency and varicose veins are common conditions, affecting up to 25% of women. Herein, we review the pathophysiology of lower extremity venous insufficiency and varicose veins, the epidemiology of varicose veins, clinical diagnosis, and ultrasonographic diagnosis. We also discuss treatment rationale, algorithms, and techniques, with a focus on endovenous great saphenous vein ablation.

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Section: Resultsmentioning

confidence: 99%

Varicose Veins and Lower Extremity Venous Insufficiency

DePopas¹,

Brown²

2018

Semin intervent Radiol

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“…Another advantage of radial fibres compared with bare fibres is a lower incidence of skin bleeding and decreased pain, probably secondary to the fact that vein perforation is unlikely [33,34]. The reported efficacy with the 1470 nm diode laser using radial fibres is high, with short-term (<1 year) ultrasonographically proven occlusion rates that vary between 91 and 100% [33][34][35][36][37][38][39], and mid-term ultrasound data after 1 year demonstrate that in the majority of cases the treated vein segment disappears completely [36]. The most common reported side effects are haematomas/ ecchymoses and pain with or without induration in the re-gion of the treated vein.…”

Section: Endovenous Laser Ablationmentioning

confidence: 99%

Varicosities of the lower extremity, new approaches: cosmetic or therapeutic needs?

Spinedi

Uthoff²,

Partovi

et al. 2016

Swiss Med Wkly

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Varicose veins of the lower extremity (VVLE) are a frequently encountered vascular disorder in the general population. The general view that VVLE are a non-serious disease with primarily aesthetic impact is a common misconception, as the disease can have a significant negative impact on generic and disease-specific quality of life. Further, VVLE may be associated with potentially threatening clinical conditions, such as chronic venous ulceration, venous thromboembolism and haemorrhage from ruptured varicose veins. In the case of symptomatic varicose veins, in the presence of advanced lower limb skin changes or when venous complications occur, a referral for dedicated evaluation by the vascular medicine specialist is recommended. The initial diagnostic test of choice to detect the extent of the varicose disease and to plan treatment is duplex ultrasound. Traditionally, compression therapy, surgical high ligation and stripping of the truncal veins have been considered standard of care for VVLE. Driven by the aim to reduce surgical trauma and improve the long-term effectiveness, minimally invasive treatment options have been developed in the last two decades, namely endovascular vein ablation techniques (EVA). Endovenous laser ablation and radiofrequency ablation have been established as first-line treatments for varicose veins associated with axial reflux on the basis of the most recent international guidelines. For practical purposes and depending on the concrete clinical situation, the various EVA and surgical techniques are often combined, leading to multimodal varicose vein therapy management. Knowledge of the different techniques is of utmost importance for the vascular medicine specialist. The purpose of this article is to provide an overview of the new EVA techniques and to elucidate the different therapeutic strategies for VVLE.

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Endovenous laser ablation (EVLA) performed with 1470 nm laser: long term outcomes and comparison with 980 nm laser

Cited by 2 publications

References 0 publications

Varicose Veins and Lower Extremity Venous Insufficiency

Varicose Veins and Lower Extremity Venous Insufficiency

Varicosities of the lower extremity, new approaches: cosmetic or therapeutic needs?

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