Endovenous laser ablation for the treatment of varicose veins

Oğuzkurt, Levent

doi:10.4261/1305-3825.dir.5248-11.0

Cited by 20 publications

(27 citation statements)

References 33 publications

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“…Femoral blok hızlı mobilizasyon sağlayarak, yetmezlikli venlerin tedavileri sonrasında derin ven trombozu riskini azaltmaktadır (1)(2)(3)(4)6). Çalışmamızda, femoral blok grubunda motor blokaj anlamlı olarak daha düşük oranda saptandı.…”

Section: Discussionunclassified

“…Giriş E ndovasküler lazer ablasyon yöntemi, yüzeyel venöz yetersizliğin tedavisinde cerrahiye alternatif olan minimal invazif bir yöntemdir (1)(2)(3)(4)(5). Bu işlem ile endotelde termal hasar yaratılarak oklüzyon oluşturulmaktadır.…”

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“…Derin anestezi diğer yandan, safen ve sural sinirlerde istenmeyen hasarlara neden olabilmektedir (6). Endövenöz lazer ablasyon işlemi sırasında genel anestezi, epidural anestezi, hemispinal blok, femoral blok, siyatik blok ve bilinçli sedasyon gibi değişik anestezi yöntemleri uygulanmıştır (1)(2)(3)(4)(5)(6)(7)(8). Genel anestezinin bulantı-kusma, boğaz ağrısı ve miyalji gibi yan etkileri, santral blokların postoperatif bel ağrısı, postdural baş ağrısı, postural hipotansiyon ve bilinçli sedasyonun ise solunum depresyonu ve taburculuk süresini uzatması gibi yan etkileri mevcuttur (9, 10).…”

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The Efficacy of Femoral Block and Unilateral Spinal Anaesthesia on Analgesia, Haemodynamics and Mobilization in Patients undergoing Endovenous Ablation in the Lower Extremity

Öztürk

Çevikkalp

Nizamoglu

et al. 2016

Turk J Anaesth Reanim

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Section: Discussionunclassified

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The Efficacy of Femoral Block and Unilateral Spinal Anaesthesia on Analgesia, Haemodynamics and Mobilization in Patients undergoing Endovenous Ablation in the Lower Extremity

Öztürk

Çevikkalp

Nizamoglu

et al. 2016

Turk J Anaesth Reanim

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“…Bruising, tenderness, and pain are usually seen in the first one or two weeks after EVLA treatment. Anti-inflammatory drugs and compression stockings reduce these minor complications (18). The other important factor in EVLA treatment is the energy density (8,10).…”

Section: Discussionmentioning

confidence: 99%

The effect of laser wavelength on postoperative pain score in the endovenous ablation of saphenous vein insufficiency

Duman

Yıldırım²,

Saba³

et al. 2013

Diagn Interv Radiol

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ORIGINAL ARTICLE PURPOSE Endovenous laser ablation has replaced surgical methods in the treatment of saphenous insufficiency. The aims of this study were to compare the effectiveness of 1470-and 980-nm wavelength (WL) laser systems, to compare the postoperative complication rates, and to determine the effect of laser WL on postoperative pain scores. MATERIALS AND METHODSBetween October 2010 and November 2011, 79 consecutive patients with saphenous vein insufficiency were examined. The patients who received the 980-nm treatment were defined as Group 1; 54 extremities of 47 patients were treated in this group. The patients who received the 1470-nm treatment were defined as Group 2; 36 extremities of 32 patients were treated in this group. RESULTSEarly technical success was 100% in both groups. Both major and minor complications were seen in Group 2. The complications in Group 1 were mostly major; however, three minor complications were reported in this group. The complication rates of the two groups were not significantly different. There was no statistically significant difference between the pain scores of the two groups. CONCLUSION Early postoperative pain was the major factor that impaired quality of life. There was no relationship between the postoperative pain scores and laser WL or energy density. The laser WL did not affect technical success or occurrence of complications. Use of a suitable energy density resulted in complete occlusion in all patients with saphenous vein insufficiency. Lower extremity venous insufficiency is a very common medical condition that affects approximately 25% of females and 15% of males (1). Great saphenous vein reflux is the most common underlying cause of symptomatic varicose veins. Other causes are reflux in other truncal veins, such as the small saphenous vein, the anterior or posterior thigh circumflex vein, the Giacomini vein, and perforating veins. Treatment options for varicose veins include conservative management, minimally invasive procedures, and surgery.In 1999, Salat (2) first reported the delivery of endoluminal laser energy with an 810-nm diode laser for the treatment of varicose veins. Early success with this device prompted development of other devices that supplied wavelengths (WLs) more specific to the hemoglobin chromophore (810-, 940-, and 980-nm devices) in an effort to achieve 100% saphenous vein closure (2-7). In contrast to these laser systems, the 1320-and 1470-nm WL laser systems affect interstitial water (8, 9). Goldman (6) introduced the 1320-nm WL, which better exploits water as the energy-absorbing molecule. Two comparative studies indicated that patients treated with water-specific laser WLs reported less postoperative pain, used less painkillers, and were less likely to have ecchymosis (8, 10).There is increasing focus on reducing postoperative pain and bruising, while maintaining high saphenous vein ablation rates. Because the 1470-nm WL is absorbed by water at a level 40-times more than the 980-nm WL, the manufacturer hypothesized that it woul...

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“…inimally invasive treatment modalities that were developed in the last decade have simplified the treatment of varicose veins (1,2). Proper evaluation of the venous system is crucial to the appropriate treatment of venous disorders.…”

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confidence: 99%

Sonographic anatomy of the lower extremity superficial veins

Oğuzkurt

2011

Diagn Interv Radiol

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A simple, precise, and consistent anatomical terminology is necessary for evaluating and treating patients with varicose veins. A clear understanding of the anatomy is also very important to correctly diagnose and perform the best treatment for varicose veins. Because the anatomy depicted by ultrasonography has many variations, anatomic definition for at least some of the veins still require clarification. Studies focusing on different segments of the veins are needed to obtain detailed anatomical knowledge given this great variability.

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Endovenous laser ablation for the treatment of varicose veins

Cited by 20 publications

References 33 publications

The Efficacy of Femoral Block and Unilateral Spinal Anaesthesia on Analgesia, Haemodynamics and Mobilization in Patients undergoing Endovenous Ablation in the Lower Extremity

The Efficacy of Femoral Block and Unilateral Spinal Anaesthesia on Analgesia, Haemodynamics and Mobilization in Patients undergoing Endovenous Ablation in the Lower Extremity

The effect of laser wavelength on postoperative pain score in the endovenous ablation of saphenous vein insufficiency

Sonographic anatomy of the lower extremity superficial veins

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