Histopathologic Studies of the Below-the-Knee Great Saphenous Vein after Endovenous Laser Ablation

Kinderen, D.J. der; Disselhoff, B C V M; Koten, Jan-Willem; Bruin, Peter C. de; Seldenrijk, Cees A.; Moll, Frans L.

doi:10.1111/j.1524-4725.2009.01317.x

Cited by 11 publications

(6 citation statements)

References 12 publications

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“…4,12,16–20 The change in the vein wall after EVLA with CW includes (1) carbonization, (2) homogeneous basophilic discoloration, (3) coagulation necrosis, and (4) loss of distinction between collagen and muscular bundles. 20 Fan and Rox-Anderson 5 said that proper EVLA histology using CW laser was collagen denaturing, but too much energy leads to bilateral charring, ablation, or perforation. The histological changes were different in EVLA using PW and CW in the present study.…”

Section: Discussionmentioning

confidence: 99%

Histological difference between pulsed wave laser and continuous wave laser in endovenous laser ablation

et al. 2014

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Section: Discussionmentioning

confidence: 99%

Histological difference between pulsed wave laser and continuous wave laser in endovenous laser ablation

et al. 2014

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“…Vascular perforation with subsequent perivascular bleeding was occasionally (<10%) seen in cases. 24…”

Section: Commentsmentioning

confidence: 99%

Local cooling effect on perforation rates comparing the 980–1470 nm laser wavelengths used with endovenous laser ablation: double blind in vitro experimental study

Tarhan¹,

Dumantepe²,

Yurdakul

et al. 2012

Phlebology

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“…Tumescence anaes- thesia is applied and the laser treatment is conducted from proximally to distally. Histological studies have shown that the result of this acute thermic exposure is damage to the intima and the inner third of the media [31]. Three months after EVLA there is the endothelium is absent and an organised thrombus has formed in the lumen [32].…”

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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Histopathologic Studies of the Below-the-Knee Great Saphenous Vein after Endovenous Laser Ablation

Abstract: Based on this histopathologic study, acute thermal damage of the below-the-knee GSV after EVLA was limited to the intima and the inner third of the media. No acute damage of perivascular nerve tissue was observed.

Cited by 11 publications

References 12 publications

Histological difference between pulsed wave laser and continuous wave laser in endovenous laser ablation

Histological difference between pulsed wave laser and continuous wave laser in endovenous laser ablation

Local cooling effect on perforation rates comparing the 980–1470 nm laser wavelengths used with endovenous laser ablation: double blind in vitro experimental study

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

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