Is There Recanalization of the Great Saphenous Vein 2 Years After Endovenous Laser Treatment?

Abstract

EVLT is a feasible, safe, and fast procedure for eliminating GSV reflux and has excellent cosmetic results. Despite the learning curve, we believe that the treatment results are promising. When successful treatment is achieved by EVLT, a prospective follow-up of 2 years demonstrates durable results.

Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

“…The incidence of postinterventional phlebitis is lower in our patient group (1.4%) than it was reported for EVLT (2-6%) [19][20] . Paresthesia was found in 4.2% of treated veins and was independent of follow-up time.…”

Endovenous laser therapy – application studies and latest investigations

“…In a number of studies, however, the incidence of post-operative ecchymosis and hematoma is reported in 60-80% of patients [3,4]. Phlebitis of the truncal vein is observed in 2.8% of patients but some studies reported a significantly higher incidence of up to 17.2% [21]. Further complications such as persistent dysesthesia after nerve lesions (0.8%), burns on the skin (0.5%), thrombus propagation in the deep vein system (0.2%) or pulmonary thrombosis (0.02%) are relatively seldom observed [19].…”

Fluoroscopy-Guided Endovenous Foam Sclerotherapy Using a Microcatheter in Varicose Tributaries Followed by Endovenous Laser Treatment of Incompetent Saphenous Veins

“…17 The third problem is the failure of guide wire advancement because of a stenotic segment in the saphneous vein due to thrombophlebitis and a tortuous and enlarged saphenous vein. 6 Difficulty in advancing the wire and guiding the catheter into the intended site of the saphenous vein due to venospasm and tortuosity of the saphenous vein was encountered in this study, but the problem was overcome by using the fluoroscopic guidance during a gentle wire technique, and we were successful in all cases except one in the advancement of the guide wire and catheter at the desired site without a second cannulation or venous perforation. One failed case was with the failed initial access to the saphenous vein.…”