Minimally invasive treatment of varicose veins: Endovenous laser ablation (EVLA)

Galanopoulos, Georgios; Lambidis, Constantinos

doi:10.1016/j.ijsu.2012.02.013

Cited by 38 publications

(39 citation statements)

References 33 publications

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“…They analyze variables such as the wavelength and energy employed, the velocity at which the laser is applied, and different types of optical fibers. 10 The laser light emitted from the generator causes a thermal reaction in which the laser energy delivered is captured by the intracellular water in the endothelial cells of the saphenous vein. This mechanism of action can be regulated by physical parameters, such as wavelength, method of energy administration, and quantity of energy per surface area.…”

Section: Discussionmentioning

confidence: 99%

“…5,6 Of these, EVLA stands out for its favorable results in terms of saphenous closure rates, patient satisfaction, and reduced post-procedure morbidity. 3,8,9 In view of the growing acceptance of EVLA as an alternative method to stripping for treatment of CVI, 10 this study was conducted with the intention of elucidating what influence linear endovenous energy density (LEED) has on the outcome of the procedure at 30 days.…”

Section: Introductionmentioning

confidence: 99%

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Influência da densidade de energia endovenosa linear no sucesso da termoablação endovenosa a laser como tratamento da insuficiência venosa crônica

Heineberg¹,

Brandão²,

Caron³

et al. 2019

J. vasc. bras.

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Resumo Contexto Mostra-se relevante a elucidação da influência da densidade de energia endovenosa linear (linear endovenous energy density, LEED) média no sucesso do tratamento da insuficiência venosa crônica por termoablação endovenosa a laser visando diminuir a morbidade desse método. Objetivos Avaliar a influência da LEED média na prevalência de fechamento das safenas após 30 dias do procedimento. Métodos Foram analisados 153 membros inferiores de 118 pacientes de um hospital referência, submetidos a termoablação com laser endovenoso 1470 nm sob anestesia local para o tratamento de insuficiência venosa crônica. Foi calculada a LEED média dos pacientes tratados para determinar se foi necessária uma energia maior que a média para o sucesso do tratamento. Resultados Dos 153 membros inferiores submetidos ao tratamento, houve diferença significativa (p = 0,021) no fechamento da junção safeno-femoral relacionada à LEED média utilizada acima do joelho. Por outro lado, no segmento de coxa não houve diferença significativa. Conclusões A LEED acima da média de 70,57 J/cm apresentou um índice maior de fechamento na junção safeno-femoral. Porém, no segmento de coxa, a densidade não influenciou o resultado, demonstrando que uma energia mais alta do que 70,57 J/cm tende a não ser necessária para o tratamento desse segmento.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Influência da densidade de energia endovenosa linear no sucesso da termoablação endovenosa a laser como tratamento da insuficiência venosa crônica

Heineberg¹,

Brandão²,

Caron³

et al. 2019

J. vasc. bras.

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“…The procedure is ensuring the sufficient venous flow. [1][2][3][4][5][6] Nonsurgical treatment such as pharmaceutical therapy and gradual compression using stocking may reduce the symptom but does not causative. In the earliest 20 th century, the treatment of limb varicose comprises the procedure of the ligation of the great saphenous vein at the femoral junction, stripping vein, sclero-therapy, and the phlebectomy.…”

Section: Introductionmentioning

confidence: 99%

“…This ablation method indicated to treat reflux both on the saphenous-femoral junction and the great saphenous vein. 2,3 Another alternative is minimal invasive therapy, such as radio-frequency ablation (RFA), which introduced in the United States, 1999. The method used thermal energy to do vein ablation in varicose.…”

Section: Introductionmentioning

confidence: 99%

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Recanalization After Radio-frequency Ablation (RFA) in Limb Varices at Dr. Cipto Mangunkusumo and Fatmawati General Hospitals from 2015- 2017

Hermansyah¹,

Pratama²,

Irfan³

2019

nrjs

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Introduction.Obesity is an independent risk factor and prognostic factor of primary breast cancer. Abundant adipose tissue would lead to an increment of blood estrogen level; thus, promoting the proliferation of cancer cells, especially those with positive estrogen receptor (ER) and progesterone receptor (PR). No study reported the association between obesity and hormone receptor characteristics of primary breast cancer in Indonesia. Method. We collected cases of primary breast cancer, which is diagnosed and undergone immunohistochemistry examination at Cipto Mangunkusumo General Hospital in 2017. The subjects divided into obese groups and non-obese groups. The ER and PR characteristics of both groups were compared Results. We collected 202 cases of primary breast cancer, with 89 cases (44%) in the obese group and 113 cases (56%) in the non-obese group. The mean body mass index (BMI) of the subjects was 24.45±4.3. Both groups were similar in terms of age, menopausal status, stage, histopathological morphology and grade. No significant association was found between obesity and ER or PR. We analyzed the correlation between BMI and the percentage of expressed hormone receptors, but no correlation found. This finding did not conform to other Western studies. The difference in the characteristics of the subjects and other hormonal factors might contribute to the outcome. Conclusion. There is no association between obesity and hormone receptor characteristics of primary breast cancer at Cipto Mangunkusumo General Hospital in 2017.

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Virtual reality for improvement of patient experience during endovenous laser ablation for venous insufficiency

Taylor,

Plampton,

High

et al. 2024

JEADV Clinical Practice

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BackgroundChronic venous insufficiency is a commonly underdiagnosed, highly prevalent disease that causes significant patient morbidity.ObjectivesThe aim of this study is to assess the utility of virtual reality (VR) during outpatient endovenous laser ablation procedures with the goal of reducing patient‐reported anxiety or pain. The authors also sought to examine the effects on patient‐reported overall satisfaction.MethodsPatients completed a two‐part survey interrupted by an immersive VR experience. Differences in the pre‐ and post‐VR surveys were compared using a chi‐square test. The pain scores were compared using a t‐test.ResultsThe pre‐VR mean Beck Anxiety Inventory score was 1.41, decreasing post‐VR to 1.33 (a reduction of 0.08; p < 0.001). There were statistically significant differences for 3 questions including 'Are you currently feeling fear of the worst happening' (p = 0.04), 'Are you currently feeling nervous' (p < 0.001), and 'Are you currently feeling scared' (p = 0.04).ConclusionsOverall, our study demonstrates that a VR experience during endovenous laser ablations significantly improved measures of anxiety and patient satisfaction.

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Minimally invasive treatment of varicose veins: Endovenous laser ablation (EVLA)

Cited by 38 publications

References 33 publications

Influência da densidade de energia endovenosa linear no sucesso da termoablação endovenosa a laser como tratamento da insuficiência venosa crônica

Influência da densidade de energia endovenosa linear no sucesso da termoablação endovenosa a laser como tratamento da insuficiência venosa crônica

Recanalization After Radio-frequency Ablation (RFA) in Limb Varices at Dr. Cipto Mangunkusumo and Fatmawati General Hospitals from 2015- 2017

Virtual reality for improvement of patient experience during endovenous laser ablation for venous insufficiency

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