Randomized trial comparing endovenous laser ablation of the great saphenous vein with high ligation and stripping in patients with varicose veins: Short-term results

Abstract

This study suggests that the short-term efficacy and safety of EVL and HL/S are similar. Except for slightly increased postoperative pain and bruising in the HL/S group, no differences were found between the two treatment modalities. The treatments were equally safe and efficient in eliminating GSV reflux, alleviating symptoms and signs of GSV varicosities, and improving quality of life. Long-term outcomes, particularly with respect to recurrence rates, shall be investigated in future studies, including the continuation of the present.

Clinical effectiveness and cost-effectiveness of minimally invasive techniques to manage varicose veins: a systematic review and economic evaluation

“…A series of recently published reviews in peer-reviewed journals have evaluated either individual techniques or a combination of EVLA, RFA and FS. [46][47][48][49][50][51] All reviews have suggested that these treatments may offer viable alternatives to traditional techniques; there is a non-significant difference in favour of surgery in terms of recurrence, but a significant difference in favour of the minimally invasive techniques in terms of technical failure. Serious adverse events were found to be rare.…”

“…Other important outcomes such as ulceration were rarely reported. Six reviews, [46][47][48]50,51,166 a clinical practice guideline 26 and a cost-effectiveness analysis 136 have been published since 2007 on this topic. One meta-analysis, by Leubke et al, 47 evaluated RFA alone and that by Jia et al 46 evaluated the efficacy and safety of FS alone.…”

“…Six reviews, [46][47][48]50,51,166 a clinical practice guideline 26 and a cost-effectiveness analysis 136 have been published since 2007 on this topic. One meta-analysis, by Leubke et al, 47 evaluated RFA alone and that by Jia et al 46 evaluated the efficacy and safety of FS alone. The meta-analyses published by Murad et al, 50 Luebke et al 48 and van den Bos et al 167 considered all three principal minimally invasive techniques, as well as LS, but found data only from 9, 12 and 8 relevant RCTs, respectively, with substantial duplication of included studies.…”

Influência da termoablação com baixa e alta densidade de energia na junção safeno-femoral, utilizando laser endovenoso 1470 nm

“…2,3 Over recent years, many centers all over the world have adopted endovenous treatment by thermal ablation of the great saphenous vein (GSV) with lasers and many of them consider it the first choice option for treatment of varicose veins, primarily because of the reduced incidence of adverse events during the postoperative period. 4 The laser's principal mechanism of action is provocation of a thermal reaction, which can be controlled by adjusting several physical parameters, such as wavelength, type of administration of energy, and quantity of energy per unit of surface area (fluence, expressed in Joules per square centimeter [J/cm 2 ]), which are dependent on power, duration of pulse, and surface area. The importance of this subject has prompted many studies to discuss the ideal power settings, energy density, wavelength, and laser fiber types for achieving the final objective of endovenous thermoablation.…”

Outcome of 1470nm laser diode ablation for superficial venous insufficiency

“…[12][13][14][15] Recently, new generation lasers with longer wavelengths, such as 1470 nanometers (nm), and different types of fiber optics, such as radial fibers, have begun to be adopted and are achieving even more promising results. 4,[16][17][18] The primary objective of this study is to report results of treatment for superficial venous insufficiency using a 1470 nanometer (nm) diode laser.…”