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Endovenous ablation of incompetent saphenous veins with a new 1,540-nanometer diode laser and ball-tipped fiber.
- Source :
-
Annals of vascular surgery [Ann Vasc Surg] 2014 Apr; Vol. 28 (3), pp. 686-94. Date of Electronic Publication: 2013 Oct 26. - Publication Year :
- 2014
-
Abstract
- Background: Endovenous laser ablation (EVLA) is an efficient method to treat incompetent saphenous veins with high occlusion rates. The major side effects are postoperative pain and bruising. Laser systems with higher wavelengths, associated with new energy delivery devices, have recently shown excellent short-term results, while reducing the previously reported side effects. The aim of this study is to show the first outcome after EVLA of incompetent saphenous veins with a newly developed ball-tipped fiber and a new wavelength 1,540-nm diode laser.<br />Methods: Forty-five incompetent saphenous veins in 35 patients (27 women) were treated: 33 great saphenous veins, 6 short saphenous veins, and 6 anterior saphenous veins. The gravity of chronic venous disease was determined according to the clinical-etiology-anatomy-pathophysiology (CEAP) classification, and the severity of symptoms was scored according to the revised Venous Clinical Severity Score. Patient satisfaction was assessed on a 0-3 scale.<br />Results: The average linear endovenous energy density was 63.5 J/cm of vein length. Patients returned to daily activities after a mean of 1.7 days (SD: 2) after treatment. The modified CEAP clinical severity score improved drastically from a preintervention mean of 4.9 (SD: 2.6) to 0.17 (SD: 0.38) at day 30. During the follow-up period (mean: 168 days [range: 90-240 days]), all the veins were occluded. All patients except 1 were satisfied or very satisfied with the method. No severe complications occurred. Two patients (5%) developed mild paresthesia in the treated area, which spontaneously resolved after 3 months. Postoperative ecchymoses are frequent (83%). Sixteen patients (43%) experienced pain, but only 5 patients (14%) described it as quite intense and required analgesic therapy.<br />Conclusion: EVLA of saphenous veins with a 1,540-nm diode laser using a ball-tipped fiber is a safe and efficient therapy option, with a high success rate in the early postoperative period.<br /> (Copyright © 2014 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Aged
Equipment Design
Female
Humans
Laser Therapy adverse effects
Male
Middle Aged
Patient Satisfaction
Postoperative Complications etiology
Retrospective Studies
Saphenous Vein diagnostic imaging
Severity of Illness Index
Time Factors
Treatment Outcome
Ultrasonography, Doppler, Duplex
Venous Insufficiency diagnosis
Laser Therapy instrumentation
Lasers, Semiconductor
Saphenous Vein surgery
Surgical Instruments
Venous Insufficiency surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1615-5947
- Volume :
- 28
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Annals of vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 24556184
- Full Text :
- https://doi.org/10.1016/j.avsg.2013.06.033