Endovenous Laser Ablation of the Incompetent Small Saphenous Vein with a 980-nm Diode Laser

Our Experience with 3 Years Follow-up

S. W. Park, J. J. Hwang, I. J. Yun, S. A. Lee, J. S. Kim, S. H. Chang, H. K. Chee, Suk-Joo Hong, I. H. Cha, H. C. Kim

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Purpose: To demonstrate the long-term treatment outcomes of endovenous laser ablation (EVA) of incompetent small saphenous veins (SSV) with a 980-nm diode laser. Materials and methods: Eighty-four patients (96 limbs), with varicose veins and reflux in the SSV on duplex ultrasound examination, were treated with a 980-nm diode laser under ultrasound- or fluoroscopy-guidance. Patients were evaluated at 1 week and 1, 3, 6 months, 1 year and yearly thereafter. Results: In the 96 limbs, the technical success rate was 100%. The SSV remained closed in 89 of 93 limbs (96%) after 1 month, all of 82 limbs after 6 months, 77 limbs after 1 year, 71 limbs after 2 years and 55 limbs after 3 years. In four limbs where recanalisation was observed, repeat EVA was done resulting in successful obliteration of the SSV. No major complication occurred however bruising (27%), tightness or pain (13%) and paraesthesia (4.2%) were observed. Conclusion: Endovenous laser ablation with a 980-nm laser wavelength is an easy and safe procedure in incompetent SSVs. After successful treatment, there is a very low rate of recanalisation of the SSV, which suggests that the procedure will provide lasting results.

Original languageEnglish
Pages (from-to)738-742
Number of pages5
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume36
Issue number6
DOIs
Publication statusPublished - 2008 Dec 1

Fingerprint

Semiconductor Lasers
Saphenous Vein
Laser Therapy
Extremities
Paresthesia
Fluoroscopy
Varicose Veins
Lasers
Pain

Keywords

  • Endovenous laser treatment
  • Small saphenous vein
  • Varicose veins

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Endovenous Laser Ablation of the Incompetent Small Saphenous Vein with a 980-nm Diode Laser : Our Experience with 3 Years Follow-up. / Park, S. W.; Hwang, J. J.; Yun, I. J.; Lee, S. A.; Kim, J. S.; Chang, S. H.; Chee, H. K.; Hong, Suk-Joo; Cha, I. H.; Kim, H. C.

In: European Journal of Vascular and Endovascular Surgery, Vol. 36, No. 6, 01.12.2008, p. 738-742.

Research output: Contribution to journalArticle

Park, S. W. ; Hwang, J. J. ; Yun, I. J. ; Lee, S. A. ; Kim, J. S. ; Chang, S. H. ; Chee, H. K. ; Hong, Suk-Joo ; Cha, I. H. ; Kim, H. C. / Endovenous Laser Ablation of the Incompetent Small Saphenous Vein with a 980-nm Diode Laser : Our Experience with 3 Years Follow-up. In: European Journal of Vascular and Endovascular Surgery. 2008 ; Vol. 36, No. 6. pp. 738-742.
@article{090f3da8ebc140889de8940aa4d1feff,
title = "Endovenous Laser Ablation of the Incompetent Small Saphenous Vein with a 980-nm Diode Laser: Our Experience with 3 Years Follow-up",
abstract = "Purpose: To demonstrate the long-term treatment outcomes of endovenous laser ablation (EVA) of incompetent small saphenous veins (SSV) with a 980-nm diode laser. Materials and methods: Eighty-four patients (96 limbs), with varicose veins and reflux in the SSV on duplex ultrasound examination, were treated with a 980-nm diode laser under ultrasound- or fluoroscopy-guidance. Patients were evaluated at 1 week and 1, 3, 6 months, 1 year and yearly thereafter. Results: In the 96 limbs, the technical success rate was 100{\%}. The SSV remained closed in 89 of 93 limbs (96{\%}) after 1 month, all of 82 limbs after 6 months, 77 limbs after 1 year, 71 limbs after 2 years and 55 limbs after 3 years. In four limbs where recanalisation was observed, repeat EVA was done resulting in successful obliteration of the SSV. No major complication occurred however bruising (27{\%}), tightness or pain (13{\%}) and paraesthesia (4.2{\%}) were observed. Conclusion: Endovenous laser ablation with a 980-nm laser wavelength is an easy and safe procedure in incompetent SSVs. After successful treatment, there is a very low rate of recanalisation of the SSV, which suggests that the procedure will provide lasting results.",
keywords = "Endovenous laser treatment, Small saphenous vein, Varicose veins",
author = "Park, {S. W.} and Hwang, {J. J.} and Yun, {I. J.} and Lee, {S. A.} and Kim, {J. S.} and Chang, {S. H.} and Chee, {H. K.} and Suk-Joo Hong and Cha, {I. H.} and Kim, {H. C.}",
year = "2008",
month = "12",
day = "1",
doi = "10.1016/j.ejvs.2008.08.011",
language = "English",
volume = "36",
pages = "738--742",
journal = "European Journal of Vascular and Endovascular Surgery",
issn = "1078-5884",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Endovenous Laser Ablation of the Incompetent Small Saphenous Vein with a 980-nm Diode Laser

T2 - Our Experience with 3 Years Follow-up

AU - Park, S. W.

AU - Hwang, J. J.

AU - Yun, I. J.

AU - Lee, S. A.

AU - Kim, J. S.

AU - Chang, S. H.

AU - Chee, H. K.

AU - Hong, Suk-Joo

AU - Cha, I. H.

AU - Kim, H. C.

PY - 2008/12/1

Y1 - 2008/12/1

N2 - Purpose: To demonstrate the long-term treatment outcomes of endovenous laser ablation (EVA) of incompetent small saphenous veins (SSV) with a 980-nm diode laser. Materials and methods: Eighty-four patients (96 limbs), with varicose veins and reflux in the SSV on duplex ultrasound examination, were treated with a 980-nm diode laser under ultrasound- or fluoroscopy-guidance. Patients were evaluated at 1 week and 1, 3, 6 months, 1 year and yearly thereafter. Results: In the 96 limbs, the technical success rate was 100%. The SSV remained closed in 89 of 93 limbs (96%) after 1 month, all of 82 limbs after 6 months, 77 limbs after 1 year, 71 limbs after 2 years and 55 limbs after 3 years. In four limbs where recanalisation was observed, repeat EVA was done resulting in successful obliteration of the SSV. No major complication occurred however bruising (27%), tightness or pain (13%) and paraesthesia (4.2%) were observed. Conclusion: Endovenous laser ablation with a 980-nm laser wavelength is an easy and safe procedure in incompetent SSVs. After successful treatment, there is a very low rate of recanalisation of the SSV, which suggests that the procedure will provide lasting results.

AB - Purpose: To demonstrate the long-term treatment outcomes of endovenous laser ablation (EVA) of incompetent small saphenous veins (SSV) with a 980-nm diode laser. Materials and methods: Eighty-four patients (96 limbs), with varicose veins and reflux in the SSV on duplex ultrasound examination, were treated with a 980-nm diode laser under ultrasound- or fluoroscopy-guidance. Patients were evaluated at 1 week and 1, 3, 6 months, 1 year and yearly thereafter. Results: In the 96 limbs, the technical success rate was 100%. The SSV remained closed in 89 of 93 limbs (96%) after 1 month, all of 82 limbs after 6 months, 77 limbs after 1 year, 71 limbs after 2 years and 55 limbs after 3 years. In four limbs where recanalisation was observed, repeat EVA was done resulting in successful obliteration of the SSV. No major complication occurred however bruising (27%), tightness or pain (13%) and paraesthesia (4.2%) were observed. Conclusion: Endovenous laser ablation with a 980-nm laser wavelength is an easy and safe procedure in incompetent SSVs. After successful treatment, there is a very low rate of recanalisation of the SSV, which suggests that the procedure will provide lasting results.

KW - Endovenous laser treatment

KW - Small saphenous vein

KW - Varicose veins

UR - http://www.scopus.com/inward/record.url?scp=56249085894&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=56249085894&partnerID=8YFLogxK

U2 - 10.1016/j.ejvs.2008.08.011

DO - 10.1016/j.ejvs.2008.08.011

M3 - Article

VL - 36

SP - 738

EP - 742

JO - European Journal of Vascular and Endovascular Surgery

JF - European Journal of Vascular and Endovascular Surgery

SN - 1078-5884

IS - 6

ER -