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 language | English |
|---|---|
| Pages (from-to) | 738-742 |
| Number of pages | 5 |
| Journal | European Journal of Vascular and Endovascular Surgery |
| Volume | 36 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2008 Dec 1 |
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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 journal › Article
}
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 -