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, S. J. 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

Keywords

  • Endovenous laser treatment
  • Small saphenous vein
  • Varicose veins

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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