Endovenous laser treatment of the incompetent greater saphenous vein

被引:309
作者
Min, RJ
Zimmet, SE
Isaacs, MN
Forrestal, MD
机构
[1] Cornell Univ, Weill Med Coll, Cornell Vasc, New York, NY 10022 USA
[2] Zimmet Vein & Dermatol, Austin, TX USA
[3] Vein Specialists No Calif, Walnut Creek, CA USA
[4] NW Vein Care, Arlington Hts, IL USA
关键词
saphenous vein; varicose veins; veins; extremities; lasers;
D O I
10.1016/S1051-0443(07)61674-1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To assess the safety and preliminary efficacy of endovenous laser treatment (EVLT), a novel percutaneous technique for occlusion of the incompetent greater saphenous vein (GSV). MATERIALS AND METHODS: Ninety GSVs in 84 patients with reflux at the saphenofemoral junction (SFJ) into the GSV were treated endovenously with pulses of laser energy and evaluated in a prospective, nonrandomized, consecutive enrollment multicenter study. Patients were evaluated at I week and at 1, 3, 6, and 9 months to determine efficacy and complications. RESULTS: Eighty-seven of 90 GSVs (97%) were closed I week after initial treatment with endovenous laser. The remaining three GSVs were closed after repeat treatment. Eighty-nine of 90 GSVs (99%) remained closed for as long as 9 months according to serial duplex ultrasonography. Sonographic evaluation demonstrated 73% reduction in GSV diameter at 6 months (61 patients) and 81% reduction in GSV diameter at 9 months (26 patients) after EVLT. One patient developed a transient localized skin paresthesia. There have been no other minor or major complications. CONCLUSIONS: EVLT of the incompetent GSV appears to be an extremely safe technique that yields impressive short-term results. Long-term follow-up is awaited.
引用
收藏
页码:1167 / 1171
页数:5
相关论文
共 16 条
[1]   Treatment of varicose long saphenous veins with sclerosant in microfoam form:: Long-term outcomes [J].
Cabrera, J ;
Cabrera, J ;
García-Olmedo, MA .
PHLEBOLOGY, 2000, 15 (01) :19-23
[2]   EPIDEMIOLOGY OF VARICOSE-VEINS [J].
CALLAM, MJ .
BRITISH JOURNAL OF SURGERY, 1994, 81 (02) :167-173
[3]   Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: Five-year results of a randomized trial [J].
Dwerryhouse, S ;
Davies, B ;
Harradine, K ;
Earnshaw, JJ .
JOURNAL OF VASCULAR SURGERY, 1999, 29 (04) :589-592
[4]  
Fischer H., 1984, INT ANGIOL, V3, P89
[5]   Saphenofemoral incompetence treated by ultrasound-guided sclerotherapy [J].
Kanter, A ;
Thibault, P .
DERMATOLOGIC SURGERY, 1996, 22 (07) :648-652
[6]   The role of the distribution and anatomic extent of reflux in the development of signs and symptoms in chronic venous insufficiency [J].
Labropoulos, N ;
Delis, K ;
Nicolaides, AN ;
Leon, M ;
Ramaswami, G ;
Volteas, N .
JOURNAL OF VASCULAR SURGERY, 1996, 23 (03) :504-510
[7]   Endovenous management of saphenous vein reflux [J].
Manfrini, S ;
Gasbarro, V ;
Danielsson, G ;
Norgren, L ;
Chandler, JG ;
Lennox, AF ;
Zarka, ZA ;
Nicolaides, AN .
JOURNAL OF VASCULAR SURGERY, 2000, 32 (02) :330-342
[8]   Transcatheter duplex ultrasound-guided sclerotherapy for treatment of greater saphenous vein reflux: Preliminary report [J].
Min, RJ ;
Navarro, L .
DERMATOLOGIC SURGERY, 2000, 26 (05) :410-413
[9]  
MYERS KA, 2000, ANZ J PHLEB, V4, P71
[10]   Endovenous laser:: A new minimally invasive method of treatment for varicose veins -: Preliminary observations using an 810 nm diode laser [J].
Navarro, L ;
Min, RJ ;
Boné, C .
DERMATOLOGIC SURGERY, 2001, 27 (02) :117-122