Endovenous laser ablation in patients with wide diameter of the proximal segment of the great saphenous vein: Comparison of methods

被引：10
作者：
Starodubtsev, V. [1 ]
Lukyanenko, M. [1 ]
Karpenko, A. [1 ]
Ignatenko, P. [1 ]
机构：
[1] Novosibirsk Res Inst Circulat Pathol Meshalkin, Novosibirsk 630055, Russia
来源：
PHLEBOLOGY | 2015年 / 30卷 / 10期
关键词：
Endovenous laser treatment; chronic venous insufficiency; saphenous reflux; saphenofemoral junction; varicose veins; VARICOSE-VEINS; VENOUS DISEASE; HIGH LIGATION;
D O I：
10.1177/0268355514555546
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Objective To estimate the safety and efficacy of using the laser 1560nm wavelength for treatment of chronic venous disease in patients with wide diameters of the proximal segment of the great saphenous vein. Methods In the study 88 patients with lower limb varicose veins were included. Maximum diameter of the great saphenous vein proximal segment varied from 15 to 34mm (222.3) in all patients. In the 1st group in 34 cases crossektomy and endovenous laser ablation (EVLA) were performed. In the 2nd group in 30 cases EVLA regardless diameter of the great saphenous vein proximal segment was performed. In the 3rd group in 34 cases EVLA taking into account the diameter of the great saphenous vein proximal segment was performed. The laser 1560nm wavelength was used. Linear endovenous energy density in the 1st and 2nd groups was 90J/cm for the proximal segment and trunk of great saphenous vein. Linear endovenous energy density in the 3rd group was personalized on the size of the veins: 100J/cm for diameter of great saphenous vein proximal segment 15-20mm, 150J/cm for diameter 20-30mm, 90J/cm for middle and distal segments of great saphenous vein. Results In the 1st group obliteration of the trunk of the great saphenous veins and accessory great saphenous veins in all cases without additional interventions was reached. In the 2nd group at four cases (13.3%) the second procedure EVLA was carried out, after which the obliteration of the trunk was achieved. In the 3rd group the obliteration of the trunk of great saphenous vein was achieved without additional interventions. Conclusion Our experience of using the laser 1560nm wavelength for the treatment of the chronic venous disease in patients with wide diameter of the proximal segment of great saphenous vein shows the safety and efficacy of this technique. EVLA has to be personalized on the size of the segments of vein in patients with wide proximal segment of great saphenous vein.
引用
收藏
页码：700 / 705
页数：6
相关论文
共 19 条
  • [11] Great Saphenous Vein Diameter at the Saphenofemoral Junction and Proximal Thigh as Parameters of Venous Disease Class
    Mendoza, E.
    Blaetter, W.
    Amsler, F.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2013, 45 (01) : 76 - 83
  • [12] WIDTH OF THE GREAT SAPHENOUS VEIN LUMEN IN THE GROIN AND OCCURENCE OF SIGNIFICANT REFLUX IN THE SAPHENO-FEMORAL JUNCTION
    Musil, Dalibor
    Herman, Jiri
    Mazuch, Julius
    [J]. BIOMEDICAL PAPERS-OLOMOUC, 2008, 152 (02): : 267 - 270
  • [13] Endovenous laser:: A new minimally invasive method of treatment for varicose veins -: Preliminary observations using an 810 nm diode laser
    Navarro, L
    Min, RJ
    Boné, C
    [J]. DERMATOLOGIC SURGERY, 2001, 27 (02) : 117 - 122
  • [14] Puglisi R, 1992, P 10 WORLD C PHLEB S, P677
  • [15] Randomised Clinical Trial Comparing Endovenous Laser Ablation with Stripping of the Great Saphenous Vein: Clinical Outcome and Recurrence After 2 Years
    Rasmussen, L. H.
    Bjoern, L.
    Lawaetz, M.
    Lawaetz, B.
    Blemings, A.
    Eklof, B.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2010, 39 (05) : 630 - 635
  • [16] Randomized trial comparing endovenous laser ablation of the great saphenous vein with high ligation and stripping in patients with varicose veins: Short-term results
    Rasmussen, Lars H.
    Bjoern, Lars
    Lawaetz, Martin
    Blemings, Allan
    Lawaetz, Birgit
    Eklof, Bo
    [J]. JOURNAL OF VASCULAR SURGERY, 2007, 46 (02) : 308 - 315
  • [17] Comparable Effectiveness of Endovenous Laser Ablation and High Ligation With Stripping of the Great Saphenous Vein Two-Year Results of a Randomized Clinical Trial (RELACS Study)
    Rass, Knuth
    Frings, Norbert
    Glowacki, Paul
    Hamsch, Corinna
    Graeber, Stefan
    Vogt, Thomas
    Tilgen, Wolfgang
    [J]. ARCHIVES OF DERMATOLOGY, 2012, 148 (01) : 49 - 58
  • [18] Endovenous Laser Ablation-Induced Complications: Review of the Literature and New Cases
    van den Bos, Renate R.
    Neumann, Martino
    de Roos, Kees-Peter
    Nijsten, Tamar
    [J]. DERMATOLOGIC SURGERY, 2009, 35 (08) : 1206 - 1214
  • [19] Van den Bussche D, 2006, ACTA CHIR BELG, V106, P32
12