Endovenous laser ablation for saphenous vein insufficiency: long-term results

Ömer ETLİK; Aşkın Ali KORKMAZ; Yeşim ÜÇKURT; Sevim İNDELEN

Article Details

Endovenous laser ablation for saphenous vein insufficiency: long-term results

Authors:

Ömer ETLİK | Aşkın Ali KORKMAZ | Yeşim ÜÇKURT | Sevim İNDELEN

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2013 Vol.43 Issue 3, pp.470-473

Document Type:

Article

Publication Date:

2/2013

Document Language:

Turkish

Document ID (Org No.):

2000753754

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Keywords:

Abstract:

 

To present the long-term results of our 158 endovenous laser ablation (EVLA) procedures.  Materials and methods: From June 2008 to December 2011, 158 patients (89 women, 69 men; mean age: 38.2 years, range: 27-65) were treated with EVLA for venous insufficiency in 192 lower limbs. All patients were symptomatic and the majority had a class 4 or higher clinical disease (CEAP classification). A 980-nm diode laser was used under general anesthesia combined with local tumescent anesthesia to deliver 100 to 140 laser applications along the course of the vein. Compression bandages were applied for 2 weeks postoperatively. Follow-up exams were done by Doppler ultrasound exam at 4 weeks, 6 months, 1 year, and 2 years.  Results: A total of 192 great saphenous veins were ablated, achieving a 99% clinical success rate. Postoperative complications were mild and well tolerated. Of the 2 (1.0%) recanalized target veins, 2 were successfully treated with a second EVLA procedure. After 3 to 6 months of EVLA treatment, 99% of the patients had significant relief of their symptoms. All patients returned to normal activity within 2 days.  Conclusion: EVLA for symptomatic saphenous vein incompetence is a minimally invasive and successful technique in resolving varicose veins and reducing symptoms.

 

To present the long-term results of our 158 endovenous laser ablation (EVLA) procedures.  Materials and methods: From June 2008 to December 2011, 158 patients (89 women, 69 men; mean age: 38.2 years, range: 27-65) were treated with EVLA for venous insufficiency in 192 lower limbs. All patients were symptomatic and the majority had a class 4 or higher clinical disease (CEAP classification). A 980-nm diode laser was used under general anesthesia combined with local tumescent anesthesia to deliver 100 to 140 laser applications along the course of the vein. Compression bandages were applied for 2 weeks postoperatively. Follow-up exams were done by Doppler ultrasound exam at 4 weeks, 6 months, 1 year, and 2 years.  Results: A total of 192 great saphenous veins were ablated, achieving a 99% clinical success rate. Postoperative complications were mild and well tolerated. Of the 2 (1.0%) recanalized target veins, 2 were successfully treated with a second EVLA procedure. After 3 to 6 months of EVLA treatment, 99% of the patients had significant relief of their symptoms. All patients returned to normal activity within 2 days.  Conclusion: EVLA for symptomatic saphenous vein incompetence is a minimally invasive and successful technique in resolving varicose veins and reducing symptoms.

Article Details

Endovenous laser ablation for saphenous vein insufficiency: long-term results

Authors:

Ömer ETLİK | Aşkın Ali KORKMAZ | Yeşim ÜÇKURT | Sevim İNDELEN

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2013 Vol.43 Issue 3, pp.470-473

Document Type:

Article

Publication Date:

2/2013

Document Language:

Turkish

Document ID (Org No.):

2000753754

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144

Key words: Venous insufficiency

laser ablation

saphenous vein

Issues

Article Details

Endovenous laser ablation for saphenous vein insufficiency: long-term results

Authors: Ömer ETLİK | Aşkın Ali KORKMAZ | Yeşim ÜÇKURT | Sevim İNDELEN

Publisher: TUBITAK

Journal: Turkish Journal of Medical Sciences 2013 Vol.43 Issue 3, pp.470-473

Document Type: Article

Publication Date: 2/2013

Document Language: Turkish

Document ID (Org No.): 2000753754

Frequency: Bimonthly

eISSN: 1303-6165

pISSN: 1300-0144

Key words: Venous insufficiency

laser ablation

saphenous vein

Issues

Authors:

Ömer ETLİK | Aşkın Ali KORKMAZ | Yeşim ÜÇKURT | Sevim İNDELEN

Publisher:

TUBITAK

Journal:

Turkish Journal of Medical Sciences 2013 Vol.43 Issue 3, pp.470-473

Document Type:

Article

Publication Date:

2/2013

Document Language:

Turkish

Document ID (Org No.):

2000753754

Frequency:

Bimonthly

eISSN:

1303-6165

pISSN:

1300-0144