Saphenous ablation using 808-nm laser by variable retraction speed, combined with saphenofemoral interruption, leads to sufficient vein wall injury to assure venous occlusion. Full thickness thermal injury or perforation is infrequent. Optimal results can be obtained in veins <10 mm in diameter.

The healing process is based on vein thrombosis, fibrosis, and venous atrophy. Saphenofemoral interruption makes venous occlusion easier and prevents potential thrombotic complications and recurrence by recanalization. DUS monitoring makes possible to follow-up the thrombus involution and perform early retreatment. The 808-nm endosaphenous laser should be mainly applied to veins of <10 mm in diameter.

No abstract

EVLA of PVs and VCs is effective and faster than surgery in 2- to 6-mm PVs and VCs using an 808-nm diode laser.

Background: The diagnostic evaluation of chronic venous disease (CVD) of the lower limbs (LLs) is mainly based on duplex ultrasound (DUS). Invasive venous pressure measurements (VPMs) are seldom performed in specialized centers with still controversial results. The noninvasive Doppler method has not been accepted as a validate method as the emerging values are influenced by several environmental and biological factors, and do not correspond to hydrostatic pressure. Therefore, these values will be defined as venous pressure index (VPI). In our previous experience, the VPI was accepted by patients in the daily practice, and the VPI was significantly correlated with C of C.E.A.P. (P < 0.05 -0.0001) and furnished useful hemodynamic information. This study was to verify the role and clinical implications of the VPI measurements in the pathophysiology and diagnostics of superficial CVD of the LL.