Combined endovenous laser therapy and microphlebectomy in the treatment of varicose veins: Efficacy and complications of a large single-center experience

Abstract

EVLT of all sites of superficial axial reflux above and below the knee and microphlebectomy demonstrated that the combined approach is safe and effective at eliminating reflux, affording symptomatic relief, and healing ulcers. It offers the additional advantage of resolving varicose veins and its cause in just one visit, leading to immediate better cosmetic results.

A randomized, controlled trial of endovenous thermal ablation using the 810-nm wavelength laser and the ClosurePLUS radiofrequency ablation methods for superficial venous insufficiency of the great saphenous vein

“…Other authors have suggested that BMI Ͼ30 kg/m 2 is a risk factor for recanalization. 13 In our study, the BMI was Ͼ30 kg/m 2 in 6 of 13 patients (46%) in the anatomic failure group compared with 32 of the 105 patients (30%) who had successful outcomes. There was no significant difference in QOL over time due to BMI (P Ͼ .5).…”

“…11,[12][13][14] It is not clear at what BMI threshold recanalization risk begins; however, the larger the leg, the more difficult it is to achieve adequate perioperative vein compression with tumescent anesthesia, compression wraps, and stockings. Other authors have suggested that BMI Ͼ30 kg/m 2 is a risk factor for recanalization.…”

The safety of radiofrequency ablation of the great saphenous vein in patients with previous venous thrombosis

“…35,36 In a recent report from the Michigan Venous Study Group on 443 limbs, 24 however, EVLA alone in 308 limbs (69.5%) and combined with phlebectomy or perforator ligation in 135 limbs (30.5%) had an overall 7.9% incidence of AT events (0.7% true DVTs and 7.2% SFJ thrombus extensions). The true DVT rate was 2.2% for combined EVLA/venous operations and 0% for isolated EVLA (P ϭ .028); the rate of SFJ thrombus extension was 5.9% for combined EVLA/ venous operations vs 7.8% for isolated EVLA (P ϭ .554).…”

Letter to Editor Regarding “Acute Fatal Fat Tissue Embolism After Autologous Fat Transfer in a Patient with Lupus Profundus”

“…Among many other advantages, it is now appreciated from recent studies on endovascular saphenous vein treatment that the tumescent technique allows not only for the development of tissue plane dissection, but also hygroscopic external tissue pressure on vasculature, in addition to the effect of the adrenalin in the tumescent formula 3,4 …”