Comparison of endovenous laser ablation and high ligation and stripping for varicose vein treatment: a meta-analysis

Abstract

EVLA for varicose veins is safe and effective compared with HLS in a two-year range. More randomized controlled studies follow-up results are needed to clarify long-term recurrence (5 years).

Is the temperature of tumescent anesthesia applied in the endovenous laser ablation important? Comparison of different temperatures for tumescent anesthesia applied during endovenous ablation of incompetent great saphenous vein with a 1470 nm diode laser

“…However, most of these published studies agree that EVLA procedure involves minimal discomfort with fewer complications as compared to surgery. [13][14][15][16] The review of historical evolution of EVLA indicates that the studies in this field were conducted to improve the effectiveness of EVLA causing minimal patient discomfort with fewer complications and side effects. In this regard, longer laser wavelengths are generally preferred in EVLA.…”

Adult and Pediatric Antibiotic Prophylaxis during Vascular and IR Procedures: A Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology

“…Minimally invasive techniques with the use of lasers, sclerotherapy, and radiofrequency ablation have transformed varicose vein treatment from a highly morbid surgery into a minimally invasive outpatient procedure (114). In a large meta-analysis of 1,128 limbs treated with endovenous laser ablation (115), the infectious adverse event rate was 0.33%, notably lower than the rate of 1.91% associated with surgical ligation and stripping. Although the routine use of antibiotic prophylaxis is not indicated, adherence to sterile technique remains paramount (116).…”

Role of Interventional Radiologists in the Management of Lower Extremity Venous Insufficiency

“…17 Surgical intervention has been reported by some studies to have lower long-term recurrence rates, but a meta-analysis by Pan et al showed no significant difference compared with endovenous ablation by 2-or 5-year follow-up. 18 Surgical intervention tends to be reserved for patients with a large dilated and tortuous saphenous vein that is directly under the skin. 19 Recent studies comparing endovascular treatments to surgical stripping have had difficulties recruiting patients to randomization as patients do not desire to be in the surgical arm.…”