Endovenous Laser Ablation (980nm) of the Small Saphenous Vein in a Series of 147 Limbs with a 3-Year Follow-up

Desmyttère, J.; Grard, Christophe; Stalnikiewicz, G; Wassmer, Benjamin; Mordon, Serge

doi:10.1016/j.ejvs.2009.09.011

Cited by 32 publications

(5 citation statements)

References 30 publications

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“…In the present study, the incidence of heat thrombosis was 7(11.3%) cases; only 2(3.2%) of these 7 cases were graded as 4; however, in the studies of Theivacumar [19], Groenendael [23], D' Othée [27], Doganci [22], Carradice [28], and Desmyttere [29] zero incidences of thrombosis was reported. Additionally, Boersma et al documented an overall incidence of 0%-1.2% [25], i.e., significantly less than that in the present study.…”

Section: Discussioncontrasting

confidence: 74%

The Success Rate and Complications of Post-radiofrequency Ablation in Patients With Small Saphenous Insufficiency

et al. 2021

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Aims: This study aimed to determine the success rate and complications occurring after Radiofrequency Ablation (RFA) in patients with small saphenous insufficiency who underwent RFA in Rasht. Methods & Materials: Patients with small saphenous vein insufficiency who underwent RFA were explored respecting success rate and potential complications, such as pain, hematoma, neuropathy, Endothermal Heat-Induced Thrombosis (EHIT), and skin burns. The study subjects were assessed 2 weeks after the procedure. Reconanalysis was followed up in the study participants by ultrasound at 2 weeks, 3-6 months, and the first year after RFA. Findings: This study examined 62 patients. A 100% success rate was reported and no case of reflux was observed in the first control ultrasound 2 weeks after RFA. The mean pain score significantly decreased (P<0.001). Besides, in one year, 3 cases of recanalization, 7 cases of EHIT, 9 cases of neuropathy, and 1 case of superficial thrombophlebitis were reported; no case of skin burn was observed. Conclusion: Considering the 100% success rate and slight adverse effects of this method, such as pain and recanalization, RFA is an acceptable approach. Furthermore, the incidence of EHIT should be considered.

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Section: Discussioncontrasting

confidence: 74%

The Success Rate and Complications of Post-radiofrequency Ablation in Patients With Small Saphenous Insufficiency

et al. 2021

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“…Similarly, the present study was smaller than a study on 84 patients (96 limbs) for a one-year duration by S.W. Park et al [15,16]. On the other hand, our sample size of patients and duration were similar to those of a study by Sadick et al, who followed up on 30 patients for 24 months [17].…”

Section: Discussionsupporting

confidence: 69%

Evaluation of Endovenous Laser Ablation in the Management of Varicose Veins

Elzefzaf,

Elfeky,

Elshatlawy

et al. 2023

Cureus

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BackgroundThe treatment of varicose veins has undergone tremendous changes over the years. High ligation of the saphenofemoral junction (SFJ) and stripping of the great saphenous vein (GSV) have been considered standard treatments for GSV insufficiency for over a century and are still adopted as the preferred method in the majority of surgical centers in North Africa. However, the increase in minimally invasive treatments such as endovenous thermal ablation (EVTA), radiofrequency ablation (RFA), ultrasound-guided foam sclerotherapy, and cryo-stripping has produced excellent results. Most patients who underwent these minimally invasive treatments were satisfied with their outcomes. Methodology and resultsIn this clinical and prospective study, 30 cases (19 male and 11 female) of primary varicose veins underwent endovenous laser ablation (EVLA), and their outcomes were reviewed, and their results were satisfying to the patients. After EVLA with or without sclerotherapy, no major complications occurred (recurrence or recanalization) at the time of the study, although minor complications were quite common and included bruising or ecchymosis, postoperative pain that required analgesics, superficial thrombophlebitis, and skin burns that were very responsive to medical treatment. ConclusionEndovenous laser ablation continues to be a valid minimally invasive method for treating varicose veins with minimal complications and a very short recovery period, which appeals to patients.

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“…Our analysis of the complications of surgical treatment for varicose veins showed that paresthesia was reported in 13% of the patients treated at the 3-to-5-day follow-up, falling to 9.3% at 30 days’ follow-up. Desmyttère et al 14 published a study in which they followed 128 patients who underwent thermoablation of the small saphenous for 3 years, reporting that 40% of the sample exhibited paresthesia at 15 days’ follow-up, but that this symptom was not reported after 30 days’ follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Quando analisamos as complicações do tratamento cirúrgico de varizes, a parestesia foi relatada em 13% dos pacientes submetidos ao tratamento, no período entre 3º e o 5º dia, caindo para 9,3% no 30º dia de acompanhamento. Desmyttère et al 14 apresentaram um estudo que acompanhou por 3 anos 128 pacientes submetidos à termoablação de safena parva, sendo que 40% da amostra apresentaram parestesia nos 15 dias de acompanhamento, sendo esse sintoma não mais relatado após 30 dias de acompanhamento.…”

Section: Discussionunclassified

Avaliação da termoablação com endolaser da veia safena parva com anestesia local

Souza

Araújo²,

Brandão³

et al. 2021

J. vasc. bras.

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Resumo Contexto Na insuficiência venosa crônica (IVC), a veia safena parva (VSP) é afetada em 15% dos casos. A cirurgia convencional é a técnica padrão para o tratamento da insuficiência da VSP, sendo a lesão no nervo sural uma complicação bastante temida. O tratamento de termoablação com endolaser tende a ser um método cirúrgico que diminui complicações da terapia cirúrgica da IVC. Objetivos Avaliar os pacientes com IVC submetidos à terapia por endolaser da VSP ao menos 30 dias após o procedimento. Métodos Foram analisados 54 membros inferiores de 46 pacientes submetidos à terapia por endolaser 1470 nm, sob anestesia local, para o tratamento da IVC em um hospital terciário. Os pacientes foram avaliados no período pré-operatório, intraoperatório e pós-operatório de 30 dias, através da clínica, exame físico e achados ecográficos. Resultados Nos 54 membros inferiores submetidos ao tratamento, comparando-se o período pré-operatório e o 30º dia pós-operatório, houve diferença significativa (p < 0,003) na redução do diâmetro da VSP tratada (6,37 mm pré-operatório e 5,15 mm no 30º dia pós-operatório) (IC95% 4,58-5,72) e na melhora do escore de gravidade clínica venosa (VCSS) (média de 8,02 pré-operatório e 6,11 no 30º dia pós-operatório) (IC95% 5,01-7,21) (p < 0,02). Complicações pós-operatórias, como parestesia e flebite, estiveram presentes e foram diagnosticadas em cinco e três pacientes, respectivamente, sem significar alteração na qualidade de vida e nas atividades de rotina. Conclusões A técnica de termoablação com laser da VSP mostrou-se segura e eficaz na redução dos sintomas clínicos e na melhora da qualidade de vida.

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Endovenous Laser Ablation (980nm) of the Small Saphenous Vein in a Series of 147 Limbs with a 3-Year Follow-up

Cited by 32 publications

References 30 publications

The Success Rate and Complications of Post-radiofrequency Ablation in Patients With Small Saphenous Insufficiency

The Success Rate and Complications of Post-radiofrequency Ablation in Patients With Small Saphenous Insufficiency

Evaluation of Endovenous Laser Ablation in the Management of Varicose Veins

Avaliação da termoablação com endolaser da veia safena parva com anestesia local

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