Randomized clinical trial of VNUS® ClosureFAST™ radiofrequency ablation <i>versus</i> laser for varicose veins

Shepherd, Amanda; Gohel, M.S.; Brown, Louise; Metcalfe, Matthew; Hamish, Maher; Davies, Alun H.

doi:10.1002/bjs.7091

Cited by 174 publications

(102 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Still, even if some flow was detected in the treated vein, the diameter was small and no visible varicose veins had been present and no reflux was detected. Comparing our results with published data from EVLA the occlusion rate after one year is similar [3][4] .…”

Section: Closurefast Cathetersupporting

confidence: 86%

See 1 more Smart Citation

Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

et al. 2011

View full text Add to dashboard Cite

show abstract

Section: Closurefast Cathetersupporting

confidence: 86%

“…It allows to be treated as an outpatient and the return to work is quicker [1][2][3][4][5] . At the present time large patient studies and long-term follow-up of randomized trials comparing surgical methods with endovascular treatment modalities for varicose veins are not available.…”

Section: Introductionmentioning

confidence: 99%

Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

et al. 2011

View full text Add to dashboard Cite

show abstract

“…The authors reported that the mean pain score (VAS: 0-10) was 2 in the postoperative period. Similarly, Rasmussen et al 19 and Shepherd et al 20 Clinical cyanosis may present if plasma methemoglobin level exceeds 12-15%. Methemoglobinemia can be treated by an intravenous injection of methylene blue 1% (1 mg/kg) or ascorbic acid (vitamin C, 1000-2000 mg) 21,22 .…”

Section: Discussionmentioning

confidence: 90%

Less Painful Tumescent Solution for Patients Undergoing Endovenous Laser Ablation of the Saphenous Vein

Güneş

Altin

Kutas

et al. 2015

Annals of Vascular Surgery

View full text Add to dashboard Cite

“…Vein insufficiency, which can cause varicosity, influences 25 % of Western adults [1] and is typically due to great saphenous vein (GSV) reflux [2,3]. Endovenous laser treatment (EVLA) is the preferred outpatient treatment for GSV insufficiency.…”

Section: Introductionmentioning

confidence: 99%

Comparing 1470- and 980-nm diode lasers for endovenous ablation treatments

et al. 2015

View full text Add to dashboard Cite

The purpose of this study was to compare the effectiveness of 1470- and 980-nm lasers with regard to power output, complications, recanalization rates, and treatment response. We prospectively evaluated the effectiveness of endovenous laser ablation (EVLA) in a total of 152 great and small saphenous veins from 96 patients. Lasers were randomly used based on the availability of the units. Patients were clinically evaluated for Clinical Etiologic Anatomic Pathophysiologic (CEAP) stage and examined with Doppler ultrasound. Treatment response was determined anatomically by occlusion of the vein and clinically by the change in the venous clinical severity score (VCSS). Seventy-eight of the saphenous veins underwent EVLA with a 980-nm laser and 74 underwent EVLA with a 1470-nm laser. Treatment response was (68) 87.2 % in the 980-nm group and (74) 100 % in the 1470-nm group (p = 0.004). The median VCSS decreased from 4 to 2 in the 980-nm group (p < 0.001) and from 8 to 2 (p < 0.001) in the 1470-nm group. At 1-year follow-up, seven veins treated with 980 nm and two veins treated with 1470 nm were recanalized (p = 0.16); the average linear endovenous energy density (LEED) was 83.9 (r, 55-100) J/cm and 58.5 (r, 45-115) J/cm, respectively (p < 0.001). Postoperative minor complications occurred in 23 (29.4 %) limbs in the 980-nm group and in 19 (25.6 %) limbs of the 1470-nm group (p = 0.73). EVLA with the 1470-nm laser have less energy deposition for occlusion and better treatment response.

show abstract

Randomized clinical trial of VNUS® ClosureFAST™ radiofrequency ablation versus laser for varicose veins

Cited by 174 publications

References 30 publications

Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

Results of endovenous ClosureFast treatment for varicose veins in an outpatient setting

Less Painful Tumescent Solution for Patients Undergoing Endovenous Laser Ablation of the Saphenous Vein

Comparing 1470- and 980-nm diode lasers for endovenous ablation treatments

Contact Info

Product

Resources

About