Tags

Type your tag names separated by a space and hit enter

Indications and results of endovenous laser tratment (EVLT) for greater saphenous vein incompetentce. Our experience.
Minerva Cardioangiol. 2006 Jun; 54(3):369-76.MC

Abstract

AIM

Endovenous laser treatment (EVLT) seems to be a safe and less invasive method for the treatment of the great saphenous vein (GSV) incompetence. The aim of our study was to evaluate the indications and results of EVLT.

METHODS

Between January 2003 and October 2004, 77 patients (55 C3 and 22 C4) underwent EVLT. In 23 cases phlebectomy was performed, in 16 patients a subfascial perforator vein ligations occurred. In 62 patients we used a percutaneous access to the distal GSV, in 15 cases a surgical isolation was performed. In all cases a 600 nm with 1 mm diameter laser was used.

RESULTS

Follow-up was performed for a period of 6 months and showed GSV recanalization in 2 cases; 18 patients (23.3%) developed a transient postoperative pain along GSV, in 4 (5.1%) of them the pain persisted for 3 months. In 6 cases a reversible paresthesia due to a lesion of the saphenous nerve were recorded (7.7%) and in 1 case (1.2%) a skin burn occurred. No deep vein thromboses were observed.

CONCLUSIONS

EVLT is a safe technique, with low incidence of recanalizations and postoperative complications. Our opinion is to extend the indication in selected cases of GSV incompetence.

Authors+Show Affiliations

Department of Vascular and Endovascular Surgery, S.Pietro-Fatebene Fratelli Hospital, Rome, Italy. lucamaria.siani@tin.itNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng ita

PubMed ID

16733511

Citation

Siani, A, et al. "Indications and Results of Endovenous Laser Tratment (EVLT) for Greater Saphenous Vein Incompetentce. Our Experience." Minerva Cardioangiologica, vol. 54, no. 3, 2006, pp. 369-76.
Siani A, Flaishman I, Rossi A, et al. Indications and results of endovenous laser tratment (EVLT) for greater saphenous vein incompetentce. Our experience. Minerva Cardioangiol. 2006;54(3):369-76.
Siani, A., Flaishman, I., Rossi, A., Schioppa, A., La Vigna, R., & Zaccaria, A. (2006). Indications and results of endovenous laser tratment (EVLT) for greater saphenous vein incompetentce. Our experience. Minerva Cardioangiologica, 54(3), 369-76.
Siani A, et al. Indications and Results of Endovenous Laser Tratment (EVLT) for Greater Saphenous Vein Incompetentce. Our Experience. Minerva Cardioangiol. 2006;54(3):369-76. PubMed PMID: 16733511.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Indications and results of endovenous laser tratment (EVLT) for greater saphenous vein incompetentce. Our experience. AU - Siani,A, AU - Flaishman,I, AU - Rossi,A, AU - Schioppa,A, AU - La Vigna,R, AU - Zaccaria,A, PY - 2006/5/31/pubmed PY - 2006/10/13/medline PY - 2006/5/31/entrez SP - 369 EP - 76 JF - Minerva cardioangiologica JO - Minerva Cardioangiol VL - 54 IS - 3 N2 - AIM: Endovenous laser treatment (EVLT) seems to be a safe and less invasive method for the treatment of the great saphenous vein (GSV) incompetence. The aim of our study was to evaluate the indications and results of EVLT. METHODS: Between January 2003 and October 2004, 77 patients (55 C3 and 22 C4) underwent EVLT. In 23 cases phlebectomy was performed, in 16 patients a subfascial perforator vein ligations occurred. In 62 patients we used a percutaneous access to the distal GSV, in 15 cases a surgical isolation was performed. In all cases a 600 nm with 1 mm diameter laser was used. RESULTS: Follow-up was performed for a period of 6 months and showed GSV recanalization in 2 cases; 18 patients (23.3%) developed a transient postoperative pain along GSV, in 4 (5.1%) of them the pain persisted for 3 months. In 6 cases a reversible paresthesia due to a lesion of the saphenous nerve were recorded (7.7%) and in 1 case (1.2%) a skin burn occurred. No deep vein thromboses were observed. CONCLUSIONS: EVLT is a safe technique, with low incidence of recanalizations and postoperative complications. Our opinion is to extend the indication in selected cases of GSV incompetence. SN - 0026-4725 UR - https://www.unboundmedicine.com/medline/citation/16733511/Indications_and_results_of_endovenous_laser_tratment__EVLT__for_greater_saphenous_vein_incompetentce__Our_experience_ DB - PRIME DP - Unbound Medicine ER -