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Endovenous laser treatment for varicose veins in patients with active ulcers: measurement of intravenous and perivenous temperatures during the procedure.
Dermatol Surg. 2007 Oct; 33(10):1234-42; discussion 1241-2.DS

Abstract

BACKGROUND

Conventional saphenous vein stripping is difficult to be indicated for the treatment of varicose veins in patients classified as CEAP C4, C5, or C6.

OBJECTIVE

This study was developed to evaluate treatment results for varicose veins with active ulcers using endovenous laser (EVL), compared to a group undergoing clinical treatment, during 1 year.

PATIENTS AND METHOD

Fifty-two patients presenting with varicose veins with active ulcers for more than 1 year were divided for treatment into two randomized groups: Group 1, clinical treatment, composed of 25 subjects, was submitted to elastic or inelastic compression therapy; Group 2, EVL treatment, composed of 27 subjects, was submitted to great and or small saphenous vein ablation with a 980-nm diode EVL, plus the clinical treatment. Intravenous and perivenous temperatures were measured continuously during the EVL treatment. All patients were followed for 12 months and studied with ultrasound at the beginning and end of the study. The ulcers' areas were evaluated initially and at every 3 months.

RESULTS

In 12 months, 81.5% of the wounds in patients in Group 2 and only 24% in patients in Group 1 had healed. Ulcer recurrence rate was 44.4% in Group 1. The mean wound area in Group 1 decreased from 17.48 to 12.76 cm(2) at the end of the year. In Group 2, the wound area decreased from 22.26 to 2.7 cm(2) (p=.0037). Mean intravenous and perivenous temperatures of 79.3 and 43.0 degrees C were recorded.

CONCLUSION

The treatment for varicose veins with EVL is safe in patients with active ulcers. Wounds healed faster than in patients undergoing clinical treatment alone during a 1-year period. There was no ulcer recurrence in patients treated with EVL.

Authors+Show Affiliations

Department of Surgery, State University of Campinas, Campinas, São Paulo, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

17903157

Citation

Viarengo, Luiz Marcelo Aiello, et al. "Endovenous Laser Treatment for Varicose Veins in Patients With Active Ulcers: Measurement of Intravenous and Perivenous Temperatures During the Procedure." Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], vol. 33, no. 10, 2007, pp. 1234-42; discussion 1241-2.
Viarengo LM, Potério-Filho J, Potério GM, et al. Endovenous laser treatment for varicose veins in patients with active ulcers: measurement of intravenous and perivenous temperatures during the procedure. Dermatol Surg. 2007;33(10):1234-42; discussion 1241-2.
Viarengo, L. M., Potério-Filho, J., Potério, G. M., Menezes, F. H., & Meirelles, G. V. (2007). Endovenous laser treatment for varicose veins in patients with active ulcers: measurement of intravenous and perivenous temperatures during the procedure. Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], 33(10), 1234-42; discussion 1241-2.
Viarengo LM, et al. Endovenous Laser Treatment for Varicose Veins in Patients With Active Ulcers: Measurement of Intravenous and Perivenous Temperatures During the Procedure. Dermatol Surg. 2007;33(10):1234-42; discussion 1241-2. PubMed PMID: 17903157.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous laser treatment for varicose veins in patients with active ulcers: measurement of intravenous and perivenous temperatures during the procedure. AU - Viarengo,Luiz Marcelo Aiello, AU - Potério-Filho,João, AU - Potério,Gloria Maria Braga, AU - Menezes,Fábio Hüsemann, AU - Meirelles,Guilherme Vieira, PY - 2007/10/2/pubmed PY - 2007/12/6/medline PY - 2007/10/2/entrez SP - 1234-42; discussion 1241-2 JF - Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] JO - Dermatol Surg VL - 33 IS - 10 N2 - BACKGROUND: Conventional saphenous vein stripping is difficult to be indicated for the treatment of varicose veins in patients classified as CEAP C4, C5, or C6. OBJECTIVE: This study was developed to evaluate treatment results for varicose veins with active ulcers using endovenous laser (EVL), compared to a group undergoing clinical treatment, during 1 year. PATIENTS AND METHOD: Fifty-two patients presenting with varicose veins with active ulcers for more than 1 year were divided for treatment into two randomized groups: Group 1, clinical treatment, composed of 25 subjects, was submitted to elastic or inelastic compression therapy; Group 2, EVL treatment, composed of 27 subjects, was submitted to great and or small saphenous vein ablation with a 980-nm diode EVL, plus the clinical treatment. Intravenous and perivenous temperatures were measured continuously during the EVL treatment. All patients were followed for 12 months and studied with ultrasound at the beginning and end of the study. The ulcers' areas were evaluated initially and at every 3 months. RESULTS: In 12 months, 81.5% of the wounds in patients in Group 2 and only 24% in patients in Group 1 had healed. Ulcer recurrence rate was 44.4% in Group 1. The mean wound area in Group 1 decreased from 17.48 to 12.76 cm(2) at the end of the year. In Group 2, the wound area decreased from 22.26 to 2.7 cm(2) (p=.0037). Mean intravenous and perivenous temperatures of 79.3 and 43.0 degrees C were recorded. CONCLUSION: The treatment for varicose veins with EVL is safe in patients with active ulcers. Wounds healed faster than in patients undergoing clinical treatment alone during a 1-year period. There was no ulcer recurrence in patients treated with EVL. SN - 1076-0512 UR - https://www.unboundmedicine.com/medline/citation/17903157/Endovenous_laser_treatment_for_varicose_veins_in_patients_with_active_ulcers:_measurement_of_intravenous_and_perivenous_temperatures_during_the_procedure_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1076-0512&date=2007&volume=33&issue=10&spage=1234 DB - PRIME DP - Unbound Medicine ER -