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Endovenous laser treatment of incompetent below-knee great saphenous veins.
J Vasc Interv Radiol. 2007 Dec; 18(12):1495-9.JV

Abstract

PURPOSE

To test the hypotheses that below-knee great saphenous vein (GSV) reflux after successful ablation of the incompetent above-knee GSV is a cause of incomplete clinical success and that endovenous laser treatment (ELT) of the incompetent below-knee GSV can safely eliminate persistent symptoms.

MATERIALS AND METHODS

The author evaluated 576 consecutive ELT procedures of the GSV. Fifty ELT procedures in incompetent calf GSVs were included in this study. Patients with reflux of the entire GSV were selected. All patients underwent clinical and ultrasonographic (US) follow-up.

RESULTS

In 16 of the 50 procedures, ELT was performed in the GSV both above and below the knee in separate sessions. In 34 procedures, ELT of the GSV above and below the knee was performed at the same session. An 810-nm laser was used at 14 W. The mean energy was 82 j/cm (range, 56.4-114 j/cm; standard deviation [SD], 14 j/cm). The mean follow-up was 11 months (range, 0-28 months; SD, 7 months). Four paresthesias occurred. Medial ankle pain resolved in all patients, and swelling resolved in all but six limbs. No recanalization occurred.

CONCLUSIONS

Patients with incompetence of the entire GSV treated with only ELT of the above-knee GSV experienced incomplete relief of medial ankle pain and swelling; however, symptomatic relief is obtained safely and effectively with additional ELT of the below-knee GSV.

Authors+Show Affiliations

Timperman PE
Arnett Clinic, 2600 Greenbush Ave, Lafayette, IN 47904, USA. PaulTimperman@verizon.net

MeSH

AdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansLaser TherapyMaleMiddle AgedProspective StudiesSaphenous VeinTreatment OutcomeVenous Insufficiency

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18057283

Clinical Trial Links

Primary Insufficiency of the GSV With a Diameter >/= 12 mm, Antero-lateral Branches, or Below the Knee

Citation

Timperman, Paul E.. "Endovenous Laser Treatment of Incompetent Below-knee Great Saphenous Veins." Journal of Vascular and Interventional Radiology : JVIR, vol. 18, no. 12, 2007, pp. 1495-9.
Timperman PE. Endovenous laser treatment of incompetent below-knee great saphenous veins. J Vasc Interv Radiol. 2007;18(12):1495-9.
Timperman, P. E. (2007). Endovenous laser treatment of incompetent below-knee great saphenous veins. Journal of Vascular and Interventional Radiology : JVIR, 18(12), 1495-9.
Timperman PE. Endovenous Laser Treatment of Incompetent Below-knee Great Saphenous Veins. J Vasc Interv Radiol. 2007;18(12):1495-9. PubMed PMID: 18057283.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous laser treatment of incompetent below-knee great saphenous veins. A1 - Timperman,Paul E, PY - 2007/12/7/pubmed PY - 2008/3/8/medline PY - 2007/12/7/entrez SP - 1495 EP - 9 JF - Journal of vascular and interventional radiology : JVIR JO - J Vasc Interv Radiol VL - 18 IS - 12 N2 - PURPOSE: To test the hypotheses that below-knee great saphenous vein (GSV) reflux after successful ablation of the incompetent above-knee GSV is a cause of incomplete clinical success and that endovenous laser treatment (ELT) of the incompetent below-knee GSV can safely eliminate persistent symptoms. MATERIALS AND METHODS: The author evaluated 576 consecutive ELT procedures of the GSV. Fifty ELT procedures in incompetent calf GSVs were included in this study. Patients with reflux of the entire GSV were selected. All patients underwent clinical and ultrasonographic (US) follow-up. RESULTS: In 16 of the 50 procedures, ELT was performed in the GSV both above and below the knee in separate sessions. In 34 procedures, ELT of the GSV above and below the knee was performed at the same session. An 810-nm laser was used at 14 W. The mean energy was 82 j/cm (range, 56.4-114 j/cm; standard deviation [SD], 14 j/cm). The mean follow-up was 11 months (range, 0-28 months; SD, 7 months). Four paresthesias occurred. Medial ankle pain resolved in all patients, and swelling resolved in all but six limbs. No recanalization occurred. CONCLUSIONS: Patients with incompetence of the entire GSV treated with only ELT of the above-knee GSV experienced incomplete relief of medial ankle pain and swelling; however, symptomatic relief is obtained safely and effectively with additional ELT of the below-knee GSV. SN - 1051-0443 UR - https://www.unboundmedicine.com/medline/citation/18057283/Endovenous_laser_treatment_of_incompetent_below_knee_great_saphenous_veins_ DB - PRIME DP - Unbound Medicine ER -