[Endovenous laser treatment (EVLT) for treatment of great saphenous vein insufficiency].Rev Med Chir Soc Med Nat Iasi. 2007 Jul-Sep; 111(3):664-8.RM
To assess the efficacy and rate of complications of endovenous laser treatment (EVLT) of the great saphenous vein (GSV) insufficiency.
Between august 2002 and june 2007, 341 of the lower limbs of 322 patients were treated with EVLT using a 980-nm diode laser. Duplex ultrasound and clinical examinations were performed on the day of the procedure, the next day, and 6 to 12 months after the procedure.
All procedures were technically successful, and at the 3 months follow-up the Doppler ultrasound indicated the complete obstruction in all cases. 67 of the 70 lower limbs presented a complete obstruction at the 2 year follow-up. Only in two cases (2.85%) the GSV recanalization was observed after 6 months. As side effects reversible paresthesia, transient postoperative pain and ecchymosis were observed.
EVLT is a safe technique, with low incidence of recanalization and postoperative complications.