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Endovenous laser ablation (EVLA) in patients with varicose great saphenous vein (GSV) and incompetent saphenofemoral junction (SFJ): an ambulatory single center experience.
Vasc Endovascular Surg. 2009 Apr-May; 43(2):178-84.VE

Abstract

OBJECTIVES

To evaluate treatment results for varicose great saphenous vein (GSV) using endovenous laser ablation (EVLA) in an ambulatory single center.

MATERIAL AND METHODS

We prospectively studied 77 limbs with varicose GSV in 74 patients who were treated using 980-nm EVL with a 600-mm laser fiber and the power settings of 10-25 Watts. The patients were followed using color Doppler ultrasound.

RESULTS

Continued closure of treated GSV was found in 98.3% of the legs evaluated at 3-week follow-up (n = 60). At 3- and 6-month intervals, 94.1% and 97% successful occlusion was achieved, respectively. The main complications of the procedure included prolonged leg pain (2 cases), hyperestheasia (one case) and lidocaine sensitivity (one case).

CONCLUSION

EVLA treatment of the GSV is a safe and highly effective method accompanied with few complications in midterm follow-up. It is feasible in ambulatory settings and the patients return to their daily activities early after intervention.

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Authors+Show Affiliations

Zafarghandi MR
Department of Cardiovascular Surgery, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran. mrzafarghandi@gmail.com
Akhlaghpour S
No affiliation info available
Mohammadi H
No affiliation info available
Abbasi A
No affiliation info available

MeSH

AdultAmbulatory Surgical ProceduresFeasibility StudiesFemaleFemoral VeinHumansIranLaser TherapyMaleMiddle AgedProspective StudiesSaphenous VeinTime FactorsTreatment OutcomeUltrasonography, Doppler, ColorVaricose VeinsVascular Surgical Procedures

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

19088129

Citation

Zafarghandi, Mohammad Reza, et al. "Endovenous Laser Ablation (EVLA) in Patients With Varicose Great Saphenous Vein (GSV) and Incompetent Saphenofemoral Junction (SFJ): an Ambulatory Single Center Experience." Vascular and Endovascular Surgery, vol. 43, no. 2, 2009, pp. 178-84.
Zafarghandi MR, Akhlaghpour S, Mohammadi H, et al. Endovenous laser ablation (EVLA) in patients with varicose great saphenous vein (GSV) and incompetent saphenofemoral junction (SFJ): an ambulatory single center experience. Vasc Endovascular Surg. 2009;43(2):178-84.
Zafarghandi, M. R., Akhlaghpour, S., Mohammadi, H., & Abbasi, A. (2009). Endovenous laser ablation (EVLA) in patients with varicose great saphenous vein (GSV) and incompetent saphenofemoral junction (SFJ): an ambulatory single center experience. Vascular and Endovascular Surgery, 43(2), 178-84. https://doi.org/10.1177/1538574408326182
Zafarghandi MR, et al. Endovenous Laser Ablation (EVLA) in Patients With Varicose Great Saphenous Vein (GSV) and Incompetent Saphenofemoral Junction (SFJ): an Ambulatory Single Center Experience. Vasc Endovascular Surg. 2009 Apr-May;43(2):178-84. PubMed PMID: 19088129.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous laser ablation (EVLA) in patients with varicose great saphenous vein (GSV) and incompetent saphenofemoral junction (SFJ): an ambulatory single center experience. AU - Zafarghandi,Mohammad Reza, AU - Akhlaghpour,Shahram, AU - Mohammadi,Halimeh, AU - Abbasi,Ali, Y1 - 2008/12/16/ PY - 2008/12/18/entrez PY - 2008/12/18/pubmed PY - 2009/6/6/medline SP - 178 EP - 84 JF - Vascular and endovascular surgery JO - Vasc Endovascular Surg VL - 43 IS - 2 N2 - OBJECTIVES: To evaluate treatment results for varicose great saphenous vein (GSV) using endovenous laser ablation (EVLA) in an ambulatory single center. MATERIAL AND METHODS: We prospectively studied 77 limbs with varicose GSV in 74 patients who were treated using 980-nm EVL with a 600-mm laser fiber and the power settings of 10-25 Watts. The patients were followed using color Doppler ultrasound. RESULTS: Continued closure of treated GSV was found in 98.3% of the legs evaluated at 3-week follow-up (n = 60). At 3- and 6-month intervals, 94.1% and 97% successful occlusion was achieved, respectively. The main complications of the procedure included prolonged leg pain (2 cases), hyperestheasia (one case) and lidocaine sensitivity (one case). CONCLUSION: EVLA treatment of the GSV is a safe and highly effective method accompanied with few complications in midterm follow-up. It is feasible in ambulatory settings and the patients return to their daily activities early after intervention. SN - 1538-5744 UR - https://www.unboundmedicine.com/medline/citation/19088129/Endovenous_laser_ablation__EVLA__in_patients_with_varicose_great_saphenous_vein__GSV__and_incompetent_saphenofemoral_junction__SFJ_:_an_ambulatory_single_center_experience_ L2 - https://journals.sagepub.com/doi/10.1177/1538574408326182?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -

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