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Endovenous laser ablation of the great and short saphenous veins with a 1320-nm neodymium:yttrium-aluminum-garnet laser: retrospective case series of 1171 procedures.
J Am Acad Dermatol. 2014 Feb; 70(2):326-31.JA

Abstract

BACKGROUND

Venous insufficiency is a common medical condition affecting up to 50.5% of women and 30.1% of men. Endovenous laser ablation is a minimally invasive procedure that safely and effectively treats reflux involving the great and short saphenous veins.

OBJECTIVE

We sought to present safety and efficacy data of 1171 endovenous laser ablations using the Scripps Clinic endovenous laser therapy (EVLT) protocol.

METHODS

We conducted an institutional review board-approved, retrospective chart analysis of 1171 endovenous laser ablations performed from March 2007 until February 2011 treated at Scripps Clinic with the 1320-nm neodymium:yttrium-aluminum-garnet laser with 1-month, 6-month, 1-year, and 2-year follow-up data.

RESULTS

Our current overall experience is greater than 2000 EVLT procedures. The mean follow-up for this case series of 1171 EVLT procedures (1066 great saphenous veins and 105 short saphenous veins) is 11.4 months with an overall closure success rate of 99.9% for patients not lost to follow-up. There has been no incidence of deep vein thrombosis, permanent nerve damage, or pulmonary embolism related to laser ablation.

LIMITATIONS

Retrospective chart analysis, investigator bias, patients lost to follow-up, and lack of quality-of-life assessment are limitations.

CONCLUSION

EVLT using a 1320-nm neodymium:yttrium-aluminum-garnet laser appears to be a viable option for venous insufficiency and venous ulceration unresponsive to conservative treatment.

Authors+Show Affiliations

Private practice, Laguna Beach, California. Electronic address: daniellemoul@gmail.com.Scripps Clinic Vein Center, San Diego, California.Scripps Clinic Department of Mohs Surgery, La Jolla, California.Scripps Clinic Department of Mohs Surgery, La Jolla, California.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24314878

Citation

Moul, Danielle K., et al. "Endovenous Laser Ablation of the Great and Short Saphenous Veins With a 1320-nm Neodymium:yttrium-aluminum-garnet Laser: Retrospective Case Series of 1171 Procedures." Journal of the American Academy of Dermatology, vol. 70, no. 2, 2014, pp. 326-31.
Moul DK, Housman L, Romine S, et al. Endovenous laser ablation of the great and short saphenous veins with a 1320-nm neodymium:yttrium-aluminum-garnet laser: retrospective case series of 1171 procedures. J Am Acad Dermatol. 2014;70(2):326-31.
Moul, D. K., Housman, L., Romine, S., & Greenway, H. (2014). Endovenous laser ablation of the great and short saphenous veins with a 1320-nm neodymium:yttrium-aluminum-garnet laser: retrospective case series of 1171 procedures. Journal of the American Academy of Dermatology, 70(2), 326-31. https://doi.org/10.1016/j.jaad.2013.10.005
Moul DK, et al. Endovenous Laser Ablation of the Great and Short Saphenous Veins With a 1320-nm Neodymium:yttrium-aluminum-garnet Laser: Retrospective Case Series of 1171 Procedures. J Am Acad Dermatol. 2014;70(2):326-31. PubMed PMID: 24314878.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endovenous laser ablation of the great and short saphenous veins with a 1320-nm neodymium:yttrium-aluminum-garnet laser: retrospective case series of 1171 procedures. AU - Moul,Danielle K, AU - Housman,Leland, AU - Romine,Sara, AU - Greenway,Hubert, Y1 - 2013/12/04/ PY - 2010/10/12/received PY - 2013/09/07/revised PY - 2013/10/01/accepted PY - 2013/12/10/entrez PY - 2013/12/10/pubmed PY - 2014/3/19/medline KW - CoolTouch laser KW - DVT KW - EVLT KW - GSV KW - LTFU KW - Nd:YAG KW - SSV KW - deep vein thrombosis KW - endovenous laser ablation KW - endovenous laser therapy KW - great saphenous vein KW - lost to follow-up KW - neodymium:yttrium-aluminum-garnet KW - short saphenous vein KW - varicose veins KW - venous insufficiency KW - venous ulcers SP - 326 EP - 31 JF - Journal of the American Academy of Dermatology JO - J Am Acad Dermatol VL - 70 IS - 2 N2 - BACKGROUND: Venous insufficiency is a common medical condition affecting up to 50.5% of women and 30.1% of men. Endovenous laser ablation is a minimally invasive procedure that safely and effectively treats reflux involving the great and short saphenous veins. OBJECTIVE: We sought to present safety and efficacy data of 1171 endovenous laser ablations using the Scripps Clinic endovenous laser therapy (EVLT) protocol. METHODS: We conducted an institutional review board-approved, retrospective chart analysis of 1171 endovenous laser ablations performed from March 2007 until February 2011 treated at Scripps Clinic with the 1320-nm neodymium:yttrium-aluminum-garnet laser with 1-month, 6-month, 1-year, and 2-year follow-up data. RESULTS: Our current overall experience is greater than 2000 EVLT procedures. The mean follow-up for this case series of 1171 EVLT procedures (1066 great saphenous veins and 105 short saphenous veins) is 11.4 months with an overall closure success rate of 99.9% for patients not lost to follow-up. There has been no incidence of deep vein thrombosis, permanent nerve damage, or pulmonary embolism related to laser ablation. LIMITATIONS: Retrospective chart analysis, investigator bias, patients lost to follow-up, and lack of quality-of-life assessment are limitations. CONCLUSION: EVLT using a 1320-nm neodymium:yttrium-aluminum-garnet laser appears to be a viable option for venous insufficiency and venous ulceration unresponsive to conservative treatment. SN - 1097-6787 UR - https://www.unboundmedicine.com/medline/citation/24314878/Endovenous_laser_ablation_of_the_great_and_short_saphenous_veins_with_a_1320_nm_neodymium:yttrium_aluminum_garnet_laser:_retrospective_case_series_of_1171_procedures_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0190-9622(13)01057-8 DB - PRIME DP - Unbound Medicine ER -