Browse > Article
http://dx.doi.org/10.3348/kjr.2011.12.4.481

Early Results of Endovenous Ablation with a 980-nm Diode Laser for an Incompetent Vein of Giacomini  

Park, Sang-Woo (Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine)
Lee, Song-Am (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine)
Hwang, Jae-Joon (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine)
Yun, Ik-Jin (Department of Surgery, Konkuk University Hospital, Konkuk University School of Medicine)
Kim, Jun-Seok (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine)
Chang, Seong-Hwan (Department of Surgery, Konkuk University Hospital, Konkuk University School of Medicine)
Chee, Hyun-Keun (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine)
Chang, Il-Soo (Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine)
Publication Information
Korean Journal of Radiology / v.12, no.4, 2011 , pp. 481-486 More about this Journal
Abstract
Objective: We wanted to evaluate the effectiveness of endovenous ablation of the incompetent vein of Giacomini using a 980-nm diode laser. Materials and Methods: A total of 18 patients (18 limbs, 4%) had the incompetent vein of Giacomini. Retrograde reflux originating from the great saphenous vein was noted in sixteen limbs and paradoxical diastolic anterograde reflux from the saphenopopliteal junction was observed in two limbs. After tumescent anesthesia, laser ablation using a 980-nm wavelength laser fiber was performed under ultrasound and/or fluoroscopic guidance. Patients were evaluated clinically and with duplex ultrasound at one week and at one, three, six and twelve months after laser ablation for the technical and clinical success. Results: In the 18 limbs, the technical success rate was 100%. Continued closure of the vein of Giacomini was seen in 18 of 18 limbs after one month, in 12 of 12 limbs after three and six months and in six of six limbs after twelve months. No recanalization of the vein and no major complications occurred. Conclusion: Endovenous laser ablation with a 980-nm wavelength is an effective and safe procedure for treating an incompetent vein of Giacomini.
Keywords
Vein; Ultrasound; Laser;
Citations & Related Records

Times Cited By Web Of Science : 0  (Related Records In Web of Science)
Times Cited By SCOPUS : 0
연도 인용수 순위
  • Reference
1 Giacomini G, Schnadig VJ. The cervical Papanicolaou smear: bacterial infection and the Bethesda System. Acta Cytol 1992;36:109-110
2 Caggiati A. Fascial relationships of the long saphenous vein. Circulation 1999;100:2547-2549   DOI   ScienceOn
3 Caggiati A. Fascial relations and structure of the tributaries of the saphenous veins. Surg Radiol Anat 2000;22:191-196   DOI   ScienceOn
4 Escribano JM, Juan J, Bofill R, Rodriguez-Mori A, Maeso J, Fuentes JM, et al. Haemodynamic strategy for treatment of diastolic anterograde giacomini varicose veins. Eur J Vasc Endovasc Surg 2005;30:96-101   DOI   ScienceOn
5 Georgiev M. The femoropopliteal vein. Ultrasound anatomy, diagnosis, and office surgery. Dermatol Surg 1996;22:57-62   DOI
6 Delis KT, Knaggs AL, Khodabakhsh P. Prevalence, anatomic patterns, valvular competence, and clinical significance of the Giacomini vein. J Vasc Surg 2004;40:1174-1183   DOI   ScienceOn
7 Georgiev M. The preoperative duplex examination. Dermatol Surg 1998;24:433-440   DOI
8 Park SW, Yun IJ, Hwang JJ, Lee SA, Kim JS, Chang SH, et al. Endovenous laser ablation of varicose veins after direct percutaneous puncture: early results. Dermatol Surg 2007;33:1243-1249   DOI   ScienceOn
9 Park SW, Hwang JJ, Yun IJ, Lee SA, Kim JS, Chang SH, et al. Endovenous laser ablation of the incompetent small saphenous vein with a 980-nm diode laser: our experience with 3 years follow-up. Eur J Vasc Endovasc Surg 2008;36:738-742   DOI   ScienceOn
10 Park SW, Yun IJ, Hwang JJ, Lee SA, Kim JS, Chang SH, et al. Fluoroscopy-guided endovenous foam sclerotherapy using a microcatheter in varicose tributaries followed by endovenous laser treatment of incompetent saphenous veins: technical feasibility and early results. Dermatol Surg 2009;35:804-812   DOI   ScienceOn
11 Kabnick LS. Outcome of different endovenous laser wavelengths for great saphenous vein ablation. J Vasc Surg 2006;43:88-93   DOI   ScienceOn
12 Bush RG, Hammond K. Treatment of incompetent vein of Giacomini (thigh extension branch). Ann Vasc Surg 2007;21:245-248   DOI   ScienceOn
13 Georgiev M, Myers KA, Belcaro G. The thigh extension of the lesser saphenous vein: from Giacomini's observations to ultrasound scan imaging. J Vasc Surg 2003;37:558-563   DOI   ScienceOn
14 Prakash, Kumari J, Nishanth Reddy N, Kalyani Rao P, Preethi Ramya T, Singh G. A review of literature along with a cadaveric study of the prevalence of the Giacomini vein (the thigh extension of the small saphenous vein) in the Indian population. Rom J Morphol Embryol 2008;49:537-539
15 Kosinski C. Observations on the Superficial Venous System of the Lower Extremity. J Anat 1926;60:131-142
16 Moosman DA, Hartwell SW Jr. The Surgical Significance of the Subfascial Course of the Lesser Saphenous Vein. Surg Gynecol Obstet 1964;118:761-766
17 Engel AF, Davies G, Keeman JN, von Dorp TA. Colour flow imaging of the normal short saphenous vein. Eur J Vasc Surg 1994;8:179-181   DOI   ScienceOn
18 Delis KT, Swan M, Crane JS, Cheshire NJ. The Giacomini vein as an autologous conduit in infrainguinal arterial reconstruction. J Vasc Surg 2004;40:578-581   DOI   ScienceOn
19 Vasdekis SN, Clarke GH, Hobbs JT, Nicolaides AN. Evaluation of non-invasive and invasive methods in the assessment of short saphenous vein termination. Br J Surg 1989;76:929-932   DOI   ScienceOn
20 Labropoulos N, Leon M, Nicolaides AN, Giannoukas AD, Volteas N, Chan P. Superficial venous insufficiency: correlation of anatomic extent of reflux with clinical symptoms and signs. J Vasc Surg 1994;20:953-958   DOI   ScienceOn
21 Somjen GM, Royle JP, Fell G, Roberts AK, Hoare MC, Tong Y. Venous reflux patterns in the popliteal fossa. J Cardiovasc Surg (Torino) 1992;33:85-91
22 Labropoulos N, Giannoukas AD, Delis K, Kang SS, Mansour MA, Buckman J, et al. The impact of isolated lesser saphenous vein system incompetence on clinical signs and symptoms of chronic venous disease. J Vasc Surg 2000;32:954-960   DOI   ScienceOn