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Endovenous 980-nm Diode Laser Treatment of Incompetent Great Saphenous Vein  

Kim, Kun-Il (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Jo, Tae-Jun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Lee, Jae-Woong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Hong, Ki-Woo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Lee, Won-Yong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Publication Information
Journal of Chest Surgery / v.40, no.2, 2007 , pp. 97-102 More about this Journal
Abstract
Background: Endovenous laser treatment has recently been introduced as a less invasive technique, with many good results reported, A 980-nm diode laser was used on the great saphenous vein (GSV) occlusions in patients with varicose veins, due to GSV reflux, and the therapeutic effects analyzed. Material and Method: Between September 2003 and February 2006, 238 patients (332 cases) with GSV reflux underwent endovenous laser treatment with a 980-nm diode laser. Operative procedures were simultaneous endovenous laser treatment and ambulatory phlebectomy. The preoperative clinical findings, postoperative complications and postoperative duplex US follow up results at 1 and 3 months were reviewed. Result: Postoperative complications were ecchymosis in almost cases, paresthesia 68 cases (20.5%) and skin burn in 3 cases (0.9%). Follow up duplex US revealed 26 and 10 cases at 1 and 3 months of GSV reflux or partial recanalization, with therapeutic success rates of 91.3 and 87.9%, respectively. Conclusion: The treatment of GSV occlusion with an endovenous laser is less invasive than traditional GSV stripping, but relatively high recanalization was experienced, possibly due to inadequate laser power, laser fiber pullback speed or an extremely dilated GSV. However, continuous attempts will be required to reduce the recanalization after the procedure, with accurate follow up using duplex US.
Keywords
Laser; Saphenous vein; Varicose vein;
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1 Disselhoff BC, Kinderen DJ, Moll FL. Is there recanalization of the great saphenous vein 2 years after endovenous laser treatment? J Endovasc Ther 2005;12:731-8   DOI   ScienceOn
2 Agus GB, Mancini S, Magi G. The first 1,000 cases of Italian endovenous-laser working group (IEWG) Rationale, and long-term outcomes for the 1999-2003 period. Int Angiol 2006;25:209-15   PUBMED
3 Min RJ, Zimmet SE, Isaaccs MN, Forrestal MD. Endovenous laser treatment of the incomponent greater saphenous vein. J Vasc Radiol 2001;12:1167-71   DOI   ScienceOn
4 Ravi R, Rodriguez-lopez JA, Trayler EA, et al. Endovenous ablation of incompetent saphenous veins: a large singlecenter experience. J Endovasc Ther 2006;13:244-8   DOI   ScienceOn
5 Sadick NS, Wasser S. Combined endovascular laser with ambulatory phlebectomy for the treatment of superficial venous incompetence: a 2-years perspective. J Cosmet Laser Ther 2004;6:44-9   DOI   ScienceOn
6 Proebstle TM, Sandhofer MM, Kargl A, et al. Thermal damage of the inner vein wall during endovenous laser treatment: key role of energy absorption by intravascular blood. Dermatol Surg 2002;28:596-600   DOI   ScienceOn
7 Sharif MA, Soong CV, Lau LL, Corvan R, Lee B, Hannon RJ. Endovenous laser treatment for long saphenous vein incompetence. Br J Surg 2006;93:831-5   DOI   ScienceOn
8 Rajagopalan R, Julio AR, Edwina AT, Deborah AB, Venkatesh R, Edward BD. Endovenous ablation of incomplete saphenous veins. J Endovasc Ther 2006;13:244-8   DOI   ScienceOn
9 Min RJ, Khilnani N, Zimmet SE. Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol 2003;14:991-6   DOI   PUBMED   ScienceOn
10 Dwerryhouse S, Davies B, Harradine K, Earnshaw JJ. Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: five-year results of randomized trial. J Vasc Surg 1999;29:589-92   DOI   ScienceOn
11 Kostas T, Loannou CV, Touloupakis E, et al. Recurrent varicose vein after surgery: a new appraisal of a common and complex problem in vascular surgery. Eur J Endovasc Surg 2003;27:275-82
12 Sarin S, Scurr JH, Coleridge Smith PD. Assessment of stripping of the long saphenous vein in the treatment of primary varicose veins. Br J Surg 1992;79:889-93   DOI   ScienceOn
13 Lee SY, Song IH, Lee SJ, Park HJ, Lee CS, Lee KR. Short-term result of endovenous 980-nm diode laser treatment in varicose vein of lower extremities. Korean J Thorac Cardiovasc Surg 2005;38:557-63   과학기술학회마을
14 Chang C, Chua J. Endovenous laser photocoagulation (EVLP) for varicose veins. Laser Surg Med 2002;31:257-62   DOI   ScienceOn
15 Weiss RA. Comparison of endovenous radiofrequency versus 810nm diode laser occlusion of large veins in an animal model. Dermatol Surg 2002;28:56-61   DOI   ScienceOn
16 Song KH, Lee SJ, Cho GJ, Oh JY, Kim KH. Endovenous laser treatment of the varicose vein. J Korean Soc Phlebol 2002;1:28-33