Browse > Article
http://dx.doi.org/10.5090/kjtcs.2010.43.2.150

Endovenous Laser Treatment (EVLT) with High Ligation of an Incompetent Small Saphenous Vein  

Jeong, Jae-Han (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Kim, Kun-Il (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)
Kim, Hyoung-Soo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Cho, Sung-Woo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Lee, Hee-Sung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Hallym University)
Publication Information
Journal of Chest Surgery / v.43, no.2, 2010 , pp. 150-155 More about this Journal
Abstract
Background: Endovenous laser treatment (EVLT) has recently been introduced as a less invasive technique for treating an incompetent small saphenous vein and many good results have been reported. The purpose of this study is to assess the efficacy and safety of EVLT combined with high ligation in patients with an incompetent small saphenous vein. Material and Method: The study included 60 patients (66 limbs) who were treated with EVLT combined with high ligation of an incompetent small saphenous vein between January 2006 and May 2009. The preoperative clinical findings, the postoperative results and the postoperative ultrasonography follow up results at 1 and 3 months were reviewed. Result: Postoperative complications were observed in 17 patients (15 limbs, 28.3%) and postoperative paresthesia occurred in 5 limbs (7.6%), but there was no deep vein thrombosis. Ultrasonography follow up at 3 month was performed in 93.9% of the limbs (62/66). The vein occlusion rate at 1 and 3 months were found to be 91.9% (57/62) and 90.3% (56/62), respectively. Conclusion: We performed EVLT combined with high ligation and ambulatory phlebectomy in patients with an incompetent small saphenous vein, and this all revealed relatively satisfactory results with a low complication rate, but it showed a relatively low cure rate even though we also performed EVLT combined with high ligation altogether. We need to determine whether EVLT combined with a high ligation procedure will improve the venous occlusion rate. We also need to investigate how we can minimize the occurrence of nerve injury.
Keywords
Laser; Saphenous vein; Varicose veins;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Perrin MR, Labropoulos N, Leon LR Jr. Presentation of the patient with recurrent varices after surgery (REVAS). J Vasc Surg 2006;43:327-34   DOI   ScienceOn
2 Min SK, Jung JM, Min SI, et al. Endovenous laser treatment (EVLT) with high ligation of small saphenous vein varicosities. J Korean Soc Vasc Surg 2007;23:174-80
3 Weiss RA, Dover JS. Leg vein management: sclerotherapy, ambulatory phlebectomy, and laser surgery. Semin Cutan Med Surg 2002;21:76-103   DOI   ScienceOn
4 Theivacumar NS, Beale RJ, Mavor AI, Gough MJ. Initial experience in endovenous laser ablation (EVLA) of varicose veins due to small saphenous vein reflux. Eur J Vasc Endovasc Surg 2007;33:614-8   DOI   ScienceOn
5 Proebstle TM, Moehler T, Herdemann S. Reduced recanalization rates of the great saphenous vein after endovenous laser treatment with increased energy dosing: definition of a threshold for the endovenous fluence equivalent. J Vasc Surg 2006;44:834-9   DOI   ScienceOn
6 O’Hare JL, Vandenbroeck CP, Whitman B, Campbell B, Heather BP, Earnshaw JJ; Joint Vascular Research Group. A prospective evaluation of the outcome after small saphenous varicose vein surgery with one-year follow-up. J Vasc Surg 2008;48:669-73   DOI   PUBMED   ScienceOn
7 Timperman PE. Arteriovenous fistula after endovenous laser treatment of the short saphenous vein. J Vasc Interv Radiol 2004;15:625-7   DOI   PUBMED   ScienceOn
8 Kontothanassis D, Mitri RD, Ruffino SF, et al. Endovenous laser treatment of the small saphenous vein. J Vasc Surg 2009;49:973-9   DOI   PUBMED   ScienceOn
9 Proebstle TM, Gul D, Kargl A, Knop J. Endovenous laser treatment of the lesser saphenous vein with a 940-nm diode laser: early results. Dermatol Surg 2003;29:357-61   DOI   ScienceOn
10 Ravi R, Rodriguez-Lopez JA, Traylor EA, Barrett DA, Ramaiah V, Diethrich EB. Endovenous ablation of incompetent saphenous veins: a large single-center experience. J Endovasc Ther 2006;13:244-8   DOI   ScienceOn
11 Gibson KD, Ferris BL, Polissar N, Neradilek B, Pepper D. Endovenous laser treatment of the small saphenous vein: efficacy and complication. J Vasc Surg 2007;45:795-803   DOI   ScienceOn
12 Park SW, Hwang JJ, Yun IJ, et al. Endovenous laser ablation of the incompetent small saphenous vein with 980-nm diode laser: our experience with 3 years follow up. Eur J Vasc Endovasc Surg 2008;36:738-42   DOI   ScienceOn
13 Min RJ, Khilnani N, Zimmwt SE. Endovenous laser treatment of saphenous vein reflux. J Vasc Interv Radiol 2003;14:991-6   DOI   PUBMED   ScienceOn
14 Rashid HI, Ajeel A, Tyrrell MR. Persistent popliteal fossa reflux following saphenopopliteal disconnection. Br J Sug 2002;89:748-51   DOI   ScienceOn