Combined endovascular laser with ambulatory phlebectomy for the treatment of superficial venous incompetence: a 2-year perspective
| Autor: | Samuel Wasser, Neil S. Sadick |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Greater saphenous vein Dermatology Avulsion Varicose Veins medicine Humans Saphenous Vein Saphenofemoral junction Aged Ultrasonography Ambulatory phlebectomy Aged 80 and over business.industry Lasers Ultrasound Reflux Femoral Vein Middle Aged Combined approach Surgery Ambulatory Surgical Procedures Female Laser Therapy Complication business Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology. 6(1) |
| ISSN: | 1476-4172 |
| Popis: | Non-invasive radiofrequency and endovascular technologies are becoming increasingly popular in the treatment of superficial venous incompetence. In conjunction with stab avulsion of truncal varicosities, these technologies have been able to address functional as well as cosmetic superficial venous incompetence in a non-invasive fashion. The present study presents a 2-year follow-up of 30 patients with combined axial incompetence of the greater saphenous vein (GSV) in conjunction with truncal varicosities treated with combination diode laser technology and ambulatory phlebectomy.Thirty patients (mean age 49 years) with Sapheno-Femoral Junction reflux associated with GSV incompetence (mean 9.2 x 8.5 mm) and enlarged branch varicosities, as documented by Duplex ultrasound, were enrolled. Patients were treated with an endovascular diode laser (810 nm, 14 W, continuous mode), followed by ambulatory phlebectomy of residual truncal varicosities. Patients were examined 3, 6, 12 and 24 months following this procedure to determine the long-term efficacy of this procedure.A 2-year closure rate of 96.8% was documented by Duplex evaluation. All 273 ambulatory phlebectomy vein segments were eradicated. Two cases of transient hyperpigmentation and one case of telangiectatic matting were documented.The combination of endovascular laser and ambulatory phlebectomy appear to be an effective and safe treatment approach for the management of combined saphenous and truncal varicose vein incompetence. |
| Databáze: | OpenAIRE |
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