Endovenous laser ablation of saphenous vein – mid-term results confirm permanent closure and possibility to treat more lesions in one procedure
| Autor: | Jakub Honěk, V. Horváth, M. Vítovec, P. Šebesta, T. Kneifl, M. Šlais, V. Fabián, Tomáš Honěk, O Stehno, Sedivý P |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Laser ablation business.industry Chronic venous insufficiency Ultrasound Mid term results General Medicine medicine.disease Surgery Varicose Veins Catheter Treatment Outcome medicine.anatomical_structure Venous Insufficiency Occlusion Varicose veins medicine Humans Saphenous Vein Laser Therapy medicine.symptom Vein business |
| Zdroj: | Perspectives in Surgery. 99 |
| ISSN: | 1805-4579 0035-9351 |
| DOI: | 10.33699/pis.2020.99.7.299-303 |
| Popis: | Introduction: Endovenous Laser Ablation (EVLA) is a common alternative to surgical treatment of varicose veins. The aim of our study was to demonstrate that laser occlusion is durable, that we can treat all patients in a one day setting, even with veins >10mm in diameter, and that multiple EVLAs can be done at the same time. Methods: In the period from 1/2017 to 12/2019 EVLA was performed in a total of 1551 consecutive patients with varicose veins and ultrasonographically documented venous reflux. The mid-term results were evaluated in a group of patients operated from 1/2017 to 6/2017 (316 pts.). We compared a risk group that consisted of patients with veins >10mm in diameter (40 pts.) with a control group (the remaining 276 pts.). Patients with veins >10mm are traditionally considered as candidates for conventional surgery. Results: The catheter-based method enabled us to perform more ablations in one procedure. In 2019 we performed 1.44 EVLA procedures per patient. There was only one postoperative follow-up visit, indicating an uncomplicated postoperative course, in 87.5% of patients of the risk group. In the control group 100% of patients had only one follow-up visit including ultrasound examination, showing an uncomplicated postoperative course (p |
| Databáze: | OpenAIRE |
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