A description of the ‘smile sign’ and multi-pass technique for endovenous laser ablation of large diameter great saphenous veins
| Autor: | Mark S Whiteley, Emma B Dabbs, Laurensius E Mainsiouw, Barrie A Price, Judith M Holdstock |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment 030204 cardiovascular system & hematology 030230 surgery law.invention Varicose Veins 03 medical and health sciences 0302 clinical medicine law Varicose veins Occlusion Humans Medicine Saphenous Vein Large diameter Laser ablation business.industry Endovascular Procedures Great saphenous vein General Medicine Laser Ablation Surgery Female Laser Therapy medicine.symptom Cardiology and Cardiovascular Medicine business Saphenous veins Nuclear medicine |
| Zdroj: | Phlebology: The Journal of Venous Disease. 33:534-539 |
| ISSN: | 1758-1125 0268-3555 |
| DOI: | 10.1177/0268355517734480 |
| Popis: | Aims To report on great saphenous vein diameter distribution of patients undergoing endovenous laser ablation for lower limb varicose veins and the ablation technique for large diameter veins. Methods We collected retrospective data of 1929 (943 left leg and 986 right leg) clinically incompetent great saphenous vein diameters treated with endovenous laser ablation over five years and six months. The technical success of procedure, complications and occlusion rate at short-term follow-up are reported. Upon compression, larger diameter veins may constrict asymmetrically rather than concentrically around the laser fibre (the ‘smile sign’), requiring multiple passes of the laser into each dilated segment to achieve complete ablation. Results Of 1929 great saphenous veins, 334 (17.31%) had a diameter equal to or over 15 mm, which has been recommended as the upper limit for endovenous laser ablation by some clinicians. All were successfully treated and occluded upon short-term follow-up. Conclusion We suggest that incompetent great saphenous veins that need treatment can always be treated with endovenous laser ablation, and open surgery should never be recommended on vein diameter alone. |
| Databáze: | OpenAIRE |
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