Endovenska laserska obliteracija velike vene safene: nova minimalno invazivna metoda zdravljenja krčnih žil - preliminarno poročilo
Endovenous obliteration of long saphenous vein. A new minimal invasive method of treatment for varicose veins - preliminary report

slovenian

2004

volume 73, issue 12

cardiovascular disease   Laser Surgery   Saphenous Vein   Varice   Varicose Veins

Slovensko zdravniško društvo
(Obvezni izvod spletne publikacije)

Background. Minimally invasive treatment of varicose veins is becoming more and more important as it represents less burden to the patient and health system. The success of the different methods depends on their capability to eliminate the reflux at the sapheno femoral junction (SFJ) and the incompetentgreater saphenous vein (GSV). In achieving these only three methodsare successful: ultrasound (US) guided catheter sclerosation, radiofrequency or laser endovenous obliteration of GSV Aims. To demonstrate a novel way to use a laser energy through an endoluminal laser fiber for the minimally invasive treatment of truncal varicosities and the elimination of SFJ reflux. Methods. The patients with US detected reflux in the SFJand GSV were treated on the outpatient basis under local anaesthesia with laser mediated heat energy in the GSV 2-3 cm from SFJ with the laser of wave leugth of 980 nm with the power 15 W and the impulse duration of 1 sek. We used 20-40impulses along the treated segment of GSV. The exact position of the laser fiber was determined by the US. The smaller branch varices were removed by mini phlebectomies. Patients tolerated well the procedure and they were dismissed from the hospital with applied compression stockings (CCL II) immediately after the completion of the procedure. The control US was done oneweek, four weeks and three months later. At one week one out of 16 patientspresented with no occlusion of the GSV. At four weeks another patient had recanalisation of GSV but without the reflux. All other patients had the short GSV stump in which the patient epigastric vein was draining while the remaning part of the GSV was obliterated by the thrombus. Except for some skinecchymosis and mild induration in the but patients did not have any other problems. The unsuccessful treatment in two patients is probably due to insufficient applied energy.

10.04.2014