alexa Endovenous laser treatment of the incompetent greater saphenous vein.


Anatomy & Physiology: Current Research

Author(s): Min RJ, Zimmet SE, Isaacs MN, Forrestal MD

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Abstract PURPOSE: To assess the safety and preliminary efficacy of endovenous laser treatment (EVLT), a novel percutaneous technique for occlusion of the incompetent greater saphenous vein (GSV). MATERIALS AND METHODS: Ninety GSVs in 84 patients with reflux at the saphenofemoral junction (SFJ) into the GSV were treated endovenously with pulses of laser energy and evaluated in a prospective, nonrandomized, consecutive enrollment multicenter study. Patients were evaluated at 1 week and at 1, 3, 6, and 9 months to determine efficacy and complications. RESULTS: Eighty-seven of 90 GSVs (97\%) were closed 1 week after initial treatment with endovenous laser. The remaining three GSVs were closed after repeat treatment. Eighty-nine of 90 GSVs (99\%) remained closed for as long as 9 months according to serial duplex ultrasonography. Sonographic evaluation demonstrated 73\% reduction in GSV diameter at 6 months (61 patients) and 81\% reduction in GSV diameter at 9 months (26 patients) after EVLT. One patient developed a transient localized skin paresthesia. There have been no other minor or major complications. CONCLUSIONS: EVLT of the incompetent GSV appears to be an extremely safe technique that yields impressive short-term results. Long-term follow-up is awaited.
This article was published in J Vasc Interv Radiol and referenced in Anatomy & Physiology: Current Research

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