Results of venous reflux treatment with 1,470 nm endolaser and correlation with degree of venous insufficiency.

Jornal Vascular Brasileiro
Ana Paula Pires SilvaCaetano de Souza Lopes

Abstract

Patients with advanced chronic venous disease are more likely to need additional procedures for relapsed varicose veins. It has not yet been established whether severity of venous insufficiency is a factor that influences the occlusion rate of saphenous veins treated with endolasers. To analyze occlusion rate of venous segments treated with endolaser and correlate it with patients' Venous Clinical Severity Score (VCSS) and Clinical-Etiological-Anatomical-Pathological (CEAP) classification. Retrospective analysis of a cohort of patients operated using a 1,470 nm endolaser from November 2012 to March 2020. Descriptive statistics were calculated and Kaplan-Meier survival curves were plotted with Cox regression for groups stratified by VCSS and CEAP. A total of 180 venous segments were analyzed in 170 patients. Mean age was 44.3 ± 9.2 and the majority of patients were female (71%). Mean energy density used in the great saphenous vein was 49.2 ± 8.3 J/cm. The most common complications were pain along the course of the saphenous vein (12.2%) and paresthesias at 6 months (17.2%). There was no difference in venous occlusion rate between groups with VCSS ≤ 7 and VCSS > 7 (p = 0.067). A group of patients classified as CEAP classes C4, C5...Continue Reading

References

Mar 15, 2014·VASA. Zeitschrift für Gefässkrankheiten·Larissa PfistererThomas Korff
Mar 21, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·S K Van der VeldenUNKNOWN Members of the Predictors of Endovenous Thermal Ablation Group
Apr 17, 2017·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Andrea T ObiThomas W Wakefield
Mar 10, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Matthew K H TanAlun H Davies
May 1, 2020·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Scott D BendixJudith C Lin

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