The effect of endovenous laser ablation of incompetent perforating veins and the great saphenous vein in patients with primary venous disease

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
H ShiM Yin

Abstract

This study aimed to investigate the clinical results and fate of incompetent perforating veins (IPVs) following treatment of superficial venous insufficiency, with or without endovenous laser ablation (EVLA) of IPVs. A retrospective analysis of patients with primary venous insufficiency (PVI) was conducted in a single institution from January, 2010 to December, 2011. IPVs were found in 311 patients (376 limbs). Among these, 132 patients (156 limbs) were treated with EVLA of IPVs and varicose vein surgery, and the remaining 179 patients (220 limbs) were treated with varicose vein surgery alone and served as controls. The fate of the IPVs, complications and clinical results were evaluated. The technical success rate of EVLA of IPVs was 100%. There was no statistical difference in complications between the two groups. At 1 year follow up, 68 perforators were recanalized and still incompetent in the EVLA treated IPV group compared with 437 incompetent perforators in the untreated IPV group (18.7% vs. 92.6%; p < .001). A faster median ulcer healing time (1.40 months) was found in the EVLA treated IPV group (95% confidence interval [CI] 1.15-1.66 vs. 3.30 months [95% CI 2.50-4.10]; p = .001), even though no statistical difference in ...Continue Reading

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Citations

Aug 25, 2016·Plastic and Reconstructive Surgery·Lisa J GouldMarjana Tomic-Canic
Dec 4, 2021·Dermatologic Therapy·Nikolaos ChaitidisChristos Bakoyiannis

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