Great saphenous vein remodeling using LASER with low-energy linear endovenous energy density, no tumescence, and associated surgical techniques

Abstract

The objective was reduce at the half the GSV diameter trough remodeling of the great saphenous vein by 1470 LASER LEED flexibility (setting parameters) as a method to counteract Valsalva reflux. A prospective study of 38 patients done in two centers is presented using a combined approach of sparing techniques plus LASER 1470 nm .The purpose was avoid unnecessary ablation of the great saphenous vein (GSV) at the early hemodynamic stages (diameter below 9 mm, peak reflux speed below 30 cc/s and total reflux volume (TRV) between 10 and 100 cc/s). The study was under the supervision of the Ethical Committee and Scientific Department of the Argentine Society of Phlebology and Lymphology, Chairman Dr. Daniel Garcia, June 9 2017, and approved during the plenary session. No number registration was given. Each patient gave signed informed consent. Thirty-eight middle-aged patients, 29 women and 9 men, with clinical, etiologic, anatomic, pathophysiologic (CEAP) classification C2-5 were included. This study does not record background into the world bibliography, therefore doesn’t exist comparison parameters available.