Results of a long-term performance and follow-up of Endovenous Laser Ablatıon procedures performed for treating great saphenous vein incompetence.

Bozkurt Gulek,Muhammet Arslan,Sinan Sozutok

doi:10.12669/pjms.346.15683

Abstract

Objective:To assess the value of endovenous laser ablation (EVLA) for treating great saphenous vein (GSV) incompetence.Methods:We reviewed the overall results of EVLA procedures performed on 554 patients in our clinic between March 2011 and December 2015. Evaluations were made concerning the situations of the great saphenous vein (GSV), the energy used in the treatments, and the results obtained. We also investigated if there was a possibility to detect failure of EVLA treatment at an early stage.Results:From a total of 657 GSVs that were subjected to EVLA treatment, the procedure was found to be successful for 611 GSVs and unsuccessful for 46 GSVs (success rate: 93%). In 38 of the 46 GSVs, a thrombus formation was detected by color Doppler ultrasonography (CDUS) at the postoperative first month (82.6%).Conclusion:EVLA is a reliable and successful method utilized for the treatment of GSV incompetence. It is concluded that the detection of a thrombus in the GSV tract during the first postoperative follow-up month is an indicator for revascularization.

Highlights

Venous incompetence of the lower extremities is a very important issue, affecting 15% males and 25% females
Patients with a history of deep vein thrombosis (DVT) as well as patients suffering from deep vein insufficiencies and lower-extremity arterial diseases were excluded from the study
A total of 657 incompetent great saphenous vein (GSV) of 553 patients were treated by means of the endovenous laser ablation (EVLA) procedure; 104 patients had bilateral VSM insufficiencies

Summary

Introduction

Venous incompetence of the lower extremities is a very important issue, affecting 15% males and 25% females. Insufficiencies of the great saphenous veins (GSV) majorly contribute to the venous incompetence of the lower extremities.[1,2,3] This insufficiency may give rise to cosmetic concerns such as spider telangiectasia and varicose veins as well as to more serious problems such as limb edema, skin ulcers, and even some forms of disabilities.[4] The main goal of therapy in GSV incompetence is to eliminate the underlying cause of venous reflux. We evaluate the impact of therapy together with the energy consumed during the procedure as well as the pre- and postoperative procedure steps utilized

Methods

Results

Conclusion