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Endovenous laser ablation of great saphenous vein with ultrasound-guided perivenous tumescence： early and midterm results

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Chinese Medical Journal 2013年第3期126卷 421-425页

作者： CHEN Jia-quan XIE Hui DENG Hao-yu YUAN Kai ZHANG Ji-wei ZHANG Hao ZHANG Lan Department of Vascular Surgery Renji Hospital School of Medicine Shanghai Jiao Tong University Shanghai 200127 China

Background Endovenous laser ablation （EVLA） is an improved method to treat varicose great saphenous veins （GSV） with a high satisfactory rate. This study aimed to evaluate the efficiency and safety of treatment by EVLA procedures with ultrasound-guided perivenous tumescence. Methods Thirty-one patients （31 limbs） with symptomatic varicose vein primary to chronic venous insufficiency （CVI） treated with EVLA were prospectively studied. The entire procedure was performed under ultrasound-guided tumescent local anesthesia. The patients were evaluated with a 18 month follow-up postoperation using clinical examination and venous duplex ultrasonography. Pain scores and quality of life （QOL） were recorded using visual analog scale （VAS） and the chronic venous insufficiency questionnaire （CIVIQ） at 1 week, 1 month, and 12 months after operation. Results All patients tolerated EVLA procedure well. The overall success occlusion rates of GSV were 92%, 94%, and 94% at 1, 12, and 18 months follow-up, respectively. The score of CIVIQ one week preoperation was 69.14±11.44 while that of CIVIQ one month postoperation was 85.32±4.89. The life quality has significantly improved after the operation of EVLA （t=12.71, P 〈0.05）. The VAS one month after treatment was lower than 1 week before therapy （t=8.048, P 〈0.05）. Major complications such as deep vein thrombosis and skin burns were not found. Most of the complications were minor and improved quickly. Conclusions This refinement type of EVLA procedure is a safe and effective treatment with a high satisfaction rate; it displayed noteworthy features including shortening hospitalization, early ambulant activity, and preferable occlusion rates.

关键词： endovenous laser ablation great saphenous vein occlusion tumescent anaesthesia

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Endovenous laser treatment vs conventional surgery for great saphenous vein varicosities: A propensity score matching analysis

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World Journal of Clinical Cases 2023年第35期11卷 8291-8299页

作者： Qiang Li Chen Zhang Zhao Yuan Zi-Qi Shao Jian Wang Department of General Surgery The Second Affiliated Hospital of Xuzhou Medical UniversityXuzhou 221000Jiangsu ProvinceChina

BACKGROUND Varicosis is a common venous condition,which is typically treated ***,selection of the optimal surgical approach can be *** studies comparing endovenous laser treatment(EVLT)and conventional surgery were retrospective and observational in nature and the results may therefore have been influenced by selection bias and the presence of other confounding *** this study,we used propensity score matching to reduce selection bias when comparing EVLT and conventional surgery for the treatment of varicose great saphenous *** We retrospectively reviewed the records of 1063 patients treated for primary varicosis of the great saphenous vein at the Second Affiliated Hospital of Xuzhou Medical University between January 2009 and December *** them,56 patients were excluded owing to additional small saphenous varicose vein involvement,81 owing to recurring varicose veins,83 owing to complicated varicose veins(CEAP clinical classification C5-C6),and 6 owing to perioperative ***,772 patients were enrolled in this *** demographic and clinicopathological data were collected from the medical records of the *** propensity score matching,522 patients(261 who underwent EVLT and 261 who underwent conventional surgery)were randomly matched 1:1 by age,sex,onset time,smoking status,presence of diabetes,family history,stress therapy,C class,and the affected *** Of the 772 patients included in the study,467 underwent EVLT and 305 underwent conventional *** were significant differences in age,onset time,smoking and diabetes status,and family history between the two *** propensity score matching,no significant differences in patients’characteristics remained between the two *** was associated with a shorter operation time and hospital stay than conventional surgery,both before and after propensity score *** were no differences in complications betwe

关键词： Endovenous laser treatment Conventional surgery great saphenous vein Propensity score matching Outcomes Varicosis

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VNUS Closure<sup>®</sup>FAST Radiofrequency of the great saphenous vein for Superficial Venous Insufficiency: Experience of the CH of Cholet in France

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World Journal of Cardiovascular Surgery 2021年第5期11卷 43-50页

作者： Birama Togola Laurent Muller Bréhima Bengaly Drissa Traoré Drissa Ouattara Cheick Sekou Ahmed Touré Mahamadou Coulibaly Abdoulaye Kanté Hamadoun Dicko Boubacar Diallo Michel Peret Nouhoum Ongoiba Jean Louis Debrux Department of Surgery “B” of the CHU Point “G” Bamako Mali Department of Vascular and Thoracic Surgery of the CH de Cholet France Department of Anesthesia and Intensive Care of the “CHU Point G” Bamako Mali Department of Thoracic and Cardiovascular Surgery CHU Angers France

Background:The objective of this work was to evaluate the first results of the radio ablation of the great saphenous vein in the processing of chronic venous insufficiency. Method: This is a monocentric retrospective study of radio ablation of the great saphenous vein using VNUS Closure® FAST for superficial venous insufficiency of the great saphenous vein, between January 2012 and December 2014. Results: 42 patients (57 limbs) were operated on with this technology. There were 33 women and 9 men (mean age: 46.5 years). Thirty-nine patients (92. 8%) were symptomatic. Thirty-two patients (76.1%) were classified CEAP 2. The average diameter of the saphenous vein was 8.5 ± 1.5 mm. Three patients (7.1%) had a percutaneous approach. A perfect occlusion of the saphenous vein was observed in all patients. No incident or undesirable event was observed during the procedure. One case of delayed deep-vein thrombosis was observed. At one month of follow-up, six patients (14.2%) had induration opposite to the occluded vein. Forty-three percent of the patients stated they were very satisfied with the procedure. Conclusion: The effectiveness, security and simplicity of the closure method are real. More studies are necessary to assess the long-term results of this procedure.

关键词： Varicose great saphenous vein Endovenous Therapy Radiofrequency Ablation

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Higher Energy Does Not Mean Better Outcome Following Endovenous Laser Ablation of great saphenous vein

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World Journal of Cardiovascular Surgery 2014年第11期4卷 200-205页

作者： Celalettin Karatepe Mustafa Aldemir Bayer Cinar Akif Onalan Halim Issever Onur S.Goksel Cardiovascular Surgery Department Medical FacultyMustafa Kemal UniversityAntakyaTurkey Cardiovascular Surgery Department School of MedicineAfyon Kocatepe UniversityAfyonkarahisarTurkey Cardiovascular Surgery Department Medical Park HospitalIstanbulTurkey Cardiovascular Surgery Department Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey Biostatistics and Public Health Department Istanbul Medical FacultyIstanbul UniversityIstanbulTurkey

Background: Endovenous laser ablation is a relatively newer alternative to treat great saphenous vein insufficiency. We evaluated the efficiency and safety of treatment endovenous laser procedures on the different saphenous vein diameters with different energy levels. Methods: Data regarding endovenous laser ablation of symptomatic chronic great saphenous venous insufficiency in 209 patients were prospectively recorded. Patients were grouped into two main groups based on their diameters as 5 to 7 millimeters (Group A) or more than 7 millimeters (Group B). Patients in each group was randomized into two groups as >90 J/cm (A1 and B1) or 80-90 J/cm (A2 and B2). Postoperative outcome and complications were recorded during follow-ups at 1st week;1st, 3rd and 6th months to examine the venous reflux and recanalization. Results: Perioperative complaints as pain, cramps and ankle swelling were more commonly observed in A1 group. Fatigue was more common in A2 and B2 groups. No major complications as deep vein thrombosis or skin burns were observed. Conclusions: Endovenous laser ablation is a safe and effective procedure with a high satisfaction rate shortening hospitalization durations and early ambulant activity. Pain, ankle swelling and fatigue are the most common minor complaints in the early postoperative period.

关键词： Endovenous Laser Ablation great saphenous vein Varices

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Conventional operation and laser therapy in the treatment of varicose veins

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Journal of Medical Colleges of PLA(China) 2007年第4期22卷 242-245页

作者：褚延魁鲁建国王化宁包国强王成果 Department of General Surgery Tangdu HospitalFourth Military Medical UniversityXi'an 710038China

Objective:To evaluate the effectiveness of endovenous laser therapy and conventional thera- py on the varicose of great saphenous ***:Thirty-two patients received endovenous laser thera- py and 32 patients were operated by conventional therapy(high ligation and stripping).The observation results of great saphenous vein(GSV)were recorded by clinical evaluation and duplex ultrasound examina- *** the operating time,intraoperative blood loss,time to become moveable,duration of hospitaliza- tion and degree of feeling pain were compared between the two ***:Compared with conven- tional therapy,laser therapy had good curative effect with less complications and no scars and no pains. There were significant differences between the two groups(Pgreat saphenous vein is better than the conventional *** deserves to be widely used in clinical treatment.

关键词： great saphenous vein operation laser therapy treatment

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