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A Journal on Phlebology
Acta Phlebologica 2014 April;15(1):31-6
Role of endovenous laser ablation of great saphenous vein in the management of chronic venous insufficiency. A case series
Florio A., Santagata A., Attilio F., Polichetti R., Puca A. E.
Unit of Vascular Surgery, Department of Cardio-Thoracic and Respiratory Sciences, Second University of Naples, Naples, Italy
AIM: Endovenous laser ablation (EVLA) is a recognized option in the treatment of uncomplicated varicose veins. The aim of the present uncontrolled case series was to evaluates its effectiveness in the management of chronic venous insufficiency and report our experience.
METHODS: Patients with a history of healed ulcers, or with signs and symptoms of chronic venous insufficiency were selected for EVLA. The procedure was carried out in an outpatient setting over a period of 24 months (2009-2010). Assessment was carried out for evidence of long saphenous vein occlusion, and patient satisfaction at 12 and 24 months. EVLA was used to treat 23 limbs in 22 patients with a median age of 50 years, including 17 females and 5 males. All patients had evidence of chronic venous insufficiency, graded at C2 or greater on the CEAP classification. Patients with long saphenous vein insufficiency were included, whereas those with either deep or combined deep and superficial venous incompetence were excluded.
RESULTS: Duplex scan demonstrated long saphenous vein occlusion in 99% immediately postoperative control, 96%, and 93%, at 12 months and 24 months, respectively. In all, 90% of patients were satisfied with the results of treatment without any major procedure-related complication.
CONCLUSION: These results demonstrate that EVLA, carried out in an outpatient setting, is effective in the treatment of chronic venous insufficiency, with good patient satisfaction and no major complication.