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ORIGINAL ARTICLE  VENOUS DISEASE Freefree

International Angiology 2019 April;38(2):96-101

DOI: 10.23736/S0392-9590.19.04097-5

Copyright © 2019 EDIZIONI MINERVA MEDICA

language: English

Early complications of endovenous laser ablation

Konstantin MAZAYSHVILI 1 , Sergey AKIMOV 2

1 Department of Surgery, Surgut State University, Surgut, Russia; 2 Vein center “Antireflux”, Zheleznodorozhnyy, Russia



BACKGROUND: The aim of this work was to evaluate the frequency, structure and characteristics of complications after endovenous laser ablation (EVLA).
METHODS: The study included 1247 consecutive patients (1417 limbs) with superficial venous insufficiency, treated with EVLA procedures with a wavelength of 1470 nm and automatic pull-back traction of the fiber. Control examinations using Duplex ultrasound were carried out on the second day after EVLA, and in 2 weeks and 1 month after the EVLA procedure. In certain situations, including the detection of complications, timing of the follow-up visits varied.
RESULTS: In the postoperative period (up to 1 month after the procedure) complications were detected in 69 cases (4.87% of the EVLA procedures). Complications included the following: deep vein thrombosis (1.55%), pulmonary embolism (0.07%), pain syndrome (1.41%), abscess (0.07%), seroma (0.21%), fragmentations of the laser fiber (0.14%), hyperpigmentation (0.14%), and burn of the skin (0.07%) of the total number of EVLA procedures.
CONCLUSIONS: EVLA is not a unique surgical method of treatment, and it has the same complications as any other surgical intervention. The complications rate in patients was 4.87% of EVLA procedures. Most complications can be avoided by developing a standard regulation on their detection and treatment as early as possible.


KEY WORDS: Laser therapy; Varicose veins; Complications; Venous thrombosis

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