801 results match your criteria: "Varicose Vein Treatment With Endovenous Laser Therapy"
Experience of endovenous high-frequency electric welding in the treatment of chronic diseases of the lower extremities veins.
Pol Merkur Lekarski
December 2024
Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine.
Objective: Aim: The purpose was to improve the results of treatment of chronic diseases of the lower extremities veins by using endovenous high-frequency electric welding in automatic mode, and to evaluate the obtained results..
Patients And Methods: Materials and methods: The results of treatment of 146 patients with chronic diseases of the lower extremities veins in the period from 2018 to 2023 were analyzed.
Article Synopsis
Morphofunctional evaluation of great saphenous vein's tributaries after thermoablation: A case series.
J Vasc Surg Venous Lymphat Disord
October 2024
School of Medicine, Faculdade Pernambucana de Saúde, Recife, Brazil.
Article Synopsis
- The study aimed to assess changes in the great saphenous vein (GSV) and its tributaries following endovenous laser ablation (EVLA) with a focus on hemodynamic and anatomic outcomes.
- A total of 112 areas in 28 legs from 25 patients were analyzed before and three months after the procedure, revealing significant reductions in GSV diameter and tributary diameters across all regions studied.
- Post-treatment, the number of refluxing tributaries decreased significantly, and the overall condition of patients improved as shown by a notable drop in the Venous Clinical Severity Score (VCSS).
Technique and early results of endovenous laser ablation in morphologically complex varicose vein recurrence after small saphenous vein surgery.
PLoS One
October 2024
Department of Vascular Surgery, Dermatologikum Hamburg GmbH, Hamburg, Germany.
Article Synopsis
- - The study focused on the use of endovenous laser ablation (EVLA) to treat recurrent varicose veins after small saphenous vein (SSV) surgery, analyzing its feasibility and initial results in 40 patients.
- - Out of 45 EVLA procedures, there was a 97.8% immediate technical success rate, but 13.3% of limbs experienced further issues requiring additional treatment within a median follow-up period of 77 days.
- - The majority of patients had complex vein anatomy, but no significant complications arose that required further medical intervention, demonstrating that EVLA is a promising option for managing recurrent varicose veins.
Comparison of the effect of combination therapies in the treatment of large varicose ulcers: A real-world cohort study.
Sci Prog
September 2024
The Department of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China.
Article Synopsis
- The study compares the effectiveness of venous surgery with and without split-thickness skin transplantation (ST) for treating varicose ulcers that are 6 cm or larger.
- A total of 80 patients were involved, with 32 receiving surgery plus ST and 48 receiving surgery alone.
- Results showed that ST significantly reduced initial healing time, but there was no long-term difference in overall healing rates or patient quality of life after 6 and 12 months.
Satisfactory result of great saphenous vein endovenous laser ablation until below the knee on active venous leg ulcer: a case series.
F1000Res
September 2024
Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia / National Cardiovascular Center Harapan Kita / University of Indonesia Academic Hospital, Jakarta, Indonesia.
Article Synopsis
- Active venous leg ulcers (VLU) are a serious form of chronic venous disease that drastically impact patients' health and quality of life, prompting economic concerns due to the need for treatment.* ! -
- The study describes three patients with active VLUs treated through endovenous laser ablation (EVLA), which involved using specific laser energy protocols to target severe great saphenous vein reflux.
- Follow-up results showed significant healing of the ulcers and reduced venous clinical severity scores, indicating that EVLA is a safe and effective treatment for patients with VLUs.
Ten-year outcomes of a randomized clinical trial of endothermal ablation versus conventional surgery for great saphenous varicose veins.
Br J Surg
August 2024
Department of Vascular Surgery, Hull University Teaching Hospitals, Hull, UK.
Article Synopsis
- - The study evaluates the 10-year outcomes of two treatments for varicose veins: surgical ligation and stripping vs. endovenous laser ablation (EVLA), showing both improve quality of life (QoL).
- - At the 10-year mark, EVLA had a lower clinical recurrence rate (37% vs. 59%) and showed significantly better QoL scores in areas like bodily pain and general health compared to surgery.
- - Overall, while both treatments are effective long-term, EVLA provides superior clinical and QoL outcomes for patients with symptomatic varicose veins.
American Insurance Coverage of Endovenous Ablation for Greater and Lesser Saphenous Varicose Veins.
Ann Vasc Surg
January 2025
Medical Center, University of Maryland, Baltimore, MD.
Background: Severe cases of varicose veins can cause psychological distress as well as physical symptoms including skin discoloration, wounds, and burning sensations. One intervention, endovenous laser/radiofrequency ablation, is variably covered by insurance. Insurance coverage for this procedure was assessed for all indications of endovenous laser/radiofrequency ablation as medically necessity criteria.
View Article and Find Full Text PDFCase Report: Successful results of direct varicose vein ablation with EVLA in chronic venous insufficiency patient in Indonesia.
F1000Res
July 2024
Department of Cardiology and Vascular Medicine, National Cardiovascular Center Harapan Kita, Jakarta, Special Capital Region of Jakarta, 11420, Indonesia.
Article Synopsis
- - Varicose veins are a chronic venous disease that can lead to significant healthcare complications if treatment is delayed; common treatments include endovenous laser ablation (EVLA) and stab avulsion.
- - A 71-year-old woman received innovative treatment for chronic venous insufficiency using direct varicose ablation, which was performed for the first time at the National Cardiovascular Center - Harapan Kita in Indonesia.
- - The procedure resulted in complete obliteration of the incompetent great saphenous vein without any incisions or complications, and the patient was discharged with no significant issues two days later, highlighting the effectiveness of the Utoh's technique.
Treatment of varicose great saphenous vein with endovenous laser alone or combined with eco-guided foam sclerotherapy: A randomized controlled trial.
Phlebology
December 2024
Department of Surgery, Federal University of Santa Catarina, Florianópolis, Brazil.
This study compares Endovenous Laser Ablation (EVLA) alone versus combined with ultrasound-guided foam sclerotherapy (UGFS) for Great Saphenous Vein (GSV) insufficiency. Sixty patients were randomly allocated to EVLA or EVLA-UGFS groups which focused on GSV occlusion rates, complications, additional treatments, and quality of life (QoL) changes. Among 55 participants, the EVLA group had higher 12-month occlusion rates (92.
View Article and Find Full Text PDFThe risk of developing deep vein thrombosis (DVT) after endovenous ablation of varicose veins varies in the literature. Little is known about the characteristics of this complication and associated factors. This study aimed: 1) to study the occurrence of DVT after ultrasound-guided foam sclerotherapy (UGFS) alone or combined with endovenous laser ablation (EVLA) for lower-limb varicose veins; 2) to identify factors associated with DVT.
View Article and Find Full Text PDFComparison of two ablation procedures combined with high ligation and foam sclerotherapy and compression therapy for patients with venous leg ulcers.
Postgrad Med
June 2024
Department of General Surgery, Ganzhou People's Hospital, Ganzhou, Jiangxi, People's Republic of China.
Article Synopsis
- - The study aimed to compare the effectiveness of endovenous microwave ablation (EMA) versus endovenous laser ablation (EVLA), both combined with high ligation, foam sclerotherapy, and compression therapy (HL-FS-CT) for treating venous leg ulcers (VLUs).
- - A total of 301 patients treated from 2013 to 2022 were analyzed, with 134 receiving EMA and 167 receiving EVLA. The average healing times were 1.45 months for EMA and 1.86 months for EVLA, showing no significant differences in ulcer healing times or complications between the two methods.
- - Both treatment combinations proved effective for ulcer healing, but the study concluded that
Safety of synchronous prophylactic ablation of the anterior saphenous vein in patients undergoing great saphenous vein thermal ablation- 6 months follow-up data of the SYNCHRONOUS study.
Phlebology
October 2024
Department for Dermatology, University of Heidelberg, Heidelberg, Germany.
Article Synopsis
- - The SYNCHRONOUS-study assessed the impact of combining ASV-ablation with GSV treatment during endovenous laser ablation to prevent varicose vein recurrence while analyzing complication rates.
- - Out of 1173 patients, 604 received only GSV-ablation, while 569 also had ASV-ablation, with complications monitored over a 6-month period.
- - Results showed about 80% of patients had no complications, and ASV-ablation did not lead to higher complication rates compared to just GSV treatment, indicating it's a safe option.
Compression therapy after endovenous laser ablation: Patient compliance and impact on clinical outcome.
Phlebology
August 2024
Department for Dermatology, University of Heidelberg, Heidelberg, Germany.
Article Synopsis
- This study explored how post-interventional compression therapy affects patients' recovery after endovenous laser ablation for varicose veins.
- The findings showed that using compression therapy significantly alleviated symptoms and improved quality of life compared to no therapy, especially when applied for up to 14 days.
- High compliance among patients was noted, but those who didn't follow the therapy guidelines had worse symptoms and disease severity.
Comparative effectiveness of non-compounded polidocanol 1% endovenous microfoam (Varithena) ablation versus endovenous thermal ablation utilizing a systematic review and network meta-analysis.
J Vasc Surg Venous Lymphat Disord
November 2024
Samaritan Hospital, Troy, NY; St. Peter's Vascular Associates, St. Peter's Medical Associates, Albany, NY.
Objective: We compared the effectiveness and safety of polidocanol 1% endovenous microfoam ablation vs endovenous thermal ablation with radiofrequency or laser energy for treatment of venous insufficiency caused by lower extremity truncal vein incompetence via network meta-analysis of published comparative evidence.
Methods: We conducted a systematic literature review following best practices, including a prospective protocol. We screened studies published in English from 2000 to 2023 for randomized and nonrandomized studies reporting direct or indirect comparisons between polidocanol 1% endovenous microfoam and endovenous thermal ablation.
Safety and efficacy of endovenous ablation in patients with a history of deep vein thrombosis.
J Vasc Surg Venous Lymphat Disord
September 2024
Division of Vascular and Endovascular Surgery, Department of Surgery, New York University Langone Health, New York, NY. Electronic address:
Article Synopsis
- Endovenous thermal ablation is a common treatment for individuals with symptomatic superficial venous insufficiency, particularly those with a history of deep vein thrombosis (DVT), which raises concerns about potential complications like venous thromboembolism.
- A study analyzed data from the Vascular Quality Initiative registry to assess the safety and effectiveness of this treatment in patients with a prior DVT history compared to those without, focusing on risks of new DVT, bleeding, and effectiveness at preventing recanalization.
- Results showed that patients with prior DVT had a higher risk of new DVT and complications, indicating the need for careful evaluation and management strategies in these patients undergoing endovenous thermal ablation.
Clinical efficacy of sodium aescinate administration following endovenous laser ablation for varicose veins.
Vascular
April 2024
Department of Vascular Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shaihai JiaoTong Univeresity, Shanghai, China.
Background: Endovenous interventions and minimally invasive procedures are effective in the management of varicose veins. However, they can cause postoperative discomfort.
Objective: To evaluate the clinical efficacy of sodium aescinate (SA) in improving edema, pain, vein-specific symptoms, and quality of life in patients following endovenous laser ablation (EVLA) for varicose veins.
Endovenous Microwave Ablation Versus Laser Ablation for Small Saphenous Vein Varicosis.
Adv Ther
June 2024
General Surgery, Cancer Center, Department of Vascular Surgery, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, China.
Article Synopsis
- The study investigates the effectiveness and safety of endovenous microwave ablation (EMA) as a treatment for small saphenous vein (SSV) insufficiency, a condition causing poor blood flow in the legs.
- A total of 126 patients were analyzed, with 64 receiving EMA and 62 undergoing endovenous laser ablation (EVLA), focusing on various surgical metrics and patient outcomes before and after the procedures.
- Results indicated that while the thermal ablation time was significantly shorter for EMA compared to EVLA, no major differences were found in surgery duration, hospitalization, complications, or patient pain ratings between the two methods.
Comparative Efficacy of Postoperative Compression Methods After EVLT for Great Saphenous Vein Insufficiency.
J Lasers Med Sci
February 2024
Rajaie Cardiovascular Medical and Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- The study evaluates the effectiveness of eccentric compression therapy versus traditional compression methods after endovenous laser treatment (EVLT) for varicose veins, focusing on the great saphenous vein (GSV).
- A total of 88 patients were included, with results indicating that eccentric compression led to lower pain levels and fewer complications, including less ecchymosis, compared to standard compression.
- Ultimately, the findings suggest that eccentric compression may enhance postoperative recovery and improve patient outcomes following EVLT, prompting further investigation into optimal care methods.
[Varicosis-Current treatment concepts].
Chirurgie (Heidelb)
May 2024
Klinik für Gefäßchirurgie und endovaskuläre Chirurgie, Marienhospital Osnabrück, Niel-Stensen Kliniken, Bischofstraße, 49074, Osnabrück, Deutschland.
Article Synopsis
- Varicosis is a chronic disease that leads to varicose veins in the legs, causing symptoms like pain, swelling, and heaviness due to weak vein walls and venous reflux.
- Surgical options are recommended for patients with more severe symptoms (CEAP stages C2s-C6), while conservative treatments include compression therapy and medications.
- Conventional open vein surgery offers the best long-term outcomes, but endovenous thermal ablation has fewer complications and quicker recovery, and sclerotherapy is effective for smaller veins and complex cases.
Superficial Venous Disease-An Updated Review.
Ann Vasc Surg
August 2024
Interventional and Endovascular Cardiologist, Stern Cardiovascular Foundation, UT Health Science Center, Memphis, TN.
Article Synopsis
- Superficial venous diseases (SVDs) primarily affect the lower extremities and can lead to serious issues like varicose veins, chronic venous insufficiency, and venous ulcers.
- The review discusses the anatomy, risk factors (like age, race, and lifestyle), and the clinical classification of SVDs, emphasizing the Clinical-Etiology-Anatomy-Pathophysiology system.
- Various imaging techniques (mainly duplex ultrasound), along with a range of treatment options from conservative methods like compression stockings to advanced interventional therapies, are presented for managing SVD effectively.
Effects of high ligation plus endovenous laser therapy in patients with varicosis of great saphenous vein and type 2 diabetes.
Medicine (Baltimore)
March 2024
Department of Obstetrics and Gynecology, Baoding Maternal and Child Health Hospital, Baoding, Hebei, China.
Article Synopsis
- * Results showed that the combined therapy led to significantly less intraoperative blood loss, shorter operation times, and reduced hospital stays compared to the control group.
- * Additionally, patients in the study group reported lower pain levels post-surgery, better blood glucose management, and improved venous conditions three months later.
Endovenous laser ablation (EVLA) for vein insufficiency: two-year results of a multicenter experience with 1940-nm laser diode and a novel optical fiber.
Lasers Med Sci
February 2024
Fondazione Villa Salus, Ospedale Villa Salus, Venezia Mestre (VE), Servizio di Flebochirurgia Avanzata, Venice, Italy.
Article Synopsis
- Thermoablative techniques, including EndoVenous Laser Ablation (EVLA) with a 1940-nm laser, are the most common treatments for varicose veins, but limited clinical studies exist on this new technology.
- A clinical trial involving 93 patients assessed the effectiveness and safety of EVLA over a 2-year follow-up period, with a focus on vein occlusion rates and patient symptoms.
- Results showed a 100% occlusion rate at 7 and 30 days post-surgery, with rates dropping slightly to 95.9% after 2 years, while no intraoperative complications were reported and pain levels were monitored.
The role of compression therapy after endovenous laser ablation (EVLA) - review.
Pol Przegl Chir
November 2023
2 Department of Vascular and Endovascular Surgery, Angiology and Phlebology, Poznan University of Medical Sciences, University Hospital of Lord's Transfiguration, Poznan, Poland.
Article Synopsis
- Chronic venous disease (CVD) is increasingly prevalent in western countries, with endovenous laser ablation (EVLA) emerging as a favored treatment for C2 stage varicosity due to its advantages such as reduced operation time and recovery.
- Compression therapy, typically using stockings, is commonly applied post-EVLA but lacks strong guidelines for duration and effectiveness after the procedure.
- Recent studies suggest that while compression therapy can alleviate postoperative pain, its prolonged use beyond 1-2 weeks may offer no significant benefits, indicating the need for further research on its impact in different treatment settings.