Affiliation:
1. Department of Radiology & Functional Exploration, Hue Central Hospital
Abstract
Saphenous venous insufficency (VI) is more and more common. This disease is diagnosed by clinical symptoms and doppler US. In the last decade, ligation and stripping was main treatment modalities. Recently, there are many alternative methods for this disease such as sclerotherapy, thermal therapies… Laser is one of effective procedure for VI.
Objective: To evaluate short-term outcomes of endovenous laser ablation for the treatment of saphenous venous insufficiency.
Methods: This retrospective study included 124 patients at C2 stage and above (CEAP classification) who underwent endovenous laser ablation at Hue Central Hospital from 12/2014 to 02/2017.
Results: The patients’ average median age was 52 ± 12.18. Patients with great saphenous insufficency were 98.4% (181 limbs) and only 1.6% with small saphenous disease. Most of them were treated with laser wavelength at 1470nm, power at 6-10W. There were 82 patients needed phlebectomy (Muller) and 20 patients associated with sclerotherapy. Most of cases underwent local anesthesia. The initial outcomes of the patient are excelent, there were no major complication related to the procedure. Most of patient were no pain significantly after treatment. The number of patient with mild (no need of antalgics) and severe pain (needed fort antalgics for 5 days) due to laser ablation were 4 cases and 1 case, respectively. Patients could return to daily activities at the day after. A follow – up postoperative ultrasound after 10 days: 100% of cases presented sclerosant veins and no intravenous flow, no deep venous thrombose. There were no recurrence at 3 and 6 month of medical revisit.
Conclusion: Endovenous laser treatment was proven as a method of preference for chronic vein insufficiency because of its advandtages such as minimal invasive technique, high successive percentage, least of complication, high aesthetics and early to return daily activities.
Key words: Saphenous venous insufficency (VI), laser, endovenous laser ablation
Publisher
Hue University of Medicine and Pharmacy
Reference16 articles.
1. 1. Bộ môn ngoại, Phân môn ngoại lồng ngực-tim mạch Trường đại học Y Dược Thành phố Hồ Chí Minh (2008), “Suy tĩnh mạch nông chi dưới mạn tính”, Điều trị học ngoại khoa lồng ngực-tim mạch, Nhà xuất bản Y học, Thành phố Hồ Chí Minh, tr. 72-84.
2. 2. Hồ Khánh Đức (2010), Điều trị suy tĩnh mạch nông chi dưới bằng phương pháp laser nội tĩnh mạch với laser bán dẫn bước sóng 810nm, tạp chí Y học Việt Nam, Tổng hội Y học Việt Nam, Tr.315-322.
3. 3. Nguyễn Phước Bảo Quân (2012), “Phân tích thông tin trong siêu âm Doppler tĩnh mạch”, Siêu âm Doppler mạch máu, Nhà xuất bản Đại học Huế, tr. 156-170.
4. 4. Eklöf B et al (2004), Revision of the CEAP classification for chronic venous disorders, J Vasc Surg, Vol 40, Issue 6; p.1248 – 1252.
5. 5. Gerard JL, Desgranges P, Becquemine J. Feasibility of endovenous laser fort the treatment of greater saphenous varicose veins: one month outcome in a series of 20 outpatients. J Mal Vasc 2002;27:222-5