Current possibilities for endovenous treatment of lower extremities’ varices
Authors:
S. Julínek 1; I. Malý 2
Authors‘ workplace:
Palas Athéna, s. r. o., Klinika jednodenní chirurgie, Praha
Primář: MUDr. Ludvík Winkler
1; Ambulantní poradna pro všeobecnou a cévní chirurgii, Praha
Vedoucí lékař: doc. MUDr. Ivan Malý CSc
2
Published in:
Prakt. Lék. 2012; 92(3): 168-170
Category:
Of different specialties
Overview
Endovenous laser ablation (EVLA) and Endovenous radiofrequency ablation (RFA) are two of the contemporary mini-invasive approaches to the treatment of varicose veins. The aim of this paper is review these methods and present our experiences with EVLA. The principles of these methods are heat coagulation and subsequent obliteration of varicose veins, using either laser (EVLA) or bipolar stream (RFA).
From November 2004 to June 2011 the authors operated on 480 patients and carried out 593 endovenous procedures. Recanalisations were recorded in 33 (8%) patients. We have not noted any major complications such as flebothrombosis or pulmonary embolism. EVLA is a painless mini-invasive method and results in early return to work. EVLA is a safe and effective method.
Key words:
endovenous laser ablation, radiofrequency ablation, chronic venous insufficiency.
Sources
1. Rasmussen, L.H., Bjoern, L., Lawaetz, M. et al. Randomized trial comparing endovenous laser ablation of the ureas saphenous vein with high ligation and stripping in patients with varicose vein. J. Vasc. Surg. 2007, 46(2), p. 308-315.
3. Frings, N., Nelle ,A., Tran, Ph. et al. Reduction of neoreflux after correctly performed ligation of the saphenofemoral junction. A randomized trial. Eur. J. Vasc. Endovasc. Surg. 2004, 28, p. 246-252.
4. Van Rij, A., Juany, P., Salomon, C. et al. Recurrence after varicose vein surgery: A prospective long-term clinical study with duplex ultrasound scanning and air plethysmography. J. Vasc. Surg. 2003, 38(5), p. 935-943.
2. Puggioni, A., Kalra, M., Carmo, M. et al. Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: analysis of early efficacy and complications. J. Vasc. Surg. 2006, 42(3): p. 488-493.
5. Lurie, F., Creton, D., Eklof, B. et al. Prospective randomised study of endovenous radiofrequency obliteration (closure) versus ligation and vein stripping (EVOLVeS): two-year follow-up. Eur. J. Vasc. Endovasc. Surg. 2005, 29(1), p. 67-73.
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General practitioner for children and adolescents General practitioner for adultsArticle was published in
General Practitioner
2012 Issue 3
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