Aim: To asses the clinical experience and 10-years instrumental results of varicose veins treated with endovenous laser ablation (EVLA) of great saphenous vein. Methods: From December 2001 to February 2005 167 patients (126 F e 41 M), affected by varicose veins due to incompetence of great saphenous vein (GSV) detected by duplex ultrasound scanning (DUS), were treated with EVLA at our Center. EVLA was performed at the beginning of our experience using in 66 patients an 810-nm diode laser (Diomed, NJ, USA). After January 2004 a 980-nm diode laser (Team laser, Padua, Italy) has been used in the other 101 patients. Results: We recorded no intraprocedural complications. We detected at 24-hours clinical follow-up 29 cases (17%) of bruising of the thigh rapidly disappeared after a few days. 25 patients (15%) showed light pain at the treated lower limb appared 3-4 days after the procedure lasted more than a week. At 1, 6 and 12 months DUS control the GSV obliteration was observed in 154/164 patients (94%). At 3-years follow-up the GSV was succesfully occluded in 139/151 patients (92%), while at 5-years follow-up the same was occluded in 102/118 patients (86%). At 10-years instrumental follow-up we detected 11/110 cases (10%) of the GSV recanalization and 5/110 patients (4,5%) with recurrent varicose veins in the lower limb operated. Conclusions: The EVLA represents a safe and effective technique for the correction of GSV reflux and it can be seen as good alternative to traditional surgery, expecially if we respect the right indications. Our experience has shown, looking at the long-term results, that the endovascular obliteration of GSV presented excellent results, comparable with traditional open surgery.
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|Titolo:||Ten-year clinical and instrumental results of endovenous laser ablation of great saphenous vein|
|Appare nelle tipologie:||1.1 Articolo in rivista|
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