Risultati a 10 anni della procedura di obliterazione della vena grande safena con il laser

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: 167 patients (126 F e 41 M) were treated with EVLA using in 66 patients an 810-nm diode laser and in 101 patient 980-nm diode laser. Results: We detected at 24-hours clinical follow-up 29 cases (17%) of bruising of the thigh. 25 patients (15%) showed light pain at treated lower limbs appared 3-4 days after the procedure. 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 GSV recanalization. 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.