Endovenous laser ablation of great saphenous vein for the treatment of lower extremity: Two years experience

dc.citation.epage10en_US
dc.citation.issueNumber1en_US
dc.citation.spage5en_US
dc.citation.volumeNumber26en_US
dc.contributor.authorZaim, C.en_US
dc.contributor.authorKahraman, D.en_US
dc.contributor.authorKoujan, A.en_US
dc.contributor.authorKaya, K.en_US
dc.contributor.authorYiğit, L.en_US
dc.contributor.authorÖzyurda, Ü.en_US
dc.date.accessioned2016-02-08T10:55:50Z
dc.date.available2016-02-08T10:55:50Z
dc.date.issued2014en_US
dc.description.abstractObjective: Chronic venous insufficiency and varicose veins are very common in the society, and in some clinical cases can lead to serious complications. Especially in the lower extremity superficial venous insufficiency depends more frequently on vena saphena magna, less frequently depending on the vena saphena parva. In the treatment of venous insufficiency, surgical methods was applied previously but nowadays endovenous laser (EVLA) and radiofrequency (RFA) methods are used. Material and Methods: In our study, a total of 207 patients with 220 extremity saphenous veins treated with EVLA [Radial-Emitting Fiber (REF) Advanced Fiber Tools, Germany)] procedure. The entire procedure was performed under doppler ultrasound (General Electric Logiq 500 pro, USA) guided with combination of spinal anestesia and tumescent local anesthesia (Nouvag Dispenser DP20, Switzerland). Before the procedure, all patients the clinical severity, etiology, anatomy, pathophysiology (CEAP) were classified according to the classification. Results: EVLA application of the 220 extremities, all (100%) pathophysiology, was determined depending on reflux. The preoperative diameter of the VSM at the knee level was between 3.8 mm and 6.2 mm (mean 4.6±1.8), while in saphenofemoral junction was found to be between 5.2 mm and 12.4 mm (mean 8.6±2.2). Postoperative diameter of the VSM, especially in the 3rd month of the knee level diameter was 1.7 mm to 3.9 mm (mean 2.2±0.8 p<0.05), in saphenofemoral junction between 2.3 mm to 4.8 mm (mean 3.9±1.8 p<0.05) was changed. As a result of the six-month follow-up of 216 patients (98.6%) showed complete occlusion. There were no major complications was detected but minor complications as cellulite in 6 patients, thrombophlebitis in 8 patients, hematoma in 4 patients and 10 patients paresthesia at knee level demonstrated. Conclusion: EVLA treatment can be performed safely with early mobilization, less pain and lower morbidity rates. Copyright © 2014 by Türkiye Klinikleri.en_US
dc.identifier.issn1306-7656
dc.identifier.urihttp://hdl.handle.net/11693/26158
dc.language.isoTurkishen_US
dc.publisherTurkiye Kliniklerien_US
dc.source.titleTurkiye Klinikleri Cardiovascular Sciencesen_US
dc.subjectLaser therapyen_US
dc.subjectVenous insufficiencyen_US
dc.subjectDoppler flowmetryen_US
dc.titleEndovenous laser ablation of great saphenous vein for the treatment of lower extremity: Two years experienceen_US
dc.title.alternativeAlt ekstremite venöz yetmezliği tedavisinde endovenöz lazer ablasyon: iki yıllık deneyimlerimizen_US
dc.typeArticleen_US

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