Endovenous Laser Ablation of Tributary Varicose Veins: The Fate of Postoperative Induration
نویسندگان
چکیده
大伏在静脈弁不全154例168肢に対し細径ファイバー（ELVeS radial 2ring slim fiber，直径1.27 mm）を用いて血管内レーザー焼灼を行った．さらに側枝静脈瘤を16 G静脈留置針で穿刺し，内腔へファイバーを挿入し出力5 Wで焼灼した．術後1カ月目に焼灼部位を観察したところ61%の症例で明らかな硬結が認められた．術後6カ月目に再評価したところ，6割の患者で硬結は消失し，エコー上の径は術後1カ月目と比べて44%に縮小していた．瘤焼灼に伴う皮膚熱傷や神経損傷，創感染，血栓性静脈炎などの有害事象は認められず，整容性に優れた治療が可能であった．
منابع مشابه
Endovenous laser ablation for the treatment of varicose veins.
Lower extremity venous insufficiency secondary to saphenous vein insufficiency is a common medical condition that decreases a patient's quality of life. Traditionally treated with high ligation and stripping, minimally invasive procedures using endovenous thermal ablation techniques, such as endovenous laser ablation, have evolved. The use of detailed imaging and advances in the understanding o...
متن کاملOutcome of Endovenous Laser Ablation of Varicose Veins
INTRODUCTION In Bosnia and Herzegovina according to available data, treatment of incompetent superficial lower extremity varicose veins by endovenous laser ablation (EVLA) has been introduced two years ago and so far no paper has been published regarding results of EVLA treatment of patients from our country. We wanted to present our results with EVLA treatment. AIM OF STUDY to evaluate and c...
متن کاملEndovenous laser ablation (EVLA) to treat recurrent varicose veins.
OBJECTIVES This cohort study assesses the effectiveness and safety of endovenous laser ablation (EVLA) in the management of recurrent varicose veins (RVVS). METHOD 104 limbs (95 patients) undergoing EVLA for RVVS were grouped according to pattern of reflux. For patients with recurrent SFJ/great saphenous vein (GSV) (Group GR) and SPJ/small saphenous vein (SSV) (Group SR) varicosities ablation...
متن کاملEndovenous laser treatment for uncomplicated varicose veins.
OBJECTIVE Endovenous laser ablation (EVLA) of incompetent truncal veins has been proposed as a minimally invasive alternative to conventional surgery for varicose veins. Various strategies have been proposed for successful treatment and this study reviews the evidence for these. METHOD A Medline and 'controlled trials online database' search was performed to identify original articles and ran...
متن کامل[endovenous Laser Treatment for Varicose Veins].
Varicose veins are a common condition attecting approximately 10 million patients in Japan. The main cause of varicose veins is reflux of the saphenous vein, and conventional treatment for several decades was stripping the affected saphenous vein and phlebectomy. Endovenous laser treatment (EVLT) is a less-invasive treatment method in which the saphenous vein is ablated with a laser under local...
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ژورنال
عنوان ژورنال: The Japanese Journal of Phlebology
سال: 2021
ISSN: ['0915-7395', '2186-5523']
DOI: https://doi.org/10.7134/phlebol.21-13