BACKGROUND Although widely applied, the cost-effectiveness of endovenous laser ablation (EVLT) for varicose veins has not been established. METHODS Cost-effectiveness analysis was performed on the evaluation of EVLT for the treatment of uncomplicated varicose veins by using published data from randomizd clinical trials regarding the costs and the quality of life. Incremental cost per quality-...

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...

OBJECTIVE To compare the clinical efficacy and safety of endovenous laser treatment (EVLT) with high ligation and stripping (HLS) as standard treatment for great saphenous vein (GSV) insufficiency. DESIGN Two-center randomized controlled trial with 2-year follow-up. SETTING Interventions were performed on ambulatory and hospitalized patients at 2 vein centers, a university dermatology depar...

In 2003, Robert Min published a case study on 3000 patients over a 5 year period comparing traditional surgery (stripping) to endovenous laser treatment. Ever since, EVLT has been considered as the gold standard in varicose vein treatment. All the research in this field shows that short-term results are similar to those of surgery, that is to say about 95% of good results immediately. More impo...

We presented a case of a completely occluded great saphenous vein and transient thrombocytosis following endovenous laser treatment (EVLT) for primary varicose veins of the lower extremity. A 54-year-old man with a left saphenous varicose vein underwent EVLT surgery. Twelve-watt laser irradiation was delivered over the length of 33 cm of the saphenous vein. The cumulative exposure was 1042 J. N...

ABSTRACT Background: In recent years, the endovenous laser therapy (EVLT) has been proposed to treat the incompetent greater saphenous veins (GSV) to increase patient comfort,and to reduce cost as well as risk. EVLT causes vein wall thickening, luminal contraction and vein fibrosis. The purpose of this article, as the first report from Iran, is to review our experience and ...

BACKGROUND Conventional stripping is considered to be the standard procedure for great saphenous vein (GSV) varicosities, but many other alternative treatments such as cryostripping, endovenous laser therapy (EVLT), radio-frequency ablation, and ultrasound-guided foam sclerotherapy have been developed. Among them, both cryostripping and laser therapy have been reported to be less traumatic, wit...

AIM To show our experience in the surgical treatment of superficial vein insufficiency of the lower limbs. SUBJECTS AND METHODS Since 2002 we have performed 659 procedures of endovascular laser therapy (EVLT) (group A) in the treatment of chronic venous insufficiency of the great saphenous vein using a 980 nm diode laser. A closely matched group of 100 patients (50 Group A, 50 Group B) with h...

Background Great saphenous vein (GSV) reflux is an important component of the pathophysiology of primary venous insufficiency. For nearly a century vein saphenous stripping has remained the standard surgical therapy with the recurrence rates from 20% to 80%. Endovenous laser therapy (EVLT) is an alternative and minimally invasive procedure for the treatment of saphenous vein incompetence. This ...

In 2003, Robert Min published a case study on 3000 patients over a 5 year period comparing traditional surgery (stripping) to endovenous laser treatment. Ever since, EVLT has been considered as the gold standard in varicose vein treatment. All the research in this field shows that short-term results are similar to those of surgery, that is to say about 95% of good results immediately. More impo...