Journal Title: بهار 86 Article title: Use of Endovascular Laser for Treatment of Saphenous Vein Reflux in 69 Patients: Results after 16 Months
Article PDF File: Page From: 69 To: 80
Article abstract: Introduction & Objective: Varicose veins are a common disorder which apart from heaviness and discomfort may have more serious consequences. This has been done in past by surgery which has some limitations and for this reason different methods to replace vein stripping have been tried. The aim of this article is to evaluate the use of endovascular laser.
Materials & Methods: This study was a clinical trail. Patients with varicose veins due to saphenous incompetence were treated with endovascular 980 nm diode laser as a treatment of venous reflux. Clinical and duplex assessment of all patients was performed prior to operation and 10-14 days after operation.
Results: The numbers of 76 saphenous veins in 69 patients were treated by Endovenous laser, receiving on average 2487 joules in 103 pulses in 154 seconds. The preoperative diameter of the saphenofemoral junction was 10.58 mm and this compares with post laser diameter at 10-14 days of 7.42 mm. This difference is statistically significant (students t test; P<0.001). Post laser examination showed that of the 76 saphenous veins 73 were completely occluded up to the junction and in three veins only the upper 2-4 cm was patent but the rest of the vein was occluded. 98% of patients were satisfied with the result of the treatment of the varicose veins.
Conclusions: This study demonstrates that endovascular 980 nm diode laser is 96% effective in ablating incompetent saphenous vein with 98% satisfaction with the treatment. This method may help undecided varicose vein sufferers to seek effective treatment
