Early and Mid-Term Results of Treatment of Superficial Venous Insufficiency of the Lower Extremity Using Endovenous Laser Therapy
Al-Saeed, M., Saleh, H. (2019). Early and Mid-Term Results of Treatment of Superficial Venous Insufficiency of the Lower Extremity Using Endovenous Laser Therapy. EKB Journal Management System, 74(3), 475-481. doi: 10.21608/ejhm.2019.23186
Mohamed Al-Saeed; Hossam M Saleh. "Early and Mid-Term Results of Treatment of Superficial Venous Insufficiency of the Lower Extremity Using Endovenous Laser Therapy". EKB Journal Management System, 74, 3, 2019, 475-481. doi: 10.21608/ejhm.2019.23186
Al-Saeed, M., Saleh, H. (2019). 'Early and Mid-Term Results of Treatment of Superficial Venous Insufficiency of the Lower Extremity Using Endovenous Laser Therapy', EKB Journal Management System, 74(3), pp. 475-481. doi: 10.21608/ejhm.2019.23186
Al-Saeed, M., Saleh, H. Early and Mid-Term Results of Treatment of Superficial Venous Insufficiency of the Lower Extremity Using Endovenous Laser Therapy. EKB Journal Management System, 2019; 74(3): 475-481. doi: 10.21608/ejhm.2019.23186

Early and Mid-Term Results of Treatment of Superficial Venous Insufficiency of the Lower Extremity Using Endovenous Laser Therapy

The Egyptian Journal of Hospital Medicine
Article 2, Volume 74, Issue 3, January 2019, Page 475-481  XML PDF (379.43 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.23186
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Authors
Mohamed Al-Saeed1; Hossam M Saleh2, 3
1Department of Surgery and Vascular Surgery, Taif University, Saudi Arabia
22Al-Hada Armed Force Hospital, Taif, Department of Vascular Surgery, Saudi Arabia
3Ain Shams University, Department of Vascular Surgery
Abstract
Background and aim of the study: Endovenous laser ablation (ELA) has become an important procedure to treat saphenous vein reflux. In this study the early and mid-term results of endovenous laser ablation of the long or/and short saphenous veins (ELAS) will be evaluated.
Patients and methods: This prospective study was conducted from March 2010 to December 2016. The study enrolled 35 symptomatic patients with unilateral or bilateral superficial venous insufficiency (CEAP; 2-6) with documented reflux in long saphenous, short saphenous, or both veins by duplex ultrasound.
Results: Thirty five patients were enrolled in this study, 30 women with mean age 35.5± 8.2 years and 5 men with mean age of 32.2± 7.8 years.  ELAS was performed in 52 limbs 9 of them had ulcers. Early postoperative clinical and ultrasound examination revealed complete ablation of the targeted veins (100%) with no reflux. Great saphenous alone was ablated in 76.9% of limbs, short saphenous in 13.5%, and both 9.6%. Postoperative complications were minimal, well tolerated, and completely resolved within 3-27weeks with treatment. In 88.9% of limbs with active ulceration, healing occurred after a mean of 6.6±1.6 months. Only 61.5% of legs (including all ulcer patients) were followed up for 49.5±11.3 months; recorded recanalization by duplex ultra sound was 0%, 10.3%, and 20.8% after 1, 3, and 5 years respectively. Recanalization was insignificantly higher in long than short saphenous veins. The recorded recurrence of ulcers after 1, 3, and 5 years of follow up was 0%, 12.5%, and 40% respectively. Conclusion: endovenous laser ablation of the saphenous veins is safe and has excellent early and mid-term outcomes for treatment of superficial venous insufficiency with or without ulceration of the lower extremities.
Keywords
Endovenous laser ablation; saphenous veins; venous insufficiency; varicose veins; venous ulcer
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