Endovenous laser ablation of insufficient perforating veins: Energy is key to success
Objective To evaluate the feasibility and anatomical success of endovenous laser ablation (EVLA) of incompetent perforating veins (IPV). Methods All 135 consecutive patients with IPV treated with ELVA (intention-to-treat) from January 2008 to December 2013 were included. Up to the end of 2011, an 81...
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| Veröffentlicht in: | Vascular 2016-04, Vol.24 (2), p.144-149 |
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| creator | Boersma, Doeke Smulders, Daan LJ Bakker, Olaf J van den Haak, Ronald FF Verhoeven, Bart AN Koning, Olivier HJ |
| description | Objective
To evaluate the feasibility and anatomical success of endovenous laser ablation (EVLA) of incompetent perforating veins (IPV).
Methods
All 135 consecutive patients with IPV treated with ELVA (intention-to-treat) from January 2008 to December 2013 were included. Up to the end of 2011, an 810-nm laserset (14 W) was used, and afterwards, a 1470-nm laserset (6 W) was introduced. Duplex ultrasound was performed at 6 weeks’ follow-up to assess anatomical success.
Results
Overall anatomical success at 6 weeks’ follow-up was 56%. Anatomical success was 63% after treatment with 810 nm and 45% with 1470 nm (p = 0.035). This difference in the success rate seems associated with the significantly higher amount of energy delivered in the 810 nm cohort (560 J) versus 1470 nm (186 J). Regardless of the type of laser, anatomical success was significantly higher after treatment with more than 400 J (66%) compared with 0–200 J (40%, p = 0.009) and 200–400 J (43%, p = 0.029). Complications were limited to two cases of transient paresthesia.
Conclusions
EVLA of IPVs is safe and feasible. The amount of energy is highly important in achieving anatomical success. |
| doi_str_mv | 10.1177/1708538115587214 |
| format | Article |
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To evaluate the feasibility and anatomical success of endovenous laser ablation (EVLA) of incompetent perforating veins (IPV).
Methods
All 135 consecutive patients with IPV treated with ELVA (intention-to-treat) from January 2008 to December 2013 were included. Up to the end of 2011, an 810-nm laserset (14 W) was used, and afterwards, a 1470-nm laserset (6 W) was introduced. Duplex ultrasound was performed at 6 weeks’ follow-up to assess anatomical success.
Results
Overall anatomical success at 6 weeks’ follow-up was 56%. Anatomical success was 63% after treatment with 810 nm and 45% with 1470 nm (p = 0.035). This difference in the success rate seems associated with the significantly higher amount of energy delivered in the 810 nm cohort (560 J) versus 1470 nm (186 J). Regardless of the type of laser, anatomical success was significantly higher after treatment with more than 400 J (66%) compared with 0–200 J (40%, p = 0.009) and 200–400 J (43%, p = 0.029). Complications were limited to two cases of transient paresthesia.
Conclusions
EVLA of IPVs is safe and feasible. The amount of energy is highly important in achieving anatomical success.</description><identifier>ISSN: 1708-5381</identifier><identifier>EISSN: 1708-539X</identifier><identifier>DOI: 10.1177/1708538115587214</identifier><identifier>PMID: 25972028</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Feasibility Studies ; Female ; Humans ; Laser Therapy - adverse effects ; Male ; Middle Aged ; Prospective Studies ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - surgery ; Time Factors ; Treatment Outcome ; Ultrasonography, Doppler, Duplex ; Varicose Veins - diagnostic imaging ; Varicose Veins - surgery ; Venous Insufficiency - diagnostic imaging ; Venous Insufficiency - surgery</subject><ispartof>Vascular, 2016-04, Vol.24 (2), p.144-149</ispartof><rights>The Author(s) 2015</rights><rights>The Author(s) 2015.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-53cff8876976cfc49fd3801345c92e54ccc06572a497c3fb86824d54c57d63763</citedby><cites>FETCH-LOGICAL-c403t-53cff8876976cfc49fd3801345c92e54ccc06572a497c3fb86824d54c57d63763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1708538115587214$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1708538115587214$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25972028$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boersma, Doeke</creatorcontrib><creatorcontrib>Smulders, Daan LJ</creatorcontrib><creatorcontrib>Bakker, Olaf J</creatorcontrib><creatorcontrib>van den Haak, Ronald FF</creatorcontrib><creatorcontrib>Verhoeven, Bart AN</creatorcontrib><creatorcontrib>Koning, Olivier HJ</creatorcontrib><title>Endovenous laser ablation of insufficient perforating veins: Energy is key to success</title><title>Vascular</title><addtitle>Vascular</addtitle><description>Objective
To evaluate the feasibility and anatomical success of endovenous laser ablation (EVLA) of incompetent perforating veins (IPV).
Methods
All 135 consecutive patients with IPV treated with ELVA (intention-to-treat) from January 2008 to December 2013 were included. Up to the end of 2011, an 810-nm laserset (14 W) was used, and afterwards, a 1470-nm laserset (6 W) was introduced. Duplex ultrasound was performed at 6 weeks’ follow-up to assess anatomical success.
Results
Overall anatomical success at 6 weeks’ follow-up was 56%. Anatomical success was 63% after treatment with 810 nm and 45% with 1470 nm (p = 0.035). This difference in the success rate seems associated with the significantly higher amount of energy delivered in the 810 nm cohort (560 J) versus 1470 nm (186 J). Regardless of the type of laser, anatomical success was significantly higher after treatment with more than 400 J (66%) compared with 0–200 J (40%, p = 0.009) and 200–400 J (43%, p = 0.029). Complications were limited to two cases of transient paresthesia.
Conclusions
EVLA of IPVs is safe and feasible. The amount of energy is highly important in achieving anatomical success.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Laser Therapy - adverse effects</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler, Duplex</subject><subject>Varicose Veins - diagnostic imaging</subject><subject>Varicose Veins - surgery</subject><subject>Venous Insufficiency - diagnostic imaging</subject><subject>Venous Insufficiency - surgery</subject><issn>1708-5381</issn><issn>1708-539X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtLAzEQxoMotlbvniRHL9U8No_1JqU-oODFgrclzU7K1m1Sk91C_3tTWj0InmaY75uPmR9C15TcUarUPVVEC64pFUIrRosTNNyPxoKXH6e_vaYDdJHSihBOGJXnaMBEqRhheojmU1-HLfjQJ9yaBBGbRWu6JngcHG586p1rbAO-wxuILsSs-SXeQpYe8NRDXO5wk_An7HAXcOqthZQu0ZkzbYKrYx2h-dP0ffIynr09v04eZ2NbEN7l06xzWitZKmmdLUpXc00oL4QtGYjCWkukUMwUpbLcLbTUrKjzXKhaciX5CN0ecjcxfPWQumrdJAttazzkj6rMqKCSqQxphMjBamNIKYKrNrFZm7irKKn2MKu_MPPKzTG9X6yh_l34oZcN44MhmSVUq9BHn7_9P_AbLwp7zw</recordid><startdate>20160401</startdate><enddate>20160401</enddate><creator>Boersma, Doeke</creator><creator>Smulders, Daan LJ</creator><creator>Bakker, Olaf J</creator><creator>van den Haak, Ronald FF</creator><creator>Verhoeven, Bart AN</creator><creator>Koning, Olivier HJ</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160401</creationdate><title>Endovenous laser ablation of insufficient perforating veins: Energy is key to success</title><author>Boersma, Doeke ; Smulders, Daan LJ ; Bakker, Olaf J ; van den Haak, Ronald FF ; Verhoeven, Bart AN ; Koning, Olivier HJ</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-53cff8876976cfc49fd3801345c92e54ccc06572a497c3fb86824d54c57d63763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Laser Therapy - adverse effects</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler, Duplex</topic><topic>Varicose Veins - diagnostic imaging</topic><topic>Varicose Veins - surgery</topic><topic>Venous Insufficiency - diagnostic imaging</topic><topic>Venous Insufficiency - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boersma, Doeke</creatorcontrib><creatorcontrib>Smulders, Daan LJ</creatorcontrib><creatorcontrib>Bakker, Olaf J</creatorcontrib><creatorcontrib>van den Haak, Ronald FF</creatorcontrib><creatorcontrib>Verhoeven, Bart AN</creatorcontrib><creatorcontrib>Koning, Olivier HJ</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Vascular</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boersma, Doeke</au><au>Smulders, Daan LJ</au><au>Bakker, Olaf J</au><au>van den Haak, Ronald FF</au><au>Verhoeven, Bart AN</au><au>Koning, Olivier HJ</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovenous laser ablation of insufficient perforating veins: Energy is key to success</atitle><jtitle>Vascular</jtitle><addtitle>Vascular</addtitle><date>2016-04-01</date><risdate>2016</risdate><volume>24</volume><issue>2</issue><spage>144</spage><epage>149</epage><pages>144-149</pages><issn>1708-5381</issn><eissn>1708-539X</eissn><abstract>Objective
To evaluate the feasibility and anatomical success of endovenous laser ablation (EVLA) of incompetent perforating veins (IPV).
Methods
All 135 consecutive patients with IPV treated with ELVA (intention-to-treat) from January 2008 to December 2013 were included. Up to the end of 2011, an 810-nm laserset (14 W) was used, and afterwards, a 1470-nm laserset (6 W) was introduced. Duplex ultrasound was performed at 6 weeks’ follow-up to assess anatomical success.
Results
Overall anatomical success at 6 weeks’ follow-up was 56%. Anatomical success was 63% after treatment with 810 nm and 45% with 1470 nm (p = 0.035). This difference in the success rate seems associated with the significantly higher amount of energy delivered in the 810 nm cohort (560 J) versus 1470 nm (186 J). Regardless of the type of laser, anatomical success was significantly higher after treatment with more than 400 J (66%) compared with 0–200 J (40%, p = 0.009) and 200–400 J (43%, p = 0.029). Complications were limited to two cases of transient paresthesia.
Conclusions
EVLA of IPVs is safe and feasible. The amount of energy is highly important in achieving anatomical success.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>25972028</pmid><doi>10.1177/1708538115587214</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Feasibility Studies Female Humans Laser Therapy - adverse effects Male Middle Aged Prospective Studies Saphenous Vein - diagnostic imaging Saphenous Vein - surgery Time Factors Treatment Outcome Ultrasonography, Doppler, Duplex Varicose Veins - diagnostic imaging Varicose Veins - surgery Venous Insufficiency - diagnostic imaging Venous Insufficiency - surgery |
| title | Endovenous laser ablation of insufficient perforating veins: Energy is key to success |
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