Endovenous Laser Treatment of the Lesser Saphenous Vein With a 940‐nm Diode Laser: Early Results
BACKGROUND Until now, endovenous laser treatment (ELT) of the lesser saphenous vein (LSV) has not been reported. OBJECTIVE To evaluate efficacy and side effects for ELT of the LSV. METHODS Otherwise unselected patients with an incompetent LSV were included. After perivenous infiltration of tumescent...
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| Veröffentlicht in: | Dermatologic surgery 2003-04, Vol.29 (4), p.357-361 |
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| creator | Proebstle, Thomas M. Gül, Doendue Kargl, Alexandra Knop, Juergen |
| description | BACKGROUND Until now, endovenous laser treatment (ELT) of the lesser saphenous vein (LSV) has not been reported.
OBJECTIVE To evaluate efficacy and side effects for ELT of the LSV.
METHODS Otherwise unselected patients with an incompetent LSV were included. After perivenous infiltration of tumescent local anesthesia, laser energy (940 nm) was administered endovenously, either in a pulsed fashion or continuously during constant backpull of the laser fiber. Patients were scheduled for duplex follow‐up at Day 1 and also at 1, 3, 6 and 12 months, postoperatively.
RESULTS Forty‐one LSVs were targeted in 33 patients with a median age of 66 years (range, 35 to 93). Seventy‐three percent of patients had skin changes (C4). Thirty‐six percent had an open or healed venous ulcer (C5,6) and 15% a postthrombotic syndrome (ES AS,D PR). Thirty‐nine LSVs (95%) completed ELT successfully. During a median follow‐up interval of 6 months (range, 3 to 12 months), no recanalization event could be observed. Apart from one thrombosis of the popliteal vein in a patient with polycythemia vera, only minor side effects, particularly no permanent paresthesia, could be observed.
CONCLUSION ELT of the LSV under tumescent local anesthesia is feasible and effective. Caution is warranted with ELT of thrombophilic patients. |
| doi_str_mv | 10.1046/j.1524-4725.2003.29085.x |
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OBJECTIVE To evaluate efficacy and side effects for ELT of the LSV.
METHODS Otherwise unselected patients with an incompetent LSV were included. After perivenous infiltration of tumescent local anesthesia, laser energy (940 nm) was administered endovenously, either in a pulsed fashion or continuously during constant backpull of the laser fiber. Patients were scheduled for duplex follow‐up at Day 1 and also at 1, 3, 6 and 12 months, postoperatively.
RESULTS Forty‐one LSVs were targeted in 33 patients with a median age of 66 years (range, 35 to 93). Seventy‐three percent of patients had skin changes (C4). Thirty‐six percent had an open or healed venous ulcer (C5,6) and 15% a postthrombotic syndrome (ES AS,D PR). Thirty‐nine LSVs (95%) completed ELT successfully. During a median follow‐up interval of 6 months (range, 3 to 12 months), no recanalization event could be observed. Apart from one thrombosis of the popliteal vein in a patient with polycythemia vera, only minor side effects, particularly no permanent paresthesia, could be observed.
CONCLUSION ELT of the LSV under tumescent local anesthesia is feasible and effective. Caution is warranted with ELT of thrombophilic patients.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1046/j.1524-4725.2003.29085.x</identifier><identifier>PMID: 12656813</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the cardiovascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Female ; Follow-Up Studies ; Humans ; Laser Therapy - adverse effects ; Laser Therapy - methods ; Male ; Medical sciences ; Middle Aged ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Saphenous Vein - diagnostic imaging ; Saphenous Vein - surgery ; Thrombophlebitis - complications ; Treatment Outcome ; Ultrasonography, Doppler ; Varicose Ulcer - complications ; Varicose Veins - diagnostic imaging ; Varicose Veins - surgery</subject><ispartof>Dermatologic surgery, 2003-04, Vol.29 (4), p.357-361</ispartof><rights>2003 by the American Society for Dermatologic Surgery, Inc.</rights><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4417-37b573ea7ab1eaa5f1debee1d9326953fa4676c9b21221f10a021e24cc3be96b3</citedby><cites>FETCH-LOGICAL-c4417-37b573ea7ab1eaa5f1debee1d9326953fa4676c9b21221f10a021e24cc3be96b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1524-4725.2003.29085.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1524-4725.2003.29085.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14690460$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12656813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Proebstle, Thomas M.</creatorcontrib><creatorcontrib>Gül, Doendue</creatorcontrib><creatorcontrib>Kargl, Alexandra</creatorcontrib><creatorcontrib>Knop, Juergen</creatorcontrib><title>Endovenous Laser Treatment of the Lesser Saphenous Vein With a 940‐nm Diode Laser: Early Results</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUND Until now, endovenous laser treatment (ELT) of the lesser saphenous vein (LSV) has not been reported.
OBJECTIVE To evaluate efficacy and side effects for ELT of the LSV.
METHODS Otherwise unselected patients with an incompetent LSV were included. After perivenous infiltration of tumescent local anesthesia, laser energy (940 nm) was administered endovenously, either in a pulsed fashion or continuously during constant backpull of the laser fiber. Patients were scheduled for duplex follow‐up at Day 1 and also at 1, 3, 6 and 12 months, postoperatively.
RESULTS Forty‐one LSVs were targeted in 33 patients with a median age of 66 years (range, 35 to 93). Seventy‐three percent of patients had skin changes (C4). Thirty‐six percent had an open or healed venous ulcer (C5,6) and 15% a postthrombotic syndrome (ES AS,D PR). Thirty‐nine LSVs (95%) completed ELT successfully. During a median follow‐up interval of 6 months (range, 3 to 12 months), no recanalization event could be observed. Apart from one thrombosis of the popliteal vein in a patient with polycythemia vera, only minor side effects, particularly no permanent paresthesia, could be observed.
CONCLUSION ELT of the LSV under tumescent local anesthesia is feasible and effective. Caution is warranted with ELT of thrombophilic patients.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the cardiovascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laser Therapy - adverse effects</subject><subject>Laser Therapy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Saphenous Vein - diagnostic imaging</subject><subject>Saphenous Vein - surgery</subject><subject>Thrombophlebitis - complications</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Doppler</subject><subject>Varicose Ulcer - complications</subject><subject>Varicose Veins - diagnostic imaging</subject><subject>Varicose Veins - surgery</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1u1TAQhS0EoqXwCsgb2CWMf2LfsEBC7eVHuhISbWFpOclEycVJLnbS9u54BJ6RJ8FpIrplYXnG_s7M0SGEMkgZSPVmn7KMy0RqnqUcQKQ8h02W3j0ip_8-HscatEogY_yEPAthD8B4LuApOWFcZWrDxCkptn013GA_TIHubEBPrzzascN-pENNxwbpDsP8fmkPzcJ9w7an39uxoZbmEv78-t139KIdKlxGvKVb692RfsUwuTE8J09q6wK-WO8zcv1he3X-Kdl9-fj5_P0uKaVkOhG6yLRAq23B0NqsZhUWiKzKBVd5JmorlVZlXnDGOasZWOAMuSxLUWCuCnFGXi9zD374OWEYTdeGEp2zPUbbRgvGNdcqgpsFLP0QgsfaHHzbWX80DMycr9mbOUYzx2jmfM19vuYuSl-uO6aiw-pBuAYagVcrYENpXe1tX7bhgZMqjwsgcnLhbgc3og8_3HSL3jRo3dgYAJDR6yaZl4OMbRIP6Ch7t8pah8f_9m0uLq_vS_EXt6KmFw</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Proebstle, Thomas M.</creator><creator>Gül, Doendue</creator><creator>Kargl, Alexandra</creator><creator>Knop, Juergen</creator><general>Blackwell Science Inc</general><general>by the American Society for Dermatologic Surgery, Inc</general><general>Blackwell</general><scope>IQODW</scope><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>200304</creationdate><title>Endovenous Laser Treatment of the Lesser Saphenous Vein With a 940‐nm Diode Laser: Early Results</title><author>Proebstle, Thomas M. ; Gül, Doendue ; Kargl, Alexandra ; Knop, Juergen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4417-37b573ea7ab1eaa5f1debee1d9326953fa4676c9b21221f10a021e24cc3be96b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the cardiovascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Laser Therapy - adverse effects</topic><topic>Laser Therapy - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Saphenous Vein - diagnostic imaging</topic><topic>Saphenous Vein - surgery</topic><topic>Thrombophlebitis - complications</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Doppler</topic><topic>Varicose Ulcer - complications</topic><topic>Varicose Veins - diagnostic imaging</topic><topic>Varicose Veins - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Proebstle, Thomas M.</creatorcontrib><creatorcontrib>Gül, Doendue</creatorcontrib><creatorcontrib>Kargl, Alexandra</creatorcontrib><creatorcontrib>Knop, Juergen</creatorcontrib><collection>Pascal-Francis</collection><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>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Proebstle, Thomas M.</au><au>Gül, Doendue</au><au>Kargl, Alexandra</au><au>Knop, Juergen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovenous Laser Treatment of the Lesser Saphenous Vein With a 940‐nm Diode Laser: Early Results</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2003-04</date><risdate>2003</risdate><volume>29</volume><issue>4</issue><spage>357</spage><epage>361</epage><pages>357-361</pages><issn>1076-0512</issn><eissn>1524-4725</eissn><abstract>BACKGROUND Until now, endovenous laser treatment (ELT) of the lesser saphenous vein (LSV) has not been reported.
OBJECTIVE To evaluate efficacy and side effects for ELT of the LSV.
METHODS Otherwise unselected patients with an incompetent LSV were included. After perivenous infiltration of tumescent local anesthesia, laser energy (940 nm) was administered endovenously, either in a pulsed fashion or continuously during constant backpull of the laser fiber. Patients were scheduled for duplex follow‐up at Day 1 and also at 1, 3, 6 and 12 months, postoperatively.
RESULTS Forty‐one LSVs were targeted in 33 patients with a median age of 66 years (range, 35 to 93). Seventy‐three percent of patients had skin changes (C4). Thirty‐six percent had an open or healed venous ulcer (C5,6) and 15% a postthrombotic syndrome (ES AS,D PR). Thirty‐nine LSVs (95%) completed ELT successfully. During a median follow‐up interval of 6 months (range, 3 to 12 months), no recanalization event could be observed. Apart from one thrombosis of the popliteal vein in a patient with polycythemia vera, only minor side effects, particularly no permanent paresthesia, could be observed.
CONCLUSION ELT of the LSV under tumescent local anesthesia is feasible and effective. Caution is warranted with ELT of thrombophilic patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>12656813</pmid><doi>10.1046/j.1524-4725.2003.29085.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the cardiovascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Female Follow-Up Studies Humans Laser Therapy - adverse effects Laser Therapy - methods Male Medical sciences Middle Aged Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Saphenous Vein - diagnostic imaging Saphenous Vein - surgery Thrombophlebitis - complications Treatment Outcome Ultrasonography, Doppler Varicose Ulcer - complications Varicose Veins - diagnostic imaging Varicose Veins - surgery |
| title | Endovenous Laser Treatment of the Lesser Saphenous Vein With a 940‐nm Diode Laser: Early Results |
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