Update on endovenous laser ablation: 2011

In 2001, the use of endovenous laser ablation (EVLA) was introduced to the United States to treat superficial venous insufficiency. EVLA has subsequently undergone a rapid rise in popularity and usage with a concomitant decrease in traditional operative saphenectomy. Since its inception, the use of...

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Veröffentlicht in:Perspectives in vascular surgery and endovascular therapy 2011-12, Vol.23 (4), p.233-237
Hauptverfasser: Sadek, Mikel, Kabnick, Lowell S, Berland, Todd, Cayne, Neal S, Mussa, Firas, Maldonado, Thomas, Rockman, Caron B, Jacobowitz, Glenn R, Lamparello, Patrick J, Adelman, Mark A
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container_end_page 237
container_issue 4
container_start_page 233
container_title Perspectives in vascular surgery and endovascular therapy
container_volume 23
creator Sadek, Mikel
Kabnick, Lowell S
Berland, Todd
Cayne, Neal S
Mussa, Firas
Maldonado, Thomas
Rockman, Caron B
Jacobowitz, Glenn R
Lamparello, Patrick J
Adelman, Mark A
description In 2001, the use of endovenous laser ablation (EVLA) was introduced to the United States to treat superficial venous insufficiency. EVLA has subsequently undergone a rapid rise in popularity and usage with a concomitant decrease in traditional operative saphenectomy. Since its inception, the use of EVLA to treat superficial venous insufficiency has advanced significantly. The efficacy of treatment has been validated using both hemoglobin-specific laser wavelength and water-specific laser wavelength lasers. Currently, laser optimization is focusing on reducing postprocedural sequelae. The clinical parameters that correlate best with improved postoperative recovery use lower power/energy settings, water-specific laser wavelength lasers, and jacket or radial-emitting tips. Future study is still required to assess the durability of treatment at lower power and energy settings coupled with jacket or radial-emitting tip fibers. Long-term follow-up using duplex imaging is recommended to ensure persistent treatment success.
doi_str_mv 10.1177/1531003511429156
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subjects Equipment Design
Humans
Laser Therapy - adverse effects
Laser Therapy - instrumentation
Lasers
Saphenous Vein - diagnostic imaging
Saphenous Vein - surgery
Treatment Outcome
Ultrasonography, Doppler, Duplex
Varicose Veins - diagnostic imaging
Varicose Veins - surgery
Venous Insufficiency - diagnostic imaging
Venous Insufficiency - surgery
title Update on endovenous laser ablation: 2011
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