Safety and Effectiveness of Endovenous Laser Ablation Combined With Ligation for Severe Saphenous Varicose Veins in Japanese Patients

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Author(s)

    • Ikeda Yuichi
    • Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo
    • Yamashita Hiroharu
    • Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo
    • Asaoka Yoshinari
    • Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo
    • Fujishiro Mitsuhiro
    • Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo
    • Shin Masahiro
    • Department of Neurosurgery, Graduate School of Medicine, The University of Tokyo

Abstract

Endovenous laser ablation (EVLA), which is a relatively new therapeutic option for saphenous varicose veins of the legs, is less invasive than conventional stripping surgery with ligation. In this study, we evaluated the safety and effectiveness of EVLA combined with ligation for severe saphenous varicose veins that were graded as ≥ C<sub>4</sub> by the CEAP classification. We treated 119 Japanese patients (141 limbs) between July 2005 and December 2007 utilizing a 1320-nm Nd:YAG laser. The obliteration rate of the treated veins was found to be 100% over the entire follow-up period (2.5 years). Consistent with this finding, all of the patients exhibited improved skin lesions (ie, skin pigmentation and ulceration). No major complications, including deep vein thrombosis (DVT) and nerve injury, were observed. A questionnaire survey with a reasonable response rate (66.4%) demonstrated that subjective symptoms and minor complications that were initially observed after EVLA, such as mild pain, numbness, indurations, and localized hot flashes, were remarkably improved by the end of the follow-up period. Furthermore, high levels of patient satisfaction were noted. Thus, EVLA combined with ligation constituted a safe and effective strategy for treating severe saphenous varicose veins in Japanese patients.

Journal

  • International Heart Journal

    International Heart Journal 57(1), 87-90, 2016

    International Heart Journal Association

Codes

  • NII Article ID (NAID)
    130005120984
  • Text Lang
    ENG
  • ISSN
    1349-2365
  • Data Source
    J-STAGE 
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