Objective: Endovenous laser ablation (EVLA) of great (GSV) and small saphenous vein (SSV) chronic insufficiency with 1470-nm diode laser and radial fiber yields good short-term results. The aim of this study was to assess its efficacy after at least 12 months of follow-up.Methods: We performed a prospective interventional cohort study in an ambulatory care/day surgery setting. Consecutive patients with chronic, symptomatic GSV or SSV insufficiency were treated by EVLA with a 1470-nm diode laser and a radial fiberoptic. Patients were recruited between 2008 and 2011, and the follow-up was completed in 2012. All patients underwent clinical and echo color Doppler evaluations during follow-up. The primary outcome was the incidence of echo color Dopplerconfirmed failures during follow-up. We also investigated potential associations between failures and patients' characteristics, echo color Doppler findings, or surgical features. The secondary outcome was the postoperative pain course.Results: The planned 12-month follow-up was completed in 372 patients. Echo color Doppler-confirmed failures occurred in 37 (12%) of 310 patients with GSV insufficiency, whereas none of 62 patients with SSVinsufficiency experienced a failure. Multiple Cox proportional hazards regression analysis showed a significant association of failures with a Clinical, Etiologic, Anatomic, and Pathologic class C ≥4 and a mean confluence of the superficial inguinal veins diameter ≥9mmin patients with GSV insufficiency. Postoperative pain coursewas favorable. More than two thirds of the patients were asymptomatic at 7 days.Conclusions: EVLA with 1470-nm diode laser and radial fiberoptic is effective for treatment of GSV and especially SSV insufficiency and is well tolerated by the patients.
Spreafico, G., Piccioli, A., Bernardi, E., Giraldi, E., Pavei, P., Borgoni, R., et al. (2014). Endovenous laser ablation of great and small saphenous vein incompetence with a 1470-nm laser and radial fiber. JOURNAL OF VASCULAR SURGERY: VENOUS AND LYMPHATIC DISORDERS, 2(4), 403-410.
|Citazione:||Spreafico, G., Piccioli, A., Bernardi, E., Giraldi, E., Pavei, P., Borgoni, R., et al. (2014). Endovenous laser ablation of great and small saphenous vein incompetence with a 1470-nm laser and radial fiber. JOURNAL OF VASCULAR SURGERY: VENOUS AND LYMPHATIC DISORDERS, 2(4), 403-410.|
|Tipo:||Articolo in rivista - Articolo scientifico|
|Carattere della pubblicazione:||Scientifica|
|Presenza di un coautore afferente ad Istituzioni straniere:||No|
|Titolo:||Endovenous laser ablation of great and small saphenous vein incompetence with a 1470-nm laser and radial fiber|
|Autori:||Spreafico, G; Piccioli, A; Bernardi, E; Giraldi, E; Pavei, P; Borgoni, R; Nosadini, A; Baccaglini, U|
|Data di pubblicazione:||2014|
|Rivista:||JOURNAL OF VASCULAR SURGERY: VENOUS AND LYMPHATIC DISORDERS|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1016/j.jvsv.2014.04.012|
|Appare nelle tipologie:||01 - Articolo su rivista|