Skip to main content
SpringerLink
Log in

Comparing 1470- and 980-nm diode lasers for endovenous ablation treatments

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The purpose of this study was to compare the effectiveness of 1470- and 980-nm lasers with regard to power output, complications, recanalization rates, and treatment response. We prospectively evaluated the effectiveness of endovenous laser ablation (EVLA) in a total of 152 great and small saphenous veins from 96 patients. Lasers were randomly used based on the availability of the units. Patients were clinically evaluated for Clinical Etiologic Anatomic Pathophysiologic (CEAP) stage and examined with Doppler ultrasound. Treatment response was determined anatomically by occlusion of the vein and clinically by the change in the venous clinical severity score (VCSS). Seventy-eight of the saphenous veins underwent EVLA with a 980-nm laser and 74 underwent EVLA with a 1470-nm laser. Treatment response was (68) 87.2 % in the 980-nm group and (74) 100 % in the 1470-nm group (p = 0.004). The median VCSS decreased from 4 to 2 in the 980-nm group (p < 0.001) and from 8 to 2 (p < 0.001) in the 1470-nm group. At 1-year follow-up, seven veins treated with 980 nm and two veins treated with 1470 nm were recanalized (p = 0.16); the average linear endovenous energy density (LEED) was 83.9 (r, 55–100) J/cm and 58.5 (r, 45–115) J/cm, respectively (p < 0.001). Postoperative minor complications occurred in 23 (29.4 %) limbs in the 980-nm group and in 19 (25.6 %) limbs of the 1470-nm group (p = 0.73). EVLA with the 1470-nm laser have less energy deposition for occlusion and better treatment response.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Shepherd AC, Gohel MS, Brown LC, Metcalfe MJ, Hamish M, Davies AH (2010) Randomized clinical trial of VNUS ClosureFAST radiofrequency ablation versus laser for varicose veins. Br J Surg 97:810–818

    Article  CAS  PubMed  Google Scholar 

  2. Oguzkurt L (2012) Ultrasonographic anatomy of the lower extremity superficial veins. Diagn Interv Radiol 18:423–430

    PubMed  Google Scholar 

  3. Rasmussen LH, Lawaetz M, Bjoern L, Vennits B, Blemings A, Eklof B (2011) Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Surg 98:1079–1087

    Article  CAS  PubMed  Google Scholar 

  4. Delaney CL, Russell DA, Iannos J, Spark JI (2012) Is endovenous laser ablation possible while taking warfarin? Phlebology 27:231–234

    Article  CAS  PubMed  Google Scholar 

  5. Darwood RJ, Gough MJ (2009) Endovenous laser treatment for uncomplicated varicose veins. Phlebology 24:50–61

    Article  PubMed  Google Scholar 

  6. Vasquez MA, Munschauer CE (2012) Revised venous clinical severity score: a facile measurement of outcomes in venous disease. Phlebology 27:119–129

    Article  PubMed  Google Scholar 

  7. Massaki AB, Kiripolsky MG, Detwiler SP, Goldman MP (2013) Endoluminal laser delivery mode and wavelength effects on varicose veins in an ex vivo model. Lasers Surg Med 45:123–129

    Article  PubMed  Google Scholar 

  8. Koroglu M, Eris HN, Aktas AR, Kayan M, Yeşildağ A, Cetin M et al (2011) Endovenous laser ablation and foam sclerotherapy for varicose veins: does the presence of perforating vein insufficiency affect the treatment outcome? Acta Radiol 52:278–284

    Article  PubMed  Google Scholar 

  9. Hennings T, Hennings D, Lindsay C (2014) Thrombus formation using endovenous lasers: an in vitro experiment. Phlebology 29:171–178

    Article  CAS  PubMed  Google Scholar 

  10. Kansaku R, Sakakibara N, Amano A, Endo H, Shimabukuro T, Sueishi M (2014) Histological difference between pulsed wave laser and continuous wave laser in endovenous laser ablation. Phlebology. doi:10.1177/0268355514538248

    PubMed  Google Scholar 

  11. Sufian S, Arnez A, Labropoulos N, Lakhanpal S (2014) Endovenous heat-induced thrombosis after ablation with 1470 nm laser: incidence, progression, and risk factors. Phlebology. doi:10.1177/0268355514526588

    Google Scholar 

  12. Tarhan IA, Dumantepe M, Yurdakul I, Kehlibar T, Ozler A (2014) Local cooling effect on perforation rates comparing the 980–1470 nm laser wavelengths used with endovenous laser ablation: double blind in vitro experimental study. Phlebology 29:120–125

    CAS  PubMed  Google Scholar 

  13. Almeida J, Mackay E, Javier J, Mauriello J, Raines J (2009) Saphenous laser ablation at 1470 nm targets the vein wall, not blood. Vasc Endovasc Surg 43:467–472

    Article  Google Scholar 

  14. van den Bos RR, van Ruijven PW, van der Geld CW, van Gemert MJ, Neumann HA, Nijsten T (2012) Endovenous simulated laser experiments at 940 nm and 1470 nm suggest wavelength-independent temperature profiles. Eur J Vasc Endovasc Surg 44:77–81

    Article  PubMed  Google Scholar 

  15. Özkan U, Saritürk Ç (2012) Early clinical improvement in chronic venous insufficiency symptoms after laser ablation of saphenous veins. Diagn Interv Radiol 18:594–598

    PubMed  Google Scholar 

  16. Zerweck C, von Hodenberg E, Knittel M, Zeller T, Schwarz T (2014) Endovenous laser ablation of varicose perforating veins with the 1470-nm diode laser using the radial fibre slim. Phlebology 29:30–36

    PubMed  Google Scholar 

  17. Malskat WS, Stokbroekx MA, van der Geld CW, Nijsten TE, van den Bos RR (2014) Temperature profiles of 980- and 1470-nm endovenous laser ablation, endovenous radiofrequency ablation and endovenous steam ablation. Lasers Med Sci 29:423–429

    Article  CAS  PubMed  Google Scholar 

  18. Theivacumar NS, Dellagrammaticas D, Darwood RJ, Mavor AI, Gough MJ (2008) Fate of the great saphenous vein following endovenous laser ablation: does re-canalisation mean recurrence? Eur J Vasc Endovasc Surg 36:211–215

    Article  CAS  PubMed  Google Scholar 

  19. von Hodenberg E, Zerweck C, Knittel M, Zeller T, Schwarz T (2013) Endovenous laser ablation of varicose veins with the 1470 nm diode laser using a radial fiber—1-year follow-up. Phlebology. doi:10.1177/0268355513512825

    Google Scholar 

  20. Dumantepe M, Uyar I (2013) Comparing cold and warm tumescent anesthesia for pain perception during and after the endovenous laser ablation procedure with 1470 nm diode laser. Phlebology. doi:10.1177/0268355513512827

    Google Scholar 

  21. Can Caliskan K, Cakmakci E, Celebi I, Basak M (2013) Endovenous1470 nm laser treatment of the saphenous vein: early report of pain assessment. J Cardiovasc Surg 54:263–267

    CAS  Google Scholar 

  22. Duman E, Yildirim E, Saba T, Ozulku M, Gunday M, Coban G (2013) The effect of laser wavelength on postoperative pain score in the endovenous ablation of saphenous vein insufficiency. Diagn Interv Radiol 19:326–329

    PubMed  Google Scholar 

Download references

Acknowledgments

We thank Evrim Erdemoglu, MD, for his valuable help in the statistical analyses of our data.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey

    Aykut Recep Aktas & Orhan Celik

  2. Department of Radiology, Faculty of Medicine, Baskent University, Adana, Turkey

    Ugur Ozkan & Levent Oguzkurt

  3. Department of Radiology, Antalya Education and Research Hospital, Antalya, Turkey

    Mustafa Cetin & Mert Koroglu

  4. Department of Radiology, Faculty of Medicine, Kirikkale University, Kirikkale, Turkey

    Sevda Yilmaz & Birsen U. Daphan

Authors
  1. Aykut Recep Aktas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Orhan Celik
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ugur Ozkan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Mustafa Cetin
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mert Koroglu
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sevda Yilmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Birsen U. Daphan
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Levent Oguzkurt
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Aykut Recep Aktas.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aktas, A.R., Celik, O., Ozkan, U. et al. Comparing 1470- and 980-nm diode lasers for endovenous ablation treatments. Lasers Med Sci 30, 1583–1587 (2015). https://doi.org/10.1007/s10103-015-1768-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-015-1768-8

Keywords

Search

Navigation