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CardioVascular and Interventional Radiology

, Volume 34, Issue 3, pp 536–541 | Cite as

Impact of Laser Fiber Design on Outcome of Endovenous Ablation of Lower-Extremity Varicose Veins: Results from a Single Practice

  • Ethan A. PrinceEmail author
  • Gregory M. Soares
  • MaryLou Silva
  • Anil Taner
  • SunHo Ahn
  • Gregory J. Dubel
  • Bryan S. Jay
Clinical Investigation

Abstract

The design of laser fibers used for endovenous laser ablation (EVLA) in the management of lower-extremity varicose vein disease may affect treatment success. The purpose of this investigation is to report our experience using the gold-tip NeverTouch VenaCure laser fiber (AngioDynamics, Queensbury, NY) and to compare that to our experience with standard bare-tip fibers. A retrospective chart review of 363 consecutive EVLA treatments using the gold-tip laser fiber was performed. Demographic data including patient age, sex, history of previous varicose vein stripping, vein identity, laterality, treatment length, total applied energy in joules (J), use of adjuvant sclerotherapy and ambulatory phlebectomy, treatment-related complications, and treatment failure, which was defined as recanalization of any portion of the treated vein during follow-up as assessed by duplex ultrasound examination―were entered into a spreadsheet. These data were compared with a control group of 471 EVLA treatments performed with a standard bare-tip laser fiber. Data were analyzed using independent-samples Student’s t test, chi-square test, and multivariate analysis. Demographic data were similar between the two groups. Treatments with the gold-tip fiber had a failure rate of 11.1%, whereas treatment with a bare-tip fiber had a failure rate of 2.3% during a similar follow-up period. This difference was highly statistically significant (p < 0.0001). Multivariate analysis showed fiber type as the most significant factor associated with treatment failure. We conclude that laser fiber design has a significant effect on treatment success in the performance of EVLA.

Keywords

Interventional radiology Varicode vein Laser ablation 

Notes

Acknowledgment

The authors thank Cindy Botvin, RDMS, for assistance in helping to gather data.

Conflict of interest statement

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2010

Authors and Affiliations

  • Ethan A. Prince
    • 1
    Email author
  • Gregory M. Soares
    • 1
  • MaryLou Silva
    • 1
  • Anil Taner
    • 1
  • SunHo Ahn
    • 1
  • Gregory J. Dubel
    • 1
  • Bryan S. Jay
    • 1
  1. 1.Warren Alpert School of MedicineBrown University/Rhode Island HospitalProvidenceUSA

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