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Endovenous Laser Ablation as a Treatment for Postsurgical Recurrent Saphenous Insufficiency

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Abstract

The purpose of this study was to investigate the safety and efficacy of endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency occurring after saphenous vein ligation and stripping. A single-center retrospective review of patients who received endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency after ligation and stripping between November 2003 and October 2006 was performed. Fifty-six insufficient saphenous systems were identified in 38 patients. Follow-up consisted of a clinical examination in all patients as well as selective lower-extremity duplex ultrasound as clinically indicated. All 38 patients demonstrated complete closure of the insufficient saphenous vein by clinical examination and/or duplex ultrasound evaluation. Preoperative symptoms resolved after treatment in all 38 patients. No major complications were identified. Endovenous laser ablation of recurrent symptomatic saphenous venous insufficiency is a safe and effective treatment in patients who develop recurrent symptoms after saphenous vein ligation and stripping.

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Authors and Affiliations

  1. Department of Interventional Radiology, School of Medicine, Northwestern University, Chicago, IL, 60611, USA

    Praveen R. Anchala, Christopher Wickman, Richard Chen, Tonya Faundeen, Lisa Narducy & Scott A. Resnick

  2. Department of Vascular Surgery, School of Medicine, Northwestern University, Chicago, IL, 60611, USA

    William Pearce & Lisa Narducy

Authors
  1. Praveen R. Anchala
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  2. Christopher Wickman
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  3. Richard Chen
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  4. Tonya Faundeen
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  5. William Pearce
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  6. Lisa Narducy
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  7. Scott A. Resnick
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Correspondence to Scott A. Resnick.

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Anchala, P.R., Wickman, C., Chen, R. et al. Endovenous Laser Ablation as a Treatment for Postsurgical Recurrent Saphenous Insufficiency. Cardiovasc Intervent Radiol 33, 983–988 (2010). https://doi.org/10.1007/s00270-009-9784-3

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  • DOI: https://doi.org/10.1007/s00270-009-9784-3

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