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Endovenous Diode Laser Ablation of Varicose Perforating Veins

  • Christof ZerweckEmail author
  • Thomas Schwarz

Abstract

Endovenous laser ablation of incompetent perforating veins is a rising method in less invasive treatment of varicose veins. Especially in cases of venous ulcer or severe dermal changes the method provides good and safe results regarding ulcer healing and the long term closure of the treated vein. This article gives an overview on anatomy, clinical presentation and a step-by-step description of a perforator vein ablation. Different techniques and published data available are discussed.

Keywords

Incompetent perforating veins Venous ulcer Severe dermal changes EVLA GSV SSV IPV 

References

  1. 1.
    Boné C. Tratamiento endoluminal de las varices con láser de diodo. Estudio preliminar. Patol Vasc. 1999;V:31–9.Google Scholar
  2. 2.
    Proebstle TM, Herdemann S. Early results and feasibility of incompetent perforator vein ablation by endovenous laser treatment. Dermatol Surg. 2007;33(2):162–8.PubMedGoogle Scholar
  3. 3.
    Ozkan U. Endovenous laser ablation of incompetent perforator veins: a new technique in treatment of chronic venous disease. Cardiovasc Interv Radiol. 2009;32(5):1067–70.CrossRefGoogle Scholar
  4. 4.
    Schwarz T, von Hodenberg E, Furtwängler C, Rastan A, Zeller T, Neumann FJ. Endovenous laser ablation of varicose veins with the 1470-nm diode laser. J Vasc Surg. 2010;51(6):1474–8.CrossRefPubMedGoogle Scholar
  5. 5.
    Zerweck C, von Hodenberg E, Knittel M, Zeller T, Schwarz T. Endovenous laser ablation of varicose perforating veins with the 1470-nm diode laser using the radial fibre slim. Phlebology. 2014;29(1):30–6.PubMedGoogle Scholar
  6. 6.
    Corcos L, Pontello D, de Anna D, Dini S, Spina T, Barucchello V, Carrer F, Elezi B, Di Benedetto F. Endovenous 808-nm diode laser occlusion of perforating veins and varicose collaterals: a prospective study of 482 limbs. Dermatol Surg. 2011;37(10):1486–98.CrossRefPubMedGoogle Scholar
  7. 7.
    Hissink RJ, Bruins RM, Erkens R, Castellanos Nuijts ML, van den Berg M. Innovative treatments in chronic venous insufficiency: endovenous laser ablation of perforating veins: a prospective short-term analysis of 58 cases. Eur J Vasc Endovasc Surg. 2010;40(3):403–6.CrossRefPubMedGoogle Scholar
  8. 8.
    Cockett FB, Jones DE. The ankle blow-out syndrome; a new approach to the varicose ulcer problem. Lancet. 1953;1(6749):17–23.CrossRefPubMedGoogle Scholar
  9. 9.
    Bozzato S, Rancan E, Ageno W. Fondaparinux for the treatment of superficial vein thrombosis in the legs: the CALISTO study. Expert Opin Pharmacother. 2011;12(5):835–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Gloviczki P, Gloviczki ML. Guidelines for the management of varicose veins. Phlebology. 2012;27 Suppl 1:2–9. doi: 10.1258/phleb.2012.012S28.CrossRefPubMedGoogle Scholar
  11. 11.
    Schwarz T, Schmidt B, Schellong SM. Inter observer agreement of complete compression ultrasound for clinically suspected deep vein thrombosis. Clin Appl Thromb Hemost. 2002;8:45–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Schellong SM, Schwarz T, Halbritter K, Beyer J, Siegert G, Oettelr W, Schmidt B, Schroeder HE. Complete compression ultrasonography of the leg veins as a single test for the diagnosis of deep vein thrombosis. Thromb Haemost. 2003;89:228–34.PubMedGoogle Scholar
  13. 13.
    Dumantepe M, Tarhan A, Yurdakul I, Özler A. Endovenous laser ablation of incompetent perforating veins with 1470 nm, 400 μm radial fiber. Photomed Laser Surg. 2012;30(11):672–7.CrossRefPubMedGoogle Scholar
  14. 14.
    Darwood RJ, Gough MJ. Endovenous laser treatment for uncomplicated varicose veins. Phlebology. 2009;24 Suppl 1:50–61. doi: 10.1258/phleb.2009.09s006.CrossRefPubMedGoogle Scholar
  15. 15.
    Pannier F, Rabe E, Maurins U. 1470 nm diode laser for endovenous ablation (EVLA) of incompetent saphenous veins - a prospective randomized pilot study comparing warm and cold tumescence anaesthesia. Vasa. 2010;39(3):249–55.CrossRefPubMedGoogle Scholar
  16. 16.
    Rabe E, Pannier F. Sclerotherapy of varicose veins with polidocanol based on the guidelines of the German Society of Phlebology. Dermatol Surg. 2010;36 Suppl 2:968–75.CrossRefPubMedGoogle Scholar
  17. 17.
    Harlander-Locke M, Jimenez JC, Lawrence PF, Derubertis BG, Rigberg DA, Gelabert HA. Endovenous ablation with concomitant phlebectomy is a safe and effective method of treatment for symptomatic patients with axial reflux and large incompetent tributaries. J Vasc Surg. 2013;58(1):166–72.CrossRefPubMedGoogle Scholar
  18. 18.
    Park SW, Hwang JJ, Yun IJ, Lee SA, Kim JS, Chang SH, Chee HK, Chang IS. Randomized clinical trial comparing two methods for endovenous laser ablation of incompetent perforator veins in thigh and great saphenous vein without evidence of saphenofemoral reflux. Dermatol Surg. 2012;38(4):640–6. doi: 10.1111/j.1524-4725.2011.02261.x. Epub 2011 Dec 30.CrossRefPubMedGoogle Scholar
  19. 19.
    Sroka R, Weick K, Sadeghi-Azandaryani M, Steckmeier B, Schmedt CG. Endovenous laser therapy--application studies and latest investigations. J Biophotonics. 2010;3(5–6):269–76.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  1. 1.Venous Section, Department of AngiologyUniversitaets – Herzzentrum FreiburgBad KrozingenGermany

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