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Commonly used fiber tips in endovenous laser ablation (EVLA): an analysis of technical differences

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Abstract

Many different types of fiber tips have been developed over the last few years to be used in endovenous laser ablation (EVLA) procedures. All these new but different tips claim a certain superiority over the other tips. Evidence for a best tip is however lacking. Four of these fiber tips have been compared in this article: (1) the bare fiber, (2) the Tulip-Tip, (3) the NeverTouch™ tip, and (4) the radially emitting tip. The aim of this paper is to provide information on the technical differences between these fiber tips and differences in their underlying heat transfer mechanisms. Although all tips are effective in the primary goal of EVLA, namely to occlude the incompetent vein, they differ in side effects, they differ in side effects, practicality, and cost. Although these new tips have improved EVLA, the perfect tip is not on the market yet.

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Authors and Affiliations

  1. Tobrix BV, Waalre, The Netherlands

    Toine Stokbroekx

  2. Department of Mechanical Engineering, Eindhoven University of Technology, Eindhoven, The Netherlands

    Amit de Boer

  3. Department of Physics and Medical Technology, Free Unirsity Medical Center, Amsterdam, The Netherlands

    Rudolf M. Verdaasdonk

  4. Department of Vascular Surgery, St Andries Hospital, Tielt, Belgium

    Marc E. Vuylsteke

  5. INSERM, University Hospital Lille, Lille, France

    Serge R. Mordon

Authors
  1. Toine Stokbroekx
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  2. Amit de Boer
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  3. Rudolf M. Verdaasdonk
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  4. Marc E. Vuylsteke
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  5. Serge R. Mordon
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Correspondence to Toine Stokbroekx.

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Stokbroekx, T., de Boer, A., Verdaasdonk, R.M. et al. Commonly used fiber tips in endovenous laser ablation (EVLA): an analysis of technical differences. Lasers Med Sci 29, 501–507 (2014). https://doi.org/10.1007/s10103-013-1475-2

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  • DOI: https://doi.org/10.1007/s10103-013-1475-2

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