Zafarghandi Mohammad Reza, Akhlaghpour Shahram, Mohammadi Halimeh, Abbasi Ali
Department of Cardiovascular Surgery, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.
Vasc Endovascular Surg. 2009 Apr-May;43(2):178-84. doi: 10.1177/1538574408326182. Epub 2008 Dec 16.
To evaluate treatment results for varicose great saphenous vein (GSV) using endovenous laser ablation (EVLA) in an ambulatory single center.
We prospectively studied 77 limbs with varicose GSV in 74 patients who were treated using 980-nm EVL with a 600-mm laser fiber and the power settings of 10-25 Watts. The patients were followed using color Doppler ultrasound.
Continued closure of treated GSV was found in 98.3% of the legs evaluated at 3-week follow-up (n = 60). At 3- and 6-month intervals, 94.1% and 97% successful occlusion was achieved, respectively. The main complications of the procedure included prolonged leg pain (2 cases), hyperestheasia (one case) and lidocaine sensitivity (one case).
EVLA treatment of the GSV is a safe and highly effective method accompanied with few complications in midterm follow-up. It is feasible in ambulatory settings and the patients return to their daily activities early after intervention.
在一个门诊单中心评估使用腔内激光消融术（EVLA）治疗大隐静脉曲张（GSV）的效果。
我们前瞻性研究了74例患者的77条患有GSV的肢体，这些患者使用600毫米激光光纤的980纳米EVL和10 - 25瓦的功率设置进行治疗。使用彩色多普勒超声对患者进行随访。
在3周随访时评估的腿部中，98.3%（n = 60）发现治疗后的GSV持续闭合。在3个月和6个月时，分别实现了94.1%和97%的成功闭塞。该手术的主要并发症包括腿部疼痛延长（2例）、感觉过敏（1例）和利多卡因敏感性（1例）。
EVLA治疗GSV是一种安全且高效的方法，中期随访并发症较少。在门诊环境中可行，患者在干预后可早期恢复日常活动。
