Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine, 4-12 Hwayang-dong, Gwangjin-gu, Seoul, Korea.
Korean J Radiol. 2011 Jul-Aug;12(4):481-6. doi: 10.3348/kjr.2011.12.4.481. Epub 2011 Jul 22.
We wanted to evaluate the effectiveness of endovenous ablation of the incompetent vein of Giacomini using a 980-nm diode laser.
A total of 18 patients (18 limbs, 4%) had the incompetent vein of Giacomini. Retrograde reflux originating from the great saphenous vein was noted in sixteen limbs and paradoxical diastolic anterograde reflux from the saphenopopliteal junction was observed in two limbs. After tumescent anesthesia, laser ablation using a 980-nm wavelength laser fiber was performed under ultrasound and/or fluoroscopic guidance. Patients were evaluated clinically and with duplex ultrasound at one week and at one, three, six and twelve months after laser ablation for the technical and clinical success.
In the 18 limbs, the technical success rate was 100%. Continued closure of the vein of Giacomini was seen in 18 of 18 limbs after one month, in 12 of 12 limbs after three and six months and in six of six limbs after twelve months. No recanalization of the vein and no major complications occurred.
Endovenous laser ablation with a 980-nm wavelength is an effective and safe procedure for treating an incompetent vein of Giacomini.
我们旨在评估使用 980nm 半导体激光治疗 Giacomini 静脉功能不全的有效性。
共有 18 例患者（18 条肢体，4%）存在 Giacomini 静脉功能不全。16 条肢体出现大隐静脉逆行反流，2 条肢体出现隐股交界处反常性舒张期顺行反流。在肿胀麻醉下，使用 980nm 波长激光光纤，在超声和/或透视引导下进行激光消融。在激光消融后一周、一个月、三个月、六个月和十二个月，对患者进行临床和双功能超声评估，以评估技术和临床成功率。
在 18 条肢体中，技术成功率为 100%。1 个月后，18 条肢体中的 18 条，3 个月后 12 条肢体中的 12 条，6 个月后 6 条肢体中的 6 条均可见 Giacomini 静脉持续闭塞。未发生静脉再通和重大并发症。
使用 980nm 波长的静脉内激光消融是治疗 Giacomini 静脉功能不全的有效且安全的方法。
