Lun Yu, Shen Shikai, Wu Xiaoyu, Jiang Han, Xin Shijie, Zhang Jian
Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China.
Department of Vascular Surgery, The First Hospital, China Medical University, Shenyang, China
Phlebology. 2015 Oct;30(9):641-3. doi: 10.1177/0268355514541982. Epub 2014 Jun 25.
Endovenous laser ablation is an established alternative to surgery with stripping for the treatment of varicose veins. Ecchymoses and pain are frequently reported side effects of endovenous laser ablation. Device-related complications are rare but serious. We describe here an exceptional complication, necessitating an additional surgical procedure to remove a segment of laser fiber that had migrated into the pelvic cavity. Fortunately, severe damage had not occurred. This case highlights the importance of checking the completeness of the guidewire, catheter, and laser fiber after endovenous laser ablation.
腔内激光消融术是一种成熟的治疗静脉曲张的手术替代方法，可替代剥脱术。瘀斑和疼痛是腔内激光消融术常见的副作用。与设备相关的并发症虽罕见但严重。我们在此描述了一例特殊并发症，需要额外进行手术以取出一段已迁移至盆腔的激光光纤。幸运的是，未发生严重损伤。该病例凸显了腔内激光消融术后检查导丝、导管和激光光纤完整性的重要性。
