Mazayshvili Konstantin, Akimov Sergey
Department of Surgery, Surgut State University, Surgut, Russia -
Vein center "Antireflux", Zheleznodorozhnyy, Russia.
Int Angiol. 2019 Apr;38(2):96-101. doi: 10.23736/S0392-9590.19.04097-5. Epub 2019 Feb 22.
The aim of this work was to evaluate the frequency, structure and characteristics of complications after endovenous laser ablation (EVLA).
The study included 1247 consecutive patients (1417 limbs) with superficial venous insufficiency, treated with EVLA procedures with a wavelength of 1470 nm and automatic pull-back traction of the fiber. Control examinations using Duplex ultrasound were carried out on the second day after EVLA, and in 2 weeks and 1 month after the EVLA procedure. In certain situations, including the detection of complications, timing of the follow-up visits varied.
In the postoperative period (up to 1 month after the procedure) complications were detected in 69 cases (4.87% of the EVLA procedures). Complications included the following: deep vein thrombosis (1.55%), pulmonary embolism (0.07%), pain syndrome (1.41%), abscess (0.07%), seroma (0.21%), fragmentations of the laser fiber (0.14%), hyperpigmentation (0.14%), and burn of the skin (0.07%) of the total number of EVLA procedures.
EVLA is not a unique surgical method of treatment, and it has the same complications as any other surgical intervention. The complications rate in patients was 4.87% of EVLA procedures. Most complications can be avoided by developing a standard regulation on their detection and treatment as early as possible.
本研究旨在评估静脉腔内激光消融术（EVLA）后并发症的发生率、结构及特征。
本研究纳入1247例连续性患有浅静脉功能不全的患者（1417条肢体），采用波长为1470nm的EVLA手术及光纤自动回拉牵引进行治疗。在EVLA术后第二天、术后2周及1个月时使用双功超声进行对照检查。在某些情况下，包括检测到并发症时，随访时间会有所不同。
在术后期间（术后1个月内），共检测到69例并发症（占EVLA手术的4.87%）。并发症包括：深静脉血栓形成（1.55%）、肺栓塞（0.07%）、疼痛综合征（1.41%）、脓肿（0.07%）、血清肿（0.21%）、激光光纤断裂（0.14%）、色素沉着（0.14%）以及皮肤灼伤（0.07%），以上均占EVLA手术总数的比例。
EVLA并非一种独特的手术治疗方法，它与其他任何手术干预一样存在并发症。患者的并发症发生率为EVLA手术的4.87%。通过尽早制定关于并发症检测和治疗的标准规范，大多数并发症是可以避免的。
