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大隐静脉及其属支的腔内激光消融术——LEST技术

Endovenous laser ablation for saphenous veins and tributaries - the LEST technique.

作者信息

Guimaraes Adriano Carvalho, Moreira Ricardo Herkenhoff, Bogert Petra Cristina Van Den, Belczak Sergio Quilici, Coelho Felipe, de Araujo Walter Jr Boim

机构信息

V&P Hospital Dia, Santo Antônio da Platina, PR, Brasil.

Hospital Nossa Senhora da Saúde, Santo Antônio da Platina, PR, Brasil.

出版信息

J Vasc Bras. 2024 Sep 3;23:e20220146. doi: 10.1590/1677-5449.202201462. eCollection 2024.

DOI:10.1590/1677-5449.202201462
PMID:39286303
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11404773/
Abstract

Endovenous thermal ablation is now one of the most important techniques for treating chronic venous insufficiency. Technical refinements and technological innovations have made it possible to employ the method not only in the saphenous veins, but also to treat superficial veins such as varicose tributaries. We describe a technique for surgical treatment of varicose veins using endovenous laser thermal ablation employing multiple punctures and present the experience at our service with analysis of 601 cases operated using this technique. Thermoablative treatment of tributary veins with multiple puncture sites expands the applications for endolaser in treatment of lower limb varicose veins, providing, comprehensive, safe, and effective treatment.

摘要

静脉内热消融术现已成为治疗慢性静脉功能不全的最重要技术之一。技术的改进和创新使得该方法不仅可用于大隐静脉，还可用于治疗诸如曲张属支等浅表静脉。我们描述了一种使用多点穿刺静脉内激光热消融术治疗静脉曲张的手术技术，并介绍了我们科室运用该技术进行601例手术的经验。对具有多个穿刺点的属支静脉进行热消融治疗扩大了腔内激光在下肢静脉曲张治疗中的应用范围，提供了全面、安全且有效的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/afc1a6bb04eb/jvb-23-e20220146-g08.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/7bd5f1853587/jvb-23-e20220146-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/afc1a6bb04eb/jvb-23-e20220146-g08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/8b0f245c8c09/jvb-23-e20220146-g01-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/0fad2701897e/jvb-23-e20220146-g02-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/31b22b6f4854/jvb-23-e20220146-g03-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/1f4b8b10a981/jvb-23-e20220146-g04-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/54e9d767b4dc/jvb-23-e20220146-g05-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/67a0f0258a48/jvb-23-e20220146-g06-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/a046a515a692/jvb-23-e20220146-g07-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/d9753af03785/jvb-23-e20220146-g08-en.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/8b0f245c8c09/jvb-23-e20220146-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/0fad2701897e/jvb-23-e20220146-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/31b22b6f4854/jvb-23-e20220146-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/1f4b8b10a981/jvb-23-e20220146-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/ff88236ac781/jvb-23-e20220146-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/67a0f0258a48/jvb-23-e20220146-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/7bd5f1853587/jvb-23-e20220146-g07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fdf/11404773/afc1a6bb04eb/jvb-23-e20220146-g08.jpg

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