Aim To determine the success of endovenous laser ablation (EVLA) treatment and long-term occlusion of small saphenous vein (SSV), as well as factors and conditions that influence the effectiveness of EVLA treatment. Methods A total of 250 patients treated with EVLA method over a period of seven years were followed one year after treatment. The main factors monitored and recorded during EVLA treatment were laser power (W), amount of delivered energy (J), duration of treatment (sec), veins length (cm), diameter (mm) and reflux (sec). Results Within the first six months, the recanalization or insufficiently occluded SSV was noticed in ten, and after one year in one patient. The overall assessment of occlusion and satisfactory findings after one year of SSV was 95.6%. Conclusion It is important to choose adequate power and the amount of delivered energy. The physician’s assessment and selection of an adequate patient greatly improves the outcome of the treatment. It is important to treat larger branches and double SSV between two fascias. Successful and effective EVLA treatment greatly reduces the possibility of recanalization of the treated vein.
Nakashima M, Kobayashi M. Endovenous laser ablation combined with stripping technique for large saphenous varicose veins: the selection of operation technique. Ann Vasc Dis 2019;12:514–8.
2
Nandhra S, El-sheikha J, Carradice D, Wallace T, Souroullas P, Samuel N, et al. A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins. J Vasc Surg 2015;61:741–6.
3
Kibrik P, Chait J, Arustamyan M, Alsheekh A, Kenney K, Marks N, et al. Success rate and factors predictive of redo endothermal ablation of small saphenous veins. J Vasc Surg Venous Lymphat Disord 2022;10:395–401.
4
Pannier F, Rabe E, Rits J, Kadiss A, Maurins U. Endovenous laser ablation of great saphenous veins using a 1470 nm diode laser and the radial fibre–follow-up after six months. Phlebology 2011;26:35–9.
5
Cowpland CA, Cleese AL, Whiteley MS. Factors affecting optimal linear endovenous energy density for endovenous laser ablation in incompetent lower limb truncal veins - a review of the clinical evidence. Phlebology 2017;32:299–306.
6
Srivatsa SS, Chung S, Sidhu V. The relative roles of power, linear endovenous energy density, and pullback velocity in determining short-term success after endovenous laser ablation of the truncal saphenous veins. J Vasc Surg Venous Lymphat 2019;7:90–7.
7
Kubat E, Ünal CS, Geldi O, Çetin E, Keskin A. What is the optimal treatment technique for great saphenous vein diameter of≥ 10 mm? Comparison of five different approaches. Acta Chir Belg 2021;121:94–101.
8
Aurshina A, Alsheekh A, Kibrik P, Hingorani A, Marks N, Ascher E. Recanalization after endovenous thermal ablation. Ann Vasc Surg 2018;52:158–62.
9
Kontothanassis D, Mitri R, Ruffino SF, Zambrini E, Camporese G, Gerard JL, et al. Endovenous laser treatment of the small saphenous vein. J Vasc Surg 2009;49:973–9.
10
Vitkus J, Floreskul I, D M. Varikozinės venos: diagnostika ir gydymas. Sveikatos mokslai Health sciences in Eastern Europe [in Latvian] (Varicose veins: diagnosis is treatment. Welcome to health science in Eastern Europe. vol. 5. 2021.
11
Wittens C, Davies AH, Bækgaard N, Broholm R, Cavezzi A, Chastanet S, et al. Management of chronic venous disease: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS. Eur J Vasc Endovasc Surg 2015;49;(678):737.
12
Neaume N. Management of small saphenous vein varices with perspectives from a recent metaanalysis and recommendations. Phlebolymphology 2020;27:28–35.
13
Pavei P, Spreafico G, Bernardi E, Giraldi E, Ferrini M. Favorable long-term results of endovenous laser ablation of great and small saphenous vein incompetence with a 1470-nm laser and radial fiber. J Vasc Surg Venous Lymphatic Disord 2021;9:352–60.
14
Health O. Nonthermal Endovenous Procedures for Varicose Veins: A Health Technology Assessment. Ont Health Technol Assess Ser 2021;21:1–188.
15
Whing J, Nandhra S, Nesbitt C, Stansby G. Interventions for great saphenous vein incompetence. Cochrane Database Syst Rev 2021:8 005624.
16
Gao RD, Qian SY, Wang HH, Liu YS, Ren SY. Strategies and challenges in treatment of varicose veins and venous insufficiency. World J Clin Cases 2022;10:5946–56.
17
Bontinis V, Bontinis A, Koutsoumpelis A, Potouridis A, Giannopoulos A, Rafailidis V, et al. Endovenous thermal ablation in the treatment of large great saphenous veins of diameters> 12 mm: a systematic review meta-analysis and meta-regression. Vasc Med 2023;28:449–57.
18
Kheirelseid EA, Crowe G, Sehgal R, Liakopoulos D, Bela H, Mulkern E, et al. Systematic review and meta-analysis of randomized controlled trials evaluating long-term outcomes of endovenous management of lower extremity varicose veins. J Vasc Surg Venous Lymphat Disord 2018;6:256–70.
19
S MW, LK E, LM H, T N, Bos RR. Commonly used endovenous laser ablation (EVLA) parameters do not influence efficacy: results of a systematic review and metaanalysis. Eur J Vasc Endovasc Surg 2019;58:230–42.
20
Boersma D, Kornmann VNN, Eekeren RRJP, Tromp E, Unlu C, Reijnen MMJP, et al. Treatment modalities for small saphenous vein insufficiency: systematic review and meta-analysis. J Endovasc Ther 2016;23:199–211.
21
Gustavo V, Anna P, Rafael V, D LA, Mônica V. A case report of an uncommon course of the small saphenous vein. Acta Sci Anat 2019;1:187–9.
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