Endovenous laser ablation of varicose veins: Review of current technologies and clinical outcome

Colleen M. Johnson, Robert Mclafferty

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Symptomatic lower extremity varicose veins represent one of the most common vascular conditions in the adult population. Associated symptoms ranged from mild conditions such as fatigue, heaviness, and itching to more serious conditions such as skin discoloration and leg ulceration. The predominant causative factor of this condition is reflux of the great saphenous vein (GSV), which is traditionally treated with surgical saphenofemoral ligation and stripping of the incompetent saphenous vein. In recent years, there have been significant advances in saphenous vein ablation using percutaneous techniques, including the endovenous laser therapy (EVLT). In this article, the authors discuss the therapeutic evolution of this technology, theoretical basis of laser energy in GSV ablation, and procedural techniques of EVLT using duplex ultrasonography. Additional discussion of procedural-related complications, such as deep vein thrombosis, skin burn, saphenous nerve injury, and phletibis, and ecchymosis, are provided. Lastly, clinical results of EVLT in GSV ablation are discussed. Current literatures support EVLT as a safe and effective treatment option for varicosities caused by GSV incompetence.

Original languageEnglish (US)
Pages (from-to)250-254
Number of pages5
JournalVascular
Volume15
Issue number5
DOIs
StatePublished - Sep 2007
Externally publishedYes

Fingerprint

Saphenous Vein
Varicose Veins
Laser Therapy
Technology
Ablation Techniques
Ecchymosis
Skin
Pruritus
Venous Thrombosis
Fatigue
Ligation
Blood Vessels
Lower Extremity
Ultrasonography
Leg
Lasers
Wounds and Injuries
Therapeutics
Population

Keywords

  • Chronic venous insufficiency
  • Endovenous laser therapy
  • Saphenous vein ablation
  • Saphenous vein reflux
  • Saphenous vein stripping
  • Varicose veins

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

Cite this

Endovenous laser ablation of varicose veins : Review of current technologies and clinical outcome. / Johnson, Colleen M.; Mclafferty, Robert.

In: Vascular, Vol. 15, No. 5, 09.2007, p. 250-254.

Research output: Contribution to journalArticle

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