OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS

J 2010

OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS

VOKURKA, Jiří; Jitka VOKURKOVÁ; Lenka VEVERKOVÁ a Trelles MARIO A.

Základní údaje

Originální název

OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS

Autoři

VOKURKA, Jiří; Jitka VOKURKOVÁ; Lenka VEVERKOVÁ a Trelles MARIO A.

Vydání

LASER THERAPY, Japan Medical Laser Laboratory, JOI JST.JSTAGE/islsm/19.239, 2010, 1884-7269

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Japonsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/10:00051606

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Varices laser endoluminal photocoagulation photosclerotherapy

Změněno: 10. 3. 2012 19:04, doc. MUDr. Lenka Veverková, Ph.D.

Anotace

V originále

Background: The surgical management of varicose veins has been subject to radical change due to both the effective use of endovenous laser therapy (EVLT) and greater knowledge regarding the venous haemodynamics of the lower limbs. Aim: The aim of our study was to evaluate the results of varicose vein treatment using EVLT. Based on our results we discuss the use of laser, the appropriate use of crossectomy (a ligation and dissection of the great saphenous vein and its tributaries), and deduce the amount of energy required for the occlusion of treated veins. Method: 326 subjects treated with EVLT using the 810 nm laser. Results were retrospectively evaluated. Patients were followed-up with Doppler US at 1 and then 3 weeks, and 6 and 12 months post procedure. Results: Long-term complications were experienced by 11 (3.4%) patients in our subject group whilst re-canalisation occurred in 12 patients. Complete vein recanalisation was not detected. Conclusion: Based on our experience, crossectomy should be performed, although not routinely, in all patients suffering from varices of the lower limbs. We find the application of over 40 J of energy per centimetre of vein length (J/cm) avoids the possibility of burns. The application of such energy will allow safe occlusion of the vein with minimal risk of recanalisation and burns. Before the operation, we recommend the length of the treated vein be measured in order to deduce the minimum amount of Jules that should be used for a successful occlusion.

Citovat

VOKURKA, Jiří; Jitka VOKURKOVÁ; Lenka VEVERKOVÁ a Trelles MARIO A. OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS. LASER THERAPY. Japan Medical Laser Laboratory: JOI JST.JSTAGE/islsm/19.239, 2010, roč. 2010,19 ,2, No. 4, s. pp.239-243, 5 s. ISSN 1884-7269.

@article{915359,
   author = {Vokurka, Jiří and Vokurková, Jitka and Veverková, Lenka and Mario A., Trelles},
   article_location = {Japan Medical Laser Laboratory},
   article_number = {No. 4},
   keywords = {Varices laser endoluminal photocoagulation photosclerotherapy},
   language = {eng},
   issn = {1884-7269},
   journal = {LASER THERAPY},
   title = {OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS},
   url = {http://www.jstage.jst.go.jp/browse/islsm/19/4/_contents},
   volume = {2010,19 ,2},
   year = {2010}
}

TY  - JOUR
ID  - 915359
AU  - Vokurka, Jiří - Vokurková, Jitka - Veverková, Lenka - Mario A., Trelles
PY  - 2010
TI  - OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS
JF  - LASER THERAPY
VL  - 2010,19 ,2
IS  - No. 4
SP  - pp.239-243
EP  - pp.239-243
PB  - JOI JST.JSTAGE/islsm/19.239
SN  - 18847269
KW  - Varices laser endoluminal photocoagulation photosclerotherapy
UR  - http://www.jstage.jst.go.jp/browse/islsm/19/4/_contents
N2  - Background: The surgical management of varicose veins has been subject to radical change due to both the effective use of endovenous laser therapy (EVLT) and greater knowledge regarding the venous haemodynamics of the lower limbs. Aim: The aim of our study was to evaluate the results of varicose vein treatment using EVLT. Based on our results we discuss the use of laser, the appropriate use of crossectomy (a ligation and dissection of the great saphenous vein and its tributaries), and deduce the amount of energy required for the occlusion of treated veins. Method: 326 subjects treated with EVLT using the 810 nm laser. Results were retrospectively evaluated. Patients were followed-up with Doppler US at 1 and then 3 weeks, and 6 and 12 months post procedure. Results: Long-term complications were experienced by 11 (3.4%) patients in our subject group whilst re-canalisation occurred in 12 patients. Complete vein recanalisation was not detected. Conclusion: Based on our experience, crossectomy should be performed, although not routinely, in all patients suffering from varices of the lower limbs. We find the application of over 40 J of energy per centimetre of vein length (J/cm) avoids the possibility of burns. The application of such energy will allow safe occlusion of the vein with minimal risk of recanalisation and burns. Before the operation, we recommend the length of the treated vein be measured in order to deduce the minimum amount of Jules that should be used for a successful occlusion.
ER  -

VOKURKA, Jiří; Jitka VOKURKOVÁ; Lenka VEVERKOVÁ a Trelles MARIO A. OUR EXPERIENCE WITH ENDOVENOUS LASER THERAPY FOR VARICOSE VEINS. \textit{LASER THERAPY}. Japan Medical Laser Laboratory: JOI JST.JSTAGE/islsm/19.239, 2010, roč.~2010,19 ,2, No. 4, s.~pp.239-243, 5 s. ISSN~1884-7269.

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