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Endovenous laser

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https://www.readbyqxmd.com/read/29675625/multidetector-ct-of-iatrogenic-and-self-inflicted-vascular-lesions-and-infections-at-the-groin
#1
REVIEW
Massimo Tonolini, Anna Maria Ierardi, Gianpaolo Carrafiello, Domenico Laganà
The number and complexity of endovascular procedures performed via either arterial or venous access are steadily increasing. Albeit associated with higher morbidity compared to the radial approach, the traditional common femoral artery remains the preferred access site in a variety of cardiac, aortic, oncologic and peripheral vascular procedures. Both transarterial and venous cannulation (for electrophysiology, intravenous laser ablation and central catheterisation) at the groin may result in potentially severe vascular access site complications (VASC)...
April 19, 2018: Insights Into Imaging
https://www.readbyqxmd.com/read/29655811/retrograde-endovenous-laser-therapy-facilitates-great-saphenous-vein-closure-in-the-setting-of-severe-vasospasm
#2
Ravi N Srinivasa, Rajiv N Srinivasa, Nathan Kafity, Michael Cline, Anthony N Hage, Joseph J Gemmete, Jeffrey Forris Beecham Chick
Antegrade access for endovenous laser therapy may be technically challenging due to patient body habitus, vasospasm, dehydration, and poor visibility of vasculature. This report describes a retrograde approach from the contralateral femoral vein to facilitate laser ablation of the great saphenous vein in the setting of vasospasm. Such a technique may provide a viable alternative in technically difficult situations.
April 12, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29652086/five-year-follow-up-of-a-randomized-clinical-trial-comparing-open-surgery-foam-sclerotherapy-and-endovenous-laser-ablation-for-great-saphenous-varicose-veins
#3
S Vähäaho, K Halmesmäki, A Albäck, E Saarinen, M Venermo
BACKGROUND: New treatment methods have challenged open surgery as a treatment for great saphenous vein (GSV) insufficiency, the most common being ultrasound-guided foam sclerotherapy (UGFS) and endovenous laser ablation (EVLA). This study evaluated the long-term results of surgery, EVLA and UGFS in the treatment of GSV reflux. METHODS: Patients with symptomatic GSV reflux were randomized to undergo either open surgery, EVLA or UGFS. The main outcome measure was the occlusion rate of the GSV at 5 years after operation...
May 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29602759/economic-implications-of-endovenous-great-saphenous-ablation-in-a-public-health-care-system
#4
Abdalla Butt, David Kopriva
BACKGROUND: In mid-2007, endovenous ablation (EVA) of the great saphenous vein was introduced into the publicly funded health care system in Saskatchewan, Canada. We hypothesize that the introduction of EVA resulted in a decrease in use of high ligation and stripping (HL/S), decreased costs to the health care system, and increased demand of patients for great saphenous vein ablative procedures. METHODS: We retrospectively reviewed administrative data to capture cases of HL/S between 2003 and 2014 and cases of EVA of the great saphenous vein (endovenous laser treatment and radiofrequency ablation) between 2007 and 2014...
March 27, 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29473448/demographic-and-clinical-features-do-not-affect-the-outcome-of-combined-endovenous-therapy-to-treat-leg-swelling
#5
Ahmad Alsheekh, Anil Hingorani, Afsha Aurshina, Pavel Kibrik, Natalie Marks, Yuriy Ostrozhynskyy, Enrico Ascher
Background There have been well-documented implications of race/ethnicity on the outcome of various vascular diseases, yet there are limited data on risk factors and outcome of lower limb swelling. While many patients improve with endovenous therapy (thermal ablation or iliac vein stenting), some patients' symptoms persist. The goal of this study was to identify clinical factors including race/ethnicity related to persistent leg swelling after treatment with both iliac vein stenting and thermal ablation. Methods From February 2012 to February 2014, this observational study analyzed data for 173 patients with chronic venous insufficiency who underwent both iliac vein stent placement as well as thermal ablation (radiofrequency ablation or endovenous laser ablation)...
January 1, 2018: Vascular
https://www.readbyqxmd.com/read/29462021/review-of-endovenous-thermal-ablation-of-the-great-saphenous-vein-endovenous-laser-therapy-versus-radiofrequency-ablation
#6
Omeed Ahadiat, Shauna Higgins, Alexandre Ly, Azadeh Nazemi, Ashley Wysong
BACKGROUND: Endovenous thermal ablation is a popular treatment for varicose veins of the greater saphenous vein. Two common techniques of thermal ablation are endovenous laser therapy (EVLT) and radiofrequency ablation (RFA). OBJECTIVE: The authors compare EVLT and RFA in vein therapy. METHODS: A review was conducted using PubMed. Studies comparing the treatment modalities were gathered and compared on the basis of 5 main standpoints, including: efficacy, side effects, serious complications, recurrence, and quality of life...
February 15, 2018: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29448895/the-outcome-of-anticoagulation-on-endovenous-laser-therapy-for-superficial-venous-incompetence
#7
Jamie Vatish, Nusrat Iqbal, Viswa Retnasingam Rajalingam, Alok Tiwari
OBJECTIVES: The purpose of this study was to evaluate whether anticoagulation (warfarin or direct oral inhibitors) affected the success of endovenous treatment. METHODS: Patients taking anticoagulation (warfarin or direct oral inhibitors) undergoing endovenous treatment in the form of endovenous laser ablation (EVLA) were matched against controls for sex, age, leg, and vein. Data were collected prospectively between January 2012 and March 2017. The primary endpoint was failure of treatment at 6-week postoperative duplex scan...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29434428/evaluation-of-endovenous-laser-ablation-for-varicose-veins-using-a-computer-simulation-model-secondary-publication
#8
REVIEW
Hisanao Hazama, Masato Yoshimori, Norihiro Honda, Kunio Awazu
Background and aims: Endovenous laser ablation (EVLA) has been well-reported as a minimally invasive method to deal with varices of the lower extremities. The lasers used fall into two categories: pigment, i.e., hemoglobin-specific lasers in the visible and near-infrared (near-IR) wavebands and longer wavelength mid-infrared lasers where the chromophore is water. The fiber used to deliver the laser energy is also important, and not enough attention has been paid to this element of EVLA...
December 31, 2017: Laser Therapy
https://www.readbyqxmd.com/read/29412185/day-surgery-versus-outpatient-setting-for-endovenous-laser-ablation-treatment-a-prospective-cohort-study
#9
Gianfranco Varetto, Lorenzo Gibello, Edoardo Frola, Alessandra Trevisan, Andrea Trucco, Luigi Contessa, Pietro Rispoli
OBJECTIVES: The traditional surgical approach to the treatment of the superficial venous insufficiency requires at least 12 h of post-operative monitoring and this often means the necessity of an overnight hospitalization. The introduction of new, less invasive techniques (i.e endovenous laser ablation) reduces the hospitalization stay in a Day Surgery setting. However, the increasing skills of the operators and the patient's selection, allows to propose endovenous laser ablation in an Outpatient setting...
February 2, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29409702/telangiectatic-matting-is-associated-with-hypersensitivity-and-a-bleeding-tendency
#10
Pooja Kadam, Jerrick Lim, Ian Paver, David E Connor, Kurosh Parsi
OBJECTIVE: The aim was to investigate the pathogenesis of telangiectatic matting (TM) and identify possible risk factors. METHODS: This study had two parts. The clinical records of consecutive patients were retrospectively analysed to identify risk factors for TM. In the second part, the haemostatic and coagulation profile of the subset of patients with TM were analysed and compared with controls using standard coagulation tests, platelet function and a global assay of coagulation (rotational thromboelastometry, ROTEM)...
February 3, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29248107/prospective-comparative-cohort-study-evaluating-incompetent-great-saphenous-vein-closure-using-radiofrequency-powered-segmental-ablation-or-1470-nm-endovenous-laser-ablation-with-radial-tip-fibers-varico-2-study
#11
James A Lawson, Stefanie A Gauw, Clarissa J van Vlijmen, Pascal Pronk, Menno T W Gaastra, Marco J Tangelder, Michael C Mooij
BACKGROUND: Endovenous laser ablation (EVLA) and radiofrequency-powered segmental ablation (RPSA) of the incompetent great saphenous vein (GSV) are both known for their excellent technical and clinical outcomes for the treatment of varicose veins. RPSA has reduced postprocedural pain and morbidity with shorter recovery time for the patient compared with EVLA using bare-tip fibers. However, new-generation EVLA devices with less traumatic radial-tip fibers (RTFs) operating at longer wavelengths up to 1470 nm also reduce postprocedural pain...
January 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29248106/clinical-correlation-of-success-and-acute-thrombotic-complications-of-lower-extremity-endovenous-thermal-ablation
#12
Afsha Aurshina, Enrico Ascher, Jesse Victory, Dmitriy Rybitskiy, Anjeza Zholanji, Natalie Marks, Anil Hingorani
OBJECTIVE: Endovenous thermal ablation has become the primary modality of treatment for patients with venous insufficiency. Previous literature has provided reviews of radiofrequency ablation (RFA) or endovenous laser ablation (EVLA) that mostly focus on the great saphenous vein (GSV) and small saphenous vein (SSV). Data with an extended review including the anterior accessory saphenous vein (ASV) and perforator veins (PVs) have been limited. This study examines the treatment of venous insufficiency with RFA and EVLA of these multiple veins to identify clinical and demographic predictors of both the early success and thrombotic complications of endovenous thermal ablation...
January 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29243470/update-on-current-care-guideline-venous-insufficiency-of-the-lower-limb
#13
(no author information available yet)
Venous insufficiency of the lower limb is a common disease. Diagnosis is based on symptoms, clinical findings and duplex ultrasound. Consideration and planning of invasive treatment cannot be performed without ultrasound. Vast majority of invasive treatments in superficial venous insufficiency can be done by ultrasound-guided endovenous methods with local anesthesia. Thermoablation (laser of radiofrequency) is the first-line treatment. There are promisisng endovenous methods for treatment of deep venous obstruction in selected cases...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29240059/-vein-morphology-after-endovenous-laser-coagulation-at-different-power-and-similar-linear-density-of-energy
#14
A A Fokin, D A Borsuk, E L Kazachkov, G L Gorelik, K V Bagaev
The purpose of the study was to assess the depth of damage to the venous wall after endovenous laser coagulation (EVLC) at different power of the unit - 5, 7 and 10 W and similar linear density of energy (LDE) - approximately 70 J/cm. Our prospective comparative morphological study with blinding included a total of 30 patients subjected to EVLC of the great saphenous vein using the unit with a wavelength of 1,470 nm and radial light guides with automatic traction. The patients were divided into three groups, each comprising 10 patients...
2017: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/29173075/evaluation-of-plasma-growth-factors-vegf-pdgf-egf-ang1-and-ang2-in-patients-with-varicose-veins-before-and-after-treatment-with-endovenous-laser-ablation
#15
Nabil A Al-Zoubi, Rami J Yaghan, Tagleb S Mazahreh, Emad M Hijazi, Ahmad Alqudah, Yasmin N Owaisy, Shadi Hamouri, Nawaf J Al-Shatnawi
OBJECTIVE: To measure pre- and postoperative plasma concentrations of growth factors (VEGF, PDGF, EGF, ANG1, and ANG2) in patients with primary lower limb varicose veins (VVs) treated with endovenous laser ablation (EVLA). BACKGROUND: Many studies have explored the potential relationship between primary VVs and growth factors. No previous studies were done for patients treated with EVLA. MATERIALS AND METHODS: Blood samples were obtained from 30 patients with primary VVs undergoing treatment with EVLA before and 1 week after treatment...
November 27, 2017: Photomedicine and Laser Surgery
https://www.readbyqxmd.com/read/29097173/effect-of-tumescent-anesthesia-and-patient-positioning-on-laser-tip-junctional-distance-during-endovenous-laser-ablation
#16
Julien Al Shakarchi, Mark Kay, Smilen Kuyumdzhiev, Vasileios Psarros, Radu Rogoveanu, Rajiv Vohra
BACKGROUND: The correct positioning of the laser tip at the saphenofemoral or saphenopopliteal junction during endovenous laser therapy is paramount to ensure a safe and effective procedure. The aim of this study was to demonstrate how patient positioning and tumescence infiltration can affect this safe junctional distance. METHODS: A retrospective review of a prospectively maintained database was carried out for all patients who received endovenous laser treatment for symptomatic varicose veins between February 2008 and February 2014 in one surgeon's practice in a teaching hospital vascular unit...
October 30, 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/29091378/endovenous-laser-treatment
#17
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Clinical Privilege White Paper
https://www.readbyqxmd.com/read/29091376/endovenous-laser-treatment
#18
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Clinical Privilege White Paper
https://www.readbyqxmd.com/read/29077626/successful-treatment-of-a-scleroderma-associated-leg-ulcer-with-endovenous-laser-ablation
#19
Hubert M Chodkiewicz, Hubert T Greenway, Leland Housman
No abstract text is available yet for this article.
October 26, 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/29037351/rivaroxaban-versus-fondaparinux-for-thromboprophylaxis-after-endovenous-laser-ablation
#20
Hong H Keo, Frederic Baumann, Nicolas Diehm, Christian Regli, Daniel Staub
OBJECTIVE: Endovenous heat-induced thrombosis (EHIT) and deep venous thrombosis (DVT) are well-known complications after superficial endovenous thermoablation. We investigated the efficacy of rivaroxaban in preventing EHIT and DVT after endovenous laser ablation (EVLA). METHODS: We retrospectively analyzed a consecutive series of patients presenting with truncal varicosis class C2 to C6 undergoing EVLA. After EVLA, all patients received oral rivaroxaban (10 mg) or subcutaneous fondaparinux (2...
November 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
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