keyword
https://read.qxmd.com/read/38182555/laser-sclerosing-foam-hybrid-treatment-a-non-tumescent-technique-for-insufficient-great-saphenous-vein-ablation
#21
JOURNAL ARTICLE
Gerardo E Victoria M, Adrian J Rujano A, Giacomo M Zilipo
OBJECTIVE: We aim to report on the Laser-Sclerosing Foam Hybrid Treatment (LSFHT) and its outcomes when used on patients with great saphenous vein (GSV) insufficiency. METHODS: This was a single center retrospective cohort study on patients with GSV insufficiency that were treated with the LSFHT technique, a surgical procedure that comprises the use of both sclerosing foam and endovenous ablation and avoids the use of tumescent anesthesia. Occlusion rates and complications were reported...
January 5, 2024: Phlebology
https://read.qxmd.com/read/38170250/phrenic-nerve-injury-after-atrial-fibrillation-ablation-different-recovery-courses-among-cryoballoon-laser-balloon-and-radiofrequency-ablation
#22
JOURNAL ARTICLE
Takatoshi Shigeta, Shinsuke Miyazaki, Yuhei Isonaga, Hirofumi Arai, Naoyuki Miwa, Yosuke Hayashi, Shota Kakehashi, Osamu Inaba, Hitoshi Hachiya, Yasuteru Yamauchi, Junichi Nitta, Hiroshi Tada, Masahiko Goya, Tetsuo Sasano
BACKGROUND: Phrenic nerve injury (PNI) is one of the common complications in atrial fibrillation (AF) ablation, which often recovers spontaneously. However, the course of its recovery has not been examined fully, especially in regard to the different ablation methods. We sought to compare the recovery course of PNI in cryoballoon, laser balloon, and radiofrequency ablation. METHODS: This multicenter retrospective study analyzed 355 patients who suffered from PNI during AF ablation...
January 3, 2024: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
https://read.qxmd.com/read/38155274/laser-ablation-on-vascular-diseases-mechanisms-and-influencing-factors
#23
REVIEW
Chenghong Zhang, Wenhao Lyu, Pengtianyu Qiu, Congyu Zhang, Xiaoli Zhao, Xiaogang Wang, Boqu He, Bo Fu, Xunming Ji
Vascular diseases, such as venous insufficiency and coronary artery diseases, have been threatening the health of people. Efficient treatment with proper postoperative care is required to relieve the pain of the patients. Traditionally, venous insufficiency is treated with ligation and stripping, an open surgery whose complication rate cannot be ignored. Coronary artery disease is often treated with balloon angioplasty during which undilatable lesions may be encountered, limiting the efficacy of this approach...
December 29, 2023: Lasers in Medical Science
https://read.qxmd.com/read/38135785/debris-generated-by-laser-and-or-balloon-cause-cerebral-infarction-with-different-severity
#24
JOURNAL ARTICLE
Kai Yang, Jinyun Tan, Ying Deng, Shuai Jiang, Jingdong Tang, Weihao Shi, Bo Yu
The purpose of this study is to determine the effects that debris generated by laser and/or balloon on the brain. Debris generated by laser, balloon, and laser combined with balloon were collected and then injected into rats' left common carotid artery. Rats were divided into five groups: sham, saline, laser (L), balloon (B), and laser combined with balloon (LB). The cognition ability of rats was evaluated by Morris water maze. Cerebral blood flow (CBF) was examined by laser speckle. TTC staining and MRI scan were conducted to detect cerebral ischemic infarction...
December 23, 2023: Lasers in Medical Science
https://read.qxmd.com/read/38130912/syncope-fainting-on-standing-from-squatting-due-to-massive-venous-reflux-into-lower-limb-varicose-veins-case-report
#25
Mark S Whiteley, Melissa J Kiely
A 42-year-old man presented with very large lower limb varicose veins bilaterally and an 8-month history of fainting when standing up from a squatting position. He had been investigated for syncope by a cardiologist with no abnormality found on electrocardiogram, echocardiogram, 24-h electrocardiogram or 48-h blood pressure monitoring. Venous duplex ultrasonography showed bilaterally great saphenous vein reflux, with each vein having a diameter of 23.5 and 24.0 mm at the groin, and a similar dilation along the whole vein to ankle...
2023: SAGE Open Medical Case Reports
https://read.qxmd.com/read/38078711/the-correlation-between-caprini-score-and-the-risk-of-venous-thromboembolism-after-varicose-vein-surgery
#26
JOURNAL ARTICLE
Kirill V Lobastov, Maria V Shaldina, Athena V Matveeva, Anna V Kovalchuk, Denis A Borsuk, Ilya V Schastlivtsev, Leonid A Labeko, Alexey A Fokin
BACKGROUND: The study aims to identify the incidence of symptomatic and asymptomatic venous thromboembolism (VTE) after minimally invasive varicose vein surgery and to assess the predictability of the Caprini risk score (CRS). METHODS: CAPrini Score In Venous Surgery (NCT03041805) is a registry-based prospective study that enrolls patients undergoing minimally invasive open (high ligation, stripping, miniphlebectomy) and endovascular (thermal and non-thermal ablation) surgery on varicose veins...
December 11, 2023: International Angiology: a Journal of the International Union of Angiology
https://read.qxmd.com/read/38058714/hybrid-endovenous-laser-ablation-reduces-the-recurrence-of-varicose-veins-below-the-knee-compared-with-radiofrequency-ablation-a-real-world-study
#27
JOURNAL ARTICLE
Longlong Cong, Jinglan Sun, Lin Wang, Yang Han, Jian Dong, Yi Cao, Hongyan Zhou, Lin Yang
INTRODUCTION: This study aimed to investigate the outcome of hybrid endovenous laser ablation (EVLA, 1470 nm) and radiofrequency ablation (RFA) procedures for varicose veins (VVs). MATERIAL AND METHODS: We retrospectively analysed the clinical data of patients from July 2019 to December 2020. Eighty-four patients (121 limbs) underwent a hybrid EVLA procedure, and 108 patients (151 limbs) underwent an RFA procedure. The outcomes, venous clinical severity score (VCSS), chronic venous disease quality-of-life questionnaire (CIVIQ-20) score, and recurrence at 1, 6, and 12 months were collected...
2023: Archives of Medical Science: AMS
https://read.qxmd.com/read/38046781/a-narrative-review-of-advancements-in-understanding-and-treating-varicose-veins
#28
REVIEW
Aditi Singh, Rajesh Gattani
Chronic venous disease, with varicose veins as its archetypal manifestation, stands as a pervasive and intricate health quandary, encompassing a vast array of contributing factors. Age, genetics, obesity, pregnancy, and prolonged immobility weave a complex tapestry, underscoring the omnipresence of this ailment. Its societal and economic footprint is undeniably formidable, as diverse classifications underscore its multifaceted character. The intricate interplay of chronic venous disease with diabetes mellitus and neuropathy compounds the challenge, fostering soaring healthcare expenditures and a palpable erosion of quality of life, particularly among women harboring cardiometabolic risk factors...
November 2023: Curēus
https://read.qxmd.com/read/38035926/contemporary-management-of-incompetence-of-the-small-saphenous-vein-in-the-light-of-the-recent-results-of-the-fovelass-study
#29
REVIEW
Claudine Hamel-Desnos
The FOVELASS study, a randomised multicentre trial published this year by the French Society of Phlebology, confirms the technical superiority of endovenous laser over sclerosing foam in the treatment of small saphenous vein incompetence, over a 3-year follow-up. However, this study also validates the good clinical results of foam, equivalent to those of endovenous laser, already observed in other clinical studies on the great saphenous vein. Thermal ablation has therefore consolidated its leading position in the treatment of saphenous veins but depending on the anatomical configuration of the veins and the economic context, sclerosing foam, which is widely applicable, highly versatile, and cost-effective, may be an interesting alternative...
2023: Journal de Médecine Vasculaire
https://read.qxmd.com/read/37990207/biomimetic-platelet-camouflaged-drug-loaded-polypyrrole-for-the-precise-targeted-antithrombotic-therapy
#30
JOURNAL ARTICLE
Zhining Zhao, Xiaodan Li, Yan Wang, Cheng Liu, Guixia Ling, Peng Zhang
Lower extremity deep venous thrombosis (LEDVT) affects patient's quality of life for a long time, and even causes pulmonary embolism, which threatens human health. Current anticoagulant drugs in clinical treatment are hampered by the risk of bleeding due to poor targeting and low drug penetration. Here, we used platelet (PLT)-like biological targeting to enhance the delivery and accumulation of nanomedicines in thrombus and reduce the risk of bleeding. Meanwhile, the parallel strategy of "thrombus thermal ablation and anticoagulation" was applied to increase the permeability of drugs in thrombus and achieve the optimal antithrombotic effect...
November 22, 2023: Journal of Nanobiotechnology
https://read.qxmd.com/read/37977519/endovenous-laser-ablation-vs-phlebectomy-of-foot-varicose-veins
#31
JOURNAL ARTICLE
Luiz Fernando Albernaz, Alexandre Reis E Silva, Daiane Taís Schlindwein Albernaz, Fernanda Rita Zignani, Fabricio Santiago, Yung-Wei Chi
OBJECTIVES: To compare the outcomes and complications of selected patients treated with endovenous laser ablation (EVLA) or ambulatory phlebectomy for foot varicose veins. METHODS: From October 2016 to February 2022, selected patients undergoing EVLA (using 1470-nm with radial-slim or bare-tip fibers) or phlebectomy of foot varicose veins for cosmetic indications were analyzed and the outcomes were compared. Patients were classified according to the clinical, etiologic, anatomical, and pathophysiological (CEAP) classification...
November 15, 2023: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/37944133/durability-of-pulmonary-vein-isolation-for-atrial-fibrillation-a-meta-analysis-and-systematic-review
#32
JOURNAL ARTICLE
Teodor Serban, Diego Mannhart, Qurrat-Ul-Ain Abid, Andres Höchli, Sorin Lazar, Philipp Krisai, Arianna Sofia Bettelini, Sven Knecht, Michael Kühne, Christian Sticherling, Jeanne du Fay de Lavallaz, Patrick Badertscher
AIMS: Pulmonary vein isolation (PVI) plays a central role in the interventional treatment of atrial fibrillation (AF). Uncertainties remain about the durability of ablation lesions from different energy sources. We aimed to systematically review the durability of ablation lesions associated with various PVI-techniques using different energy sources for the treatment of AF. METHODS AND RESULTS: Structured systematic database search for articles published between January 2010 and January 2023 reporting PVI-lesion durability as evaluated in the overall cohort through repeat invasive remapping during follow-up...
November 2, 2023: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://read.qxmd.com/read/37892671/safety-and-efficacy-of-uninterrupted-oral-anticoagulation-in-patients-undergoing-catheter-ablation-for-atrial-fibrillation-with-different-techniques
#33
JOURNAL ARTICLE
Marco Schiavone, Alessio Gasperetti, Annalisa Filtz, Gaia Vantaggiato, Cecilia Gobbi, Claudio Tondo, Giovanni Battista Forleo
BACKGROUND: The safety and efficacy of an uninterrupted direct anticoagulation (DOAC) strategy during catheter ablation (CA) for atrial fibrillation (AF) has not been fully investigated with different ablation techniques. METHODS: We evaluated consecutive AF patients undergoing catheter ablation with three different techniques. All patients were managed with an uninterrupted DOAC strategy. The primary endpoint was the rate of periprocedural thromboembolic and bleeding events...
October 15, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/37842441/evaluation-of-endovenous-laser-ablation-in-the-management-of-varicose-veins
#34
JOURNAL ARTICLE
Nada Elzefzaf, Mohamed A Elfeky, Kareem M Elshatlawy, Ahmed Abdelal, Abdelaziz Elhendawy, Abdelrahman Ahmed, Mohamed Nada, Tarek Ouf
Background The treatment of varicose veins has undergone tremendous changes over the years. High ligation of the saphenofemoral junction (SFJ) and stripping of the great saphenous vein (GSV) have been considered standard treatments for GSV insufficiency for over a century and are still adopted as the preferred method in the majority of surgical centers in North Africa. However, the increase in minimally invasive treatments such as endovenous thermal ablation (EVTA), radiofrequency ablation (RFA), ultrasound-guided foam sclerotherapy, and cryo-stripping has produced excellent results...
September 2023: Curēus
https://read.qxmd.com/read/37795801/prevait-after-modern-open-surgery-and-endothermal-ablation-a-systematic-review
#35
JOURNAL ARTICLE
Mariana Miranda, Joel Sousa, Armando Mansilha
INTRODUCTION: Presence of varices after operative treatment (PREVAIT) is a common finding after varicose vein surgery, and has been shown to significantly reduce the quality of life of those it affects. As such, long-term results after varicose vein interventions have to be taken into account when choosing a technique. This study aims to systematically review current evidence on the recurrence of varicose veins after three different techniques: conventional surgery (HLS), endovenous laser ablation (EVLA) and radiofrequency ablation (RFA)...
October 2023: International Angiology: a Journal of the International Union of Angiology
https://read.qxmd.com/read/37779391/a-systematic-review-of-endovenous-ablation-for-the-treatment-of-small-saphenous-varicose-veins
#36
REVIEW
Junjie Tan, Yanhui Chen, Jianwen Huang, Weiguo Xu
<b/>Insufficiency of the small saphenous vein causes 15% of varicose veins in the lower extremities. Endovenous ablation for the treatment of small saphenous vein varices has become a trend, and an increasing number of studies have reported the effects of different types of endovenous ablation in patients with small saphenous varicose veins. The purpose of this systematic review is to summarize the results of existing studies on endovenous ablation for the treatment of small saphenous varicose veins, compare its role and efficacy, and provide insights into the future development of endovenous ablation for treating small saphenous varicose veins...
October 2, 2023: VASA. Zeitschrift Für Gefässkrankheiten
https://read.qxmd.com/read/37715341/simultaneous-quantification-of-gadoxetic-acid-and-cisplatin-in-hepatocellular-carcinomas-using-laser-ablation-inductively-coupled-plasma-mass-spectrometry
#37
JOURNAL ARTICLE
Katharina Kronenberg, Julia Werner, Peter Bohrer, Katja Steiger, Rebecca Buchholz, Maximilian von Bremen-Kühne, Matthias Elinkmann, Philipp M Paprottka, Rickmer F Braren, Fabian K Lohöfer, Uwe Karst
The gadolinium-based contrast agent Gadoxetic acid and the platinum-based anti-tumor agent Cisplatin were quantitatively imaged in liver and liver cancer (hepatocellular carcinoma, HCC) tissue of rats by means of laser ablation-inductively coupled plasma-mass spectrometry (LA-ICP-MS). HCC bearing rats simultaneously received a tail vein injection of the hepatocyte-specific magnetic resonance imaging contrast agent Gadoxetic acid and a transarterial injection of Cisplatin 15 min before sacrifice and liver removal...
September 15, 2023: Metallomics: Integrated Biometal Science
https://read.qxmd.com/read/37711789/effectiveness-of-iliac-vein-stenting-combined-with-endovenous-laser-treatment-of-recurrent-varicose-veins-associated-with-iliac-vein-compression
#38
JOURNAL ARTICLE
Mingzhu Zeng, Biyun Teng, Yu Zhao, Fenghe Li, Xuehu Wang, Chuli Jiang, Wei Zhang, Zhi Xiang, Qiu Zeng
BACKGROUND: Iliac vein compression syndrome (IVCS) is an underlying cause of varicose vein (VV) recurrence after venous surgery. However, the management of recurrent varicose veins (RVVs) combined with IVCS has rarely been reported. This study aimed to investigate the outcomes of a one-stop procedure to correct outflow obstruction and superficial reflux for patients with RVVs and IVCS. METHODS: A retrospective analysis was conducted of 102 consecutive patients diagnosed with RVVs...
September 1, 2023: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/37663729/endovenous-laser-ablation-versus-conventional-surgery-ligation-and-stripping-for-primary-great-saphenous-varicose-vein-a-systematic-review-and-meta-analysis
#39
REVIEW
Oshan Shrestha, Sunil Basukala, Niranjan Thapa, Sagun Karki, Prashant Pant, Sushanta Paudel
BACKGROUND: The great saphenous varicose vein was managed with high ligation and stripping conventionally, but with the development of minimally invasive surgical techniques like endovascular laser ablation (EVLA), they have become popular. This systematic review and meta-analysis of randomized controlled trials aim to compare the short-term and long-term outcomes of these two modalities on headings like procedural time, technical success, recovery time, recurrences, cost-effectiveness, and complications...
September 2023: Annals of Medicine and Surgery
https://read.qxmd.com/read/37652254/the-2023-society-for-vascular-surgery-american-venous-forum-and-american-vein-and-lymphatic-society-clinical-practice-guidelines-for-the-management-of-varicose-veins-of-the-lower-extremities-part-ii-endorsed-by-the-society-of-interventional-radiology-and-the
#40
Peter Gloviczki, Peter F Lawrence, Suman M Wasan, Mark H Meissner, Jose Almeida, Kellie R Brown, Ruth L Bush, Michael Di Iorio, John Fish, Eri Fukaya, Monika L Gloviczki, Anil Hingorani, Arjun Jayaraj, Raghu Kolluri, M Hassan Murad, Andrea T Obi, Kathleen J Ozsvath, Michael J Singh, Satish Vayuvegula, Harold J Welch
The Society for Vascular Surgery, the American Venous Forum, and the American Vein and Lymphatic Society recently published Part I of the 2022 clinical practice guidelines on varicose veins. Recommendations were based on the latest scientific evidence researched following an independent systematic review and meta-analysis of five critical issues affecting the management of patients with lower extremity varicose veins, using the patients, interventions, comparators, and outcome system to answer critical questions...
January 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
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