Intravascular lasers in the treatment of varicose veins
- 1 July 2004
- journal article
- Published by Wiley in Journal of Cosmetic Dermatology
- Vol. 3 (3), 162-166
- https://doi.org/10.1111/j.1473-2130.2004.00066.x
Abstract
Historically, surgical treatments, such as high ligation or complete removal of an incompetent greater saphenous vein, were used to treat varicose veins resulting from saphenofemoral junction reflux. The relative lack of efficacy of these invasive methods, along with potential morbidity and significant patient downtime, has inspired the search for other treatments. Endovenous radiofrequency closure of the greater saphenous vein is effective and safe but its high cost, in terms of non-reusable catheters, and its slow withdrawal rate impair its practicality. A new technique for endovenous occlusion using endoluminal laser technology offers a less invasive alternative to ligation and stripping as well as a faster and less expensive method to treat varicose saphenous trunks and junctions. Initial clinical experience in several hundred patients shows a high degree of success with minimal side effects, most of which can be prevented or minimized by minor modifications of the technique. This paper reviews the use of an intravascular laser to destroy varicose veins. Various wavelengths including 810, 940, 980, 1064 and 1320 nm have been used to produce intravascular destruction of varicose veins. The 1320-nm intravascular laser with a motorized pull-back system appears to be the most efficient and reproducible system to effectively close and/or destroy an incompetent greater saphenous vein.Keywords
This publication has 19 references indexed in Scilit:
- Endovenous laser photocoagulation (EVLP) for varicose veinsLasers in Surgery and Medicine, 2002
- Comparison of Endovenous Radiofrequency Versus 810 nm Diode Laser Occlusion of Large Veins in an Animal ModelDermatologic Surgery, 2002
- Controlled Radiofrequency Endovenous Occlusion Using a Unique Radiofrequency Catheter Under Duplex Guidance to Eliminate Saphenous Varicose Vein Reflux: A 2-Year Follow-UpDermatologic Surgery, 2002
- Closure of the Greater Saphenous Vein with Endoluminal Radiofrequency Thermal Heating of the Vein Wall in Combination with Ambulatory Phlebectomy: 50 Patients with More Than 6-Month Follow-upDermatologic Surgery, 2002
- Endovenous LaserDermatologic Surgery, 2001
- Treatment of Primary Venous Insufficiency by Endovenous Saphenous Vein ObliterationVascular Surgery, 2000
- Objective assessment of high ligation without stripping the long saphenous veinBritish Journal of Surgery, 1991
- The fate of residual saphenous vein after partial removal or ligationJournal of Vascular Surgery, 1990
- To strip or not to strip the long saphenous vein? A varicose veins trialBritish Journal of Surgery, 1981
- The value of different forms of treatment for varicose veinsBritish Journal of Surgery, 1979