K Firouznia MD; H Ghanaati MD; M Hedayati MD; M Shakiba MD; AH Jalali MD; R Mirsharifi MD; A Dargahi MD.
Endovenous laser treatment (EVLT) for the saphenous reflux and varicose veins: A follow-up study
Article first published online: 9 OCT 2012
© 2012 The Authors. Journal of Medical Imaging and Radiation Oncology © 2012 The Royal Australian and New Zealand College of Radiologists
Journal of Medical Imaging and Radiation Oncology
Volume 57, Issue 1, pages 15–20, February 2013
How to Cite
Firouznia, K., Ghanaati, H., Hedayati, M., Shakiba, M., Jalali, A. H., Mirsharifi, R. and Dargahi, A. (2013), Endovenous laser treatment (EVLT) for the saphenous reflux and varicose veins: A follow-up study. Journal of Medical Imaging and Radiation Oncology, 57: 15–20. doi: 10.1111/j.1754-9485.2012.02457.x
Conflict of interest: None.
- Issue published online: 4 FEB 2013
- Article first published online: 9 OCT 2012
- Manuscript Accepted: 19 JUN 2012
- Manuscript Received: 31 JAN 2012
The aim of this study is to report our experience about endovenous laser treatment (EVLT) for lower extremity varices in our centre which was followed by ultrasonography during the 6-month period.
During a 1-year period, 46 patients who were treated by EVLT with the 940-nm diode laser for venous insufficiency enrolled in the study. The diagnosis of greater saphenous vein (GSV) incompetence with reflux was made by clinical evaluation and duplex Doppler examinations. Clinical outcomes, complications and duplex ultrasound of the GSV were assessed within 1 week, 1 month, 3 months and 6 months, after the endovascular laser treatment.
The mean age of our patients was 44 ± 11 years (24–70), and among them, 23 (50%) were male. Improvement in visible varicosity was seen in 39 (84.8%) patients after 6 months (P value = 0.011). The baseline mean diameter of GSV was 4.9 ± 1.6 mm and it dropped to 3.5 ± 1.3 after 6 months (P < 0.0001). After 6 months, 95.7% of our patients were satisfied and recommended this procedure to others.
Endovascular laser ablation seems to be a safe and effective method for the treatment of lower limb varices.