The Journal of Japanese College of Angiology
Online ISSN : 1880-8840
Print ISSN : 0387-1126
ISSN-L : 0387-1126
Volume 54 , Issue 11
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Original Article
  • Manabu Haga
    2014 Volume 54 Issue 11 Pages 179-183
    Published: 2014
    Released: November 10, 2014
    The aim of this study was to investigate the efficacy and safety of endovenous laser ablation (EVLA) for treating insufficiency of the saphenous veins or accessory saphenous veins using a 1319-nm Nd:YAG pulse wave laser. Forty-nine patients (76 limbs, 87 veins, 53 cases) were retrospectively evaluated. Patients were elected to undergo EVLA for one of the three reasons: larger mean vein diameter (>10 mm), currently receiving anticoagulant/antiplatelet therapy, and/or patient request for a painless procedure. Sixty-two great saphenous veins (mean diameter, 9.6±3.7 mm), 21 short saphenous veins (mean diameter, 6.4±1.7 mm), and 4 other veins were ablated. No major complications such as deep vein thrombosis and paresthesia occurred. Postoperative pain and bruising were observed in 5.3% and 6.6% of limbs, respectively. All patients completed a 1-year follow-up. Occlusion of treated varicose veins was satisfactory except for one case of partial recanalization (1.2%). EVLA of varicose veins using a 1319-nm pulse laser is highly effective and associated with few side effects.
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